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.
Payment Accuracy Advisor
Overview of Position
A Payment Accuracy Advisor provides software expertise to their assigned client base. They will work collaboratively with the other groups/teams within the organization to provide high quality timely client deliverables.
What will be my duties and responsibilities in this job?
Serve as a customer-facing resource for successful client implementations, upgrades, and on-going support
Participate in Service Delivery Team meetings, initiatives, and metrics Function as team member in support of all goals and objectives
Support internal special projects for the purposes of evaluating, improving, correcting, or newly implementing various initiatives
Provide forecasting inputs for project works, supply requested metrics and attend all team meetings
Work with the Engagement Manager and Sr. Payment Accuracy Advisor to determine internal project milestones to drive client deliveries
What are the requirements needed for this position?
Bachelor’s Degree in computer science, healthcare related field, or equivalent business experience
4 – 8 +years of experience in health care combining firsthand payor and consulting experience
2 – 5 years of medical claims experience within payor environment required
SDLC exposure needed
High level of understanding of medical terminology, healthcare industry terminology and medical coding terminology
What other skills/experience would be helpful to have?
High level understanding of claim architecture, infrastructure, and multiple platforms
Ability to discuss customer issues (pains and trends) confidently
High-level proficiency in Microsoft Office 365
What are the working conditions and physical requirements of this job?
General Office conditions
This role may require work performed outside normal business hours, to include nights and weekends to support customer activity
How much should I expect to travel?
Travel 10% to 15%
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
California / Colorado / New Jersey / New York / Rhode Island / Washington Residents Only:
The applicable base pay for your state is listed below. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, ClaimsXten Portfolio 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 ClaimsXten Portfolio, you’ll find a far-reaching choice of benefits and incentives.
The base pay range for this position is $80,100.00 - $177,960.00
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/diversity
Feeling 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.
ClaimsXten General Disclaimer
Change Healthcare is not affiliated with TPG Capital, TPG or the ClaimsXten Portfolio Business. Change Healthcare is providing talent sourcing and other people management administrative tools for the ClaimsXten Portfolio Business for a brief period of time. However, Change Healthcare has no role in the interviewing, selection, employment, or management of ClaimsXten applicants or employees. Though applicants may see the Change Healthcare logo and/or email addresses during the application process (and, if employed, during employment), Change Healthcare serves only an administrative role and is not the employer seeking to fill this role. ClaimsXten Portfolio Business makes all employment decisions concerning applicants.
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 .
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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.