Amisys and Optum Pricer SME

Role: Amisys and Optum Pricer SME

Location: 100% remote

Duration: 12 + Months

A health plan client of ours is seeking an Amisys and Optum Pricer SME. Additionally, we are looking for at least 2-3 more senior-level resources.

Candidates must have strong Amisys Configuration and Optum Pricer experience.

• Assess current state and design, Identify, analyze and communicate future state solution for Amisys deployment

• Lead system claims operations, configuration, mapping, and management for Amisys and Optum Pricer Integration, transactions and processes

• Monitor interaction of MCR/MCD and MarketPlace Regulations and Requirements

• Manage interfacing and integration of Amisys and Optum perform batch re-pricing, and analyze results to compare actual reimbursement to % of Medicare/Medicaid APC, ASC, APG, and DRG rates within the Optum Pricer

• Manage troubleshooting of transactions and workflows with emphasis on Facility UB04 claims expertise

• Review and assist in implementation of Amisys and Optum pricer process creation, testing, and validation

• Streamline efficiency and speed of Testing environment

• Create Automation of config, testing and operational environments

• Develop and maintain process documentation

• Develop Instructional design and Training program for deployment to Amisys deployment team

Job Types: Full-time, Contract

Salary: From $45.00 per hour

Benefits:

• Health insurance
• Vision insurance

Schedule:

• 8 hour shift

Experience:

• Amisys Configuration and Optum Pricer: 5 years (Preferred)
• MCR/MCD: 5 years (Preferred)
• Facility UB04 claims: 4 years (Preferred)

Work Location: Remote