PDSI Analyst - Ancillary

* Ensures accurate and timely research, resolution, loading and maintenance of multiple lines of business contracting arrangements for provider contracts in multiple claims administration systems * Ensures accurate and timely research, resolution, loading and maintenance of provider demographic data * Configures provider payment arrangements through integration of provider contractual arrangements, product standards, benefit standards and payment policies and procedures in order to facilitate accurate claims payment * Resolves provider data and payment discrepancies and applies appropriate pricing methodologies and contractual arrangements to facilitate accurate and timely resolution of provider claims payment issues * Supports projects and work initiatives directly related to provider data by providing subject matter expertise Job Requirements: * Bachelor's degree or equivalent work experience, plus 2+ years directly related work experience defined as: Provider reimbursement methodologies, contract maintenance of provider demographic and pricing data, and claims processing * Work experience in Siebel queue inventory management * Demonstrate effective organizational and multi-tasking competencies as proven through past/current roles Business Specific Criteria (preferred skills): * Experience entering provider contracts in the Provider Information Portal (PIP), Diamond, PFE, IMS and MHS systems * Online provider directory & Stellant Imaging experience * Experience with provider contract pricing tables and their relationship to each other (table relationship management) * Experience working with ancillary provider claims processing and provider data * Experience working on a statewide team located in multiple sites * Advanced PC skills such as: MS Word, Excel, PowerPoint, or MS Suite Division/Department : Incepture Corporate Office Travel Required : None