Configuration Auditor
NTT DATA North America
+ Review contracts to ensure set-up is correct in Payment Index and Configuration
+ Review state guidance on pricing and benefits and validate against Configuration
+ Review provider set-up for pricing set-up and alignment
+ Participate in problem solving of Health Plan benefit, provider, pricing, reporting, operational and system issues.
+ Perform a variety of tasks related to the resolution of production support issues based on client configurations with the core administrative system.
+ Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential responsibilities include and may vary by system area of assignment.
+ Pull Provider pricing report using identified parameters and criteria.
+ Review Provider Contracts and identify contract specifics and reimbursements.
+ Review pricing terms from contract and document in contract library.
+ Analyse pricing terms from Xcelys to match Contract library.
+ Document and report discrepancies/feedback to Configuration Team for resolution.
+ Data Validation and Audit of existing plans and contracts in the client database(s)
+ Database Management & Maintenance
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