Medicaid Configuration Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 23, 2025
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Job Description:
A company is looking for a Pricing and Reimbursement
Analyst.
Key Responsibilities:
Conduct in-depth research and analysis of State Medicaid
fee-for-service provider contracts and related documentation
Translate Medicaid reimbursement methodologies into actionable
configuration requirements for Facets and NetworXPricer systems
Collaborate with technical teams to ensure accurate implementation
and testing of configuration changes
Required Qualifications:
Bachelor's degree in Healthcare Administration, Information
Systems, Business, or a related field, or equivalent work
experience
Proven experience (typically 3+ years) in researching State
Medicaid reimbursement methodologies
Experience in defining configuration requirements for healthcare
payer systems, specifically with Facets and/or NetworXPricer
Strong understanding of healthcare coding systems (CPT, HCPCS,
ICD-10, DRG, Revenue Codes, POS codes)
Familiarity with State Medicaid Administrative Code and related
documentation
Keywords: VirtualVocations, Temecula , Medicaid Configuration Analyst, Professions , Vista, California
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