MD Clarity

Provide price transparency to patients | Recover underpayments by insurance companies | Automate benefits workflows

Customer Success Engineer

Technical Customer SuccessTechnicalCustomer SuccessFull TimeRemoteTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

9 days ago

Salary

Not specified

Bachelor Degree2 yrs expEnglishSQL

Job Description

• Interpret complex payer contracts and reimbursement methodologies and translate them into structured system configurations. • Configure managed care contract terms, fee schedules, and reimbursement rules within the contract management platform. • Validate reimbursement calculations and payer payment logic across Medicare, Medicaid, and commercial payers. • Strong ability to implement custom reporting / current product optimizations to address end-user functional issues. • Strong analytical and problem-solving skills, including root cause analysis and devising solutions for customer workflows. • Use SQL and relational databases to analyze healthcare datasets and validate reimbursement logic. • Investigate and resolve data discrepancies impacting contract configuration or payment calculations. • Partner with engineering teams to troubleshoot escalated technical issues related to data or contract configuration. • Work directly with healthcare customers to resolve contract interpretation questions and reimbursement issues. • Communicate product feedback and recurring customer issues to internal teams to support product improvements.

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Information Systems, Data Engineering, Computer Science, Information Technology, or any general Engineering field (e.g. Industrial Engineering) or a related field (or equivalent experience).
  • 2+ years of experience in healthcare revenue cycle, managed care contracting, payer relations, or contract administration.
  • 5+ years of experience working with SQL.
  • Strong understanding of managed care contracts, payer reimbursement methodologies, and healthcare revenue cycle operations.
  • Knowledge of reimbursement models including Medicare, Medicaid, TRICARE, commercial payer contracts, and physician payment methodologies.
  • Proficiency with SQL.
  • Experience working with healthcare financial or claims datasets.
  • Strong analytical and problem-solving skills with the ability to conduct root cause analysis.
  • Strong ability to translate end-user functional issues into potential product enhancements.
  • Strong organizational skills with high attention to detail.

Benefits

  • Must be eligible to work in the U.S. without Sponsorship

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