Department: IT
Key Responsibilities: Proactively participate in regulatory logic compliance and the development of documents, templates and processes utilized for the automation of medical bill review pricing on a national scale. Assist in the implementation of departmental procedures and protocols along with the Regulatory manager and data team counterparts. Collaborate with the Compliance and Analyst teams to document the development logic needed for the application to access, utilize and successfully adjudicate medical bills in an automated fashion. Develop efficiencies within these processes to assure growth and productivity. Work with the Development team to automate appropriate bill pricing and payment logic.
Requirements: SQL knowledge and experience required; 2+ years of data development experience, MySQL and medical bill review knowledge and experience preferred