Claims Dispute Resolution Lead

A company is looking for a Claims/Provider Dispute Resolution Implementation Lead. Key Responsibilities Assess and interpret customer needs and requirements while making recommendations for market/payor configuration Coordinate and complete projects, managing Claim Operations readiness tasks and timelines in compliance with quality standards Develop and maintain detailed project plans, monitoring progress throughout the project life cycle Required Qualifications 2+ years of Facets configuration experience (claim, workflow, tables) 2+ years of project management experience 2+ years of experience in a healthcare/payor setting, including claims operations 2+ years of experience in gathering and documenting business requirements and managing project plans Solid knowledge of business processes impacting provider data, pricing, and claims processing

Mar 11, 2025 - 23:38

A company is looking for a Claims/Provider Dispute Resolution Implementation Lead. Key Responsibilities Assess and interpret customer needs and requirements while making recommendations for market/payor configuration Coordinate and complete projects, managing Claim Operations readiness tasks and timelines in compliance with quality standards Develop and maintain detailed project plans, monitoring progress throughout the project life cycle Required Qualifications 2+ years of Facets configuration experience (claim, workflow, tables) 2+ years of project management experience 2+ years of experience in a healthcare/payor setting, including claims operations 2+ years of experience in gathering and documenting business requirements and managing project plans Solid knowledge of business processes impacting provider data, pricing, and claims processing