Change Healthcare Hiring for Secondary Editing – Payment Accuracy Advisor at New Delhi, India Full Time

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Overview ClaimsXten:

TPG Capital recently completed the purchase of Change Healthcare’s Clinical Claims Management (CCM) business, which includes the ClaimsXten®, ClaimsXten® Select, ClaimCheck, Secondary Editing, and Episode Manager solutions. The transaction establishes the CCM business as an independent company, with an interim name of ClaimsXten Portfolio. ClaimsXten Portfolio has a long history as a trusted partner and market leader in primary claim editing, delivering value through savings, operational efficiencies, and long-standing partner relationships.

TPG Capital is a leading private equity platform of alternative asset management firm TPG and an active, experienced healthcare and software investor. TPG has a long history of partnering with companies, including the ClaimsXten Portfolio Business–a trusted partner and market leader in primary claim editing, delivering value through savings, operational efficiencies, and long-standing partner relationships. ClaimsXten’s primary solutions are ClaimsXten®, ClaimsXten® Select, ClaimCheck, Secondary Editing, and Episode Manager.

Work Location:

• Fully Remote – U.S.

  Position:

  The Secondary Editing PAA functions as a Subject Matter Expert (SME) for implementing and maintaining the ClaimsXten (CXT) Rules and Rule Logic in partnership with customer’s deployment of the ClaimsXten Cloud Services program. The specialist will do this by engaging with assigned customers as a CXT SME to understand their claim system(s), payment policies, and integration data elements managed thru the use of CXT for total payment accuracy.

  Core Responsibilities:

  • Opportunity Evaluation, Analysis and Data Mining

  • New Opportunity Vetting with Customer

  • Deployment Planning

  • New Opportunity Implementation

  • Monitoring and Measuring

  Requirements: List only the most important experience, skills, competencies, training, licenses, degrees – that would disqualify candidates if they do not meet all the listed requirements.

• Minimum of 4 years of experience in health care (claims, coding, requirements gathering, and/or consulting)

• Software Development Life Cycle (SDLC) exposure

• Minimum of 2 years experience with presenting content (presentations/projects/etc…) to internal and/or external clients

• Minimum of 2 years experience working with payor/vendor environments and claims management

• Bachelor’s Degree in computer science, healthcare related field, or equivalent business experience

  Preferred Qualifications:

• High level of expertise in payor environments and claims management

• Granular understanding of different customer segments (national, strategic and/or specialized business)

• High level of understanding of medical terminology, healthcare industry terminology and medical coding terminology

• Experience driving content updates either at a Health Plan or Clinical Code Editing Vendor

• Certified Coder Experience

  Working Conditions/Physical Requirements:

• General office demands

  Travel: If the position does not require travel, remove this section.

• Up to15%

• Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

  Diversity and Inclusion:

• At ClaimsXten Portfolio, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.

  This would be where the updated NY and NJ compensation verbiage goes as well.

New York and New Jersey Residents Only: The salary range for New York City, NY and Westchester County, NY is $101,315 – $196,440. The salary range for Ithaca, NY is $88,100– $163,700. The salary range for Jersey City, NJ is $105,720 – $196,440. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.

#li-remote

Colorado Residents Only:

The base pay range for Colorado residents is $87,879.75 – $180,479.25 plus any relevant incentive pay programs that may be aligned to the role. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your base pay, Change Healthcare offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental and vision plans; wellness program; health savings account; flexible spending accounts; 401(k) retirement plan; life insurance; short-term and long-term disability insurance; Employee Assistance Program; PTO; tuition reimbursement; and employee-paid critical illness and accident insurance.

Diversity, Equity & Inclusion : •At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversityFeeling Inspired? Ready to #MakeAChange? Apply today!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.