Analyst
Blue Shield of CA
Blue Shield of California is seeking a QC Pricing Analytics and Contract Configuration Analyst Associate in Oakland. You will perform in-line audits of negotiated provider contracts and validate terms. You will run test claims to ensure correct payment, identify gaps, and support remediation and process improvements. Ideal candidates have 0-2 years in auditing or claims processing within a health plan, with strong medical claims knowledge and proficiency in FACETS, CLMS, and MS Office. #J-18808-Ljbffr
Vacancy posted 4 hours ago
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