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Provide price transparency to patients | Recover underpayments by insurance companies | Automate benefits workflows
Customer Success Engineer
Location
United States
Posted
99 days ago
Salary
0
Seniority
Mid Level
Job Description
Customer Success Engineer
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.
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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