MD Clarity

• 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.