Summary: Develop/gather business requirements for queries needed to analyze vendor payment data. Utilize pre/post... and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process...
. Configure contract terms, payment rates, and rules within the organization's systems. Ensure that all contract configurations... and integrity. Monitors and validates post-implementation reports to identify and fix configuration issues. Participates...
operations. This role evaluates payment integrity processes as it relates to carrier reimbursements, supports operational... recommendations that improve performance, cost efficiency, and service quality Collaborate with Operations, Payment Integrity...