Description
Avera Health Plans is hiring a Configuration & Coding Analyst to design, configure, implement, test, and maintain health plan claims administration systems. The role translates benefit plans, provider contracts, reimbursement methodologies, medical policies, coding updates, and regulatory requirements into compliant system configurations, including claims editing, ICD-10-CM, CPT, HCPCS, NCCI, authorization, and provider reimbursement rules. The analyst also troubleshoots claims processing issues, supports implementations and upgrades, maintains configuration documentation, and collaborates with operations, clinical services, compliance, finance, information technology, and vendors. The position is in-person in Sioux Falls, South Dakota, on a day shift from Monday through Friday, with a pay range of $63,960 to $96,200.
