Alliance Health
Morrisville, NC
The Rate Specialist updates and monitors provider rates. This position will ensure the rates paid to providers for Medicaid, State, and other member services are aligned with cost-based methods that are both financially viable for Alliance and that will financially support the provider and promote quality of services to members
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties-
Maintain Alliance rates
Maintain and update rates within the Alliance Claims System (ACS) according to the applicable benefit plan and ensure the integrity of the rates data in the system
Ensure that rates are in line with Medicaid published rates where applicable
Update and track provider and member specific enhanced rates by...