Job Description
The Pricing Configuration Analyst plays a crucial role in ensuring the accurate and timely implementation and maintenance of critical information on our claims databases. This individual will work closely with cross-functional teams to ensure timely and accurate updates to system and pricing modules used for payment of claims. Main responsibilities include Coordinate and maintain all prospective payment system (PPS) configuration and /or external system pricer /grouper upgrades and troubleshooting any coding/grouping issues as reported to determine appropriate assignment of DRG/APC. Other responsibilities include serving as subject matter expert related to CMS pricing rules and methodologies. You will remain current on all CMS pricing rules and regulations, coding updates, changes, and issues, and interpret specific state and/or federal benefits, contracts, and additional business requirements, converting these terms to configuration parameters.
About Sidecar Health
Sidecar Health is an Equal Opportunity employer committed to building a diverse team transforming healthcare in the U.S.