02 Nov
Team Lead-Facets Pricing Config - NetworX
Ohio, Dayton / springfield , 45402 Dayton / springfield USA

Vacancy expired!

job summary:The Team Lead, Configuration - Pricing/Facets is responsible for day-to-day activities surrounding the knowledge and insight around development and support of medical benefits, provider reimbursement, letters, and clinical editing. Must have prior experience with Facets - Pricing tool and past experience managing a team. location: DAYTON, Ohiojob type: Permanentsalary: $105,000 - 115,000 per yearwork hours: 8am to 5pmeducation: Bachelors responsibilities:

  • Responsible for day-to-day activities surrounding the knowledge and insight around development and support of medical benefits, provider reimbursement, letters, and clinical editing
  • Guide and direct successful completion of daily tasks. Responsible for onboarding, training and development of staff
  • Prioritize all work, requests and activities. Escalate any area of significant resource contention along with recommendation for resolution
  • Track issues and status to ensure proper follow-up, coordination with business area and provide solutions
  • Update project that configuration is involved with and coordinate any needed changes with manager
  • Provide management with ticket dashboards. Identify root cause of issues and appropriate pro-active resolution to reduce tickets in the future
  • Ensure ticket controls, communication and approvals are followed prior to system implementation
  • Maintain and support fee schedules and methodology is consistent with required standards
  • Provide oversight to vendor management tasks conducted by team members. Ensure timely responses and resolution
  • Assist in auditing system configuration to ensure accuracy and internal controls are in place to minimize potential fraud and abuse and any business issues
  • Perform any other job duties as requested
qualifications:
  • Experience level: Experienced
  • Minimum 5 years of experience
  • Education: Bachelors
skills:
  • Facets (5 years of experience is required)
  • System Configuration (5 years of experience is required)
  • Facets Pricing (5 years of experience is required)
  • Claims Processing
  • Medical Coding
  • Change management (5 years of experience is required)
  • Business Analysis (5 years of experience is required)
  • NetworX (4 years of experience is required)
  • Team Lead
  • Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility). For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.

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