Advanced Medical Management, Inc.Long Beach, CA, United States
Full-time
The Configuration Analyst will be responsible for supporting all aspects of system configuration ensuring that all system configurations are programmed accurately for Authorizations and Claims.Conf...Show moreLast updated: 4 days ago
Promoted
Contract and Grant Analyst
InsideHigherEdBellflower, California, USA
$28.78–$59.34 hourly
Full-time
University of California Los Angeles.The Office of Contract and Grant Administration (OCGA) is a part of the Office of Research Administration (ORA) which supports the UCLA research program by prov...Show moreLast updated: 4 days ago
Promoted
Local Contract CT Technologist
Host HealthcareLong Beach, CA, US
Full-time
Host Healthcare is seeking a local contract CT Technologist for a local contract job in Long Beach, California.Job Description & Requirements.
Host Healthcare is an award-winning travel healthca...Show moreLast updated: 6 days ago
Promoted
Workforce contract compliance Specialist
Global Channel Management Inc.Cypress, CA, US
Full-time
About the job Workforce contract compliance Specialist.Workforce contract compliance needs 5 years Program Compliance Specialist experience.
Workforce contract compliance requires : .Workforce contrac...Show moreLast updated: 17 days ago
Promoted
TRAVEL CONTRACT - CT TECHNOLOGISTS
Healthcare Staffing PlusCA, United States
$64.00 hourly
Full-time
Obtains quality radiographs of patients within the department as well as with portable equipment in an acceptable timeframe.
Complies with radiation safety guidelines for patient and self.Utilizes P...Show moreLast updated: 2 days ago
Senior Data Analyst (Contract).Our client, a leading healthcare organization dedicated to improving patient care and safety, is seeking a.
This position is fully remote, with candidates required to ...Show moreLast updated: 30+ days ago
Your focus is on providing an exceptional customer experience while handling technical queries and providing solutions for our cloud-based healthcare solutions.
We are looking for someone who can pr...Show moreLast updated: 30+ days ago
Promoted
Contract Studio Administrative Assistant
Jobsultant SolutionsLong Beach, CA, US
$18.00–$26.49 hourly
Permanent +1
About the job Contract Studio Administrative Assistant.To serve as the receptionist for the front desk at the University Writing Center during extended evening hours, assist tutors as needed, and p...Show moreLast updated: 30+ days ago
Promoted
New!
Senior Business Analyst - Long Term Contract - Long Beach, CA (Hybrid)
Lorven TechnologiesLong Beach, CA, US
Full-time
Location : Long Beach, CA (Hybrid).We are seeking a highly experienced Business Analyst with 12+ years of experience to join our team.
The ideal candidate will have a strong background in content an...Show moreLast updated: 15 hours ago
Promoted
CONTRACT GUARD SUPERVISOR 2
INTER-CON SECURITY SYSTEMS INCCA, United States
$21.95–$22.00 hourly
Full-time +1
Founded in 1973, Inter-Con Security Systems, Inc.US-owned security company, providing integrated security solutions to government and commercial customers on four continents.Inter-Con remains under...Show moreLast updated: 2 days ago
Promoted
PROJECT MANAGER (CONTRACT)
PlayStation GlobalCA, United States
$43.80–$65.73 hourly
Full-time
PlayStation isn't just the Best Place to Play - it's also the Best Place to Work.Today, we're recognized as a global leader in entertainment producing The PlayStation family of products and service...Show moreLast updated: 8 days ago
Promoted
Local Contract CT Technologist
Precision Scans Inc.La Palma, CA, US
Full-time
CT Technologist for a local contract job in La Palma, California.Job Description & Requirements.CT Certificate (AAART) Drivers License with picture identification Background Check Skill checkli...Show moreLast updated: 1 day ago
Contract Administrator
RosendinOffice CA REI Headquarters, CA
Full-time
Whether you’re a recent grad or a seasoned professional, you can experience meaningful career growth at Rosendin.Enjoy a true sense of ownership as you work with a proven industry leader on some of...Show moreLast updated: 30+ days ago
Promoted
POWERTRAIN BUILD TECHNICIAN (CONTRACT)
Harbinger Motors Inc.CA, United States
$25.00–$32.00 hourly
Full-time
Southern California-based electric vehicle manufacturer on a mission to transform the automotive and transportation industries, bringing to market EVs developed from the ground up to address the ne...Show moreLast updated: 2 days ago
Promoted
Sr. Regional Contract Manager
HealthCHECLong Beach, CA, US
Full-time
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States.
SCAN Group is the sole corporate member of SCAN Health Plan, one ...Show moreLast updated: 19 days ago
Contract Specialist
California State University, Long BeachLong Beach
$3,879.00–$5,917.00 monthly
Under the general supervision of the Contract Manager, and in accordance with state laws and University policies, the incumbent independently handles a wide range of complex campus-wide contract ma...Show moreLast updated: 30+ days ago
Promoted
New!
PROCUREMENT CONTRACT SPECIALIST II
Inland Empire Health PlanCA, United States
$92,100.00–$120,910.00 yearly
Full-time
Please ensure you read the below overview and requirements for this employment opportunity completely.Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the h...Show moreLast updated: 12 hours ago
Accounts Receivable Analyst (1Y Contract)
AliaxisCA - Pharmacy - Office
Full-time
IPEX is one of the leading North American providers of advanced plastic piping systems.Our mission is to shape a better tomorrow by connecting people with water and energy.We currently have an exci...Show moreLast updated: 30+ days ago
Advanced Medical Management, Inc.Long Beach, CA, United States
4 days ago
Job type
Full-time
Job description
Position Summary
The Configuration Analyst will be responsible for supporting all aspects of system configuration ensuring that all system configurations are programmed accurately for Authorizations and Claims.
Responsibilities-duties
Configure rates based on provider contracts to ensure accurate payments of claims and capitations to providers.
Configure rates based on vendor contracts to ensure accurate payments.
Maintain system configuration based on data received from contracting
Audit accuracy of Fee schedules in test environment prior to in-loading in production
Assign Fee Set Assignments by line of business or health plan code
Program and audit Interest Payment
Program and audit RBRVS Geographical Adjustment
Apply previous experience and knowledge to research and resolve claim / encounter issues, pended claims and update system as necessary
Coordinating with internal departments to resolve and assist with system related issues / builds
Other duties may be assigned by the Supervisor of Contract Configuration or Manager of Contract Configuration.
Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines and needs of user community.
Education & Experience Requirements
Minimum 5 years’ of administrative healthcare experience preferred
High School Diploma or GED, some college preferred
Experience with benefits and system configuration and interpretation