Healthcare QA Analyst for Payment Integrity and Claims Repricing.

JOB DESCRIPTION: The Burgess Source Configurator is responsible for configuring, maintaining and optimizing the Burgess Source claims pricing and payment integrity platform. This role ensures accurate reimbursement logic, regulatory compliance and seamless integration with payer systems. The configurator works closely with business, compliance and IT teams to deliver accurate pricing outcomes and support operational efficiency. RESPONSIBILITIES: Understanding of HRP modules and Burgess SourceCon

Hi Professionals, Job Title: Facets / NetworX Reimbursement Specialist Location: 100% Remote Job Type: Long Term Contract Job Description: Hands-on experience working in Facets within reimbursement or pricing functions. Strong experience with NetworX Pricer, including operation, validation, and troubleshooting. Able to interpret Provider Contract Documents (PDF/ Word formats) accurately. 510 years of experience in reimbursement operations, provider payment operations,

Job: Finance Domain Tester Location: Remote(USA) Finance Domain Tester Play the role of Finance Domain lead for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot pro

Key ResponsibilitiesConfigure and customize claims platform modules (Benefits, Claims, Pricing, Provider)Develop enhancements, business rules, and workflowsBuild integrations with downstream/upstream systemsSupport data migration and system upgradesTroubleshoot claims adjudication defects and performance issuesParticipate in SIT, UAT, and production deploymentsDevelop technical documentation and configuration guidesEnsure compliance with payer regulatory requirementsRequired Qualifications5+ yea