This role leverages advanced expertise in claims and provider pricing to drive impactful solutions across sophisticated systems like Facets, NetworX, and Optum
Job Summary
This role leverages advanced expertise in claims and provider pricing to drive impactful solutions across sophisticated systems like Facets, NetworX, and Optum.
The successful candidate will act as a vital liaison between business and IT to define requirements, design solutions, and resolve complex production system problems.
Blue Cross NC offers a robust total rewards package including medical, dental, vision coverage, parental leave, and a 401k match with annual company contribution.
Matching Summary
This role leverages advanced expertise in claims and provider pricing to drive impactful solutions across sophisticated systems like Facets, NetworX, and Optum.
Salary
Base: $89,174.00 - $142,679.00; Bonus: Annual Incentive Bonus based on goals; Benefits: Medical, dental, vision, 401k match, PTO
Skills & Requirements
Must-have
5+ years experience in related field
Facets NetworX Optum systems expertise
Provider contractual terms understanding
UB04 and HCFA1500 billing practices
Requirements analysis and documentation
Nice-to-have
Strong interpersonal communication skills
Intermediate Microsoft Excel proficiency
Experience with system configuration changes
Ability to train and coach others
Key Requirements
Bachelor's degree or 7+ years equivalent experience
Understanding of UB04 and HCFA1500 billing practices
Intermediate expertise with Facets, NetworX, and Optum