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Fee Schedule Analyst · Deerfield, IL
American Imaging Management (AIM) is the nation’s leading provider of diagnostic imaging management services.
AIM’s Risk Program Client Development Group creates an end-to-end solution for insurance carriers seeking preferred imaging test providers for its customers, preauthorization of and payment for those services.
Our Risk Program Group seeks an individual with exceptional data manipulation and analysis skills to help identify probable usage and financial risks inherent in this service and to help develop appropriate pricing models and fee schedules for clients.
The successful candidate will:
* Have responsibility for the end-to-end process of fee schedule development, auditing and validity testing.
* Analyze the impact of adjustments to provider reimbursements or services utilization on provider contracts and overall network performance.
* Evaluate provider network capacity based on geographic distribution of membership and health care providers.
* Work with provider relations and contract administration on other assigned activities
Founded in 1989, AIM is the oldest and largest company of its kind. AIM partners with leading health plans and health care providers to...
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