Medicare Regulatory Pricer Analyst

Role Overview: You will play a crucial role at Zelis India by supporting initiatives that enhance the healthcare financial experience. Your responsibilities will include performing data analysis, interacting with regulators and clients, leading maintenance activities, and updating internal documentation. Your ability to identify issues upfront, manage competing priorities, and communicate effectively will be key in maintaining high standards of service delivery. Key Responsibilities: - Perform analysis of various data sources using software like Microsoft Excel - Interact with regulators and clients to determine and document business requirements - Lead pricer maintenance, quality assurance activities, audits, troubleshooting, and defect corrections - Update internal documentation and processes as needed - Manage competing priorities and deliver quality information and analysis while adhering to deadlines - Other miscellaneous responsibilities as assigned Qualifications Required: - Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field - Experience with Medicaid or commercial billing and reimbursement is a plus - Ability to support the management of Medicare pricer programs - Strong analytical and critical thinking skills, with the ability to decipher dense regulatory or procedural language - Ability to prioritize multiple tasks, meet deadlines with minimal supervision, and troubleshoot production issues - Proficient in Microsoft Office skills and familiar with writing SQL queries - Strong research and data analysis skills - Ability to understand in-house developed systems and identify risks or gaps - Excellent communication skills, collaboration, and active listening abilities (Note: The additional details of the company were not explicitly mentioned in the provided job description),