Configuration Auditor
Apply now »Date: May 6, 2025
Location: Dallas, TX, US
Company: NTT DATA Services
- 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
Nearest Major Market: Dallas
Nearest Secondary Market: Fort Worth
Job Segment:
Database, Technology