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Content Business Analyst -Health

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Experian
📍 Heredia, Costa Rica
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Location Heredia
📅
Posted June 06, 2026
🚗
Commute Local Area
🎯
Local Opportunity Near You!

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Job Description

Job Description

Interpret medical rules, regulations, fee schedules, and edits that payers post. Sources include (but may not be limited to Centers for Medicare Services CMS, State Health & Human Services Medicaid plans, Governmental payer Tricare, and all national commercial insurance plan payers that pay). You will report to Client Implementation Senior Manager.

  • Understand and manipulate payer data to build federal, state, and commercial coding and financial tables that support Experian Health product logic.
  • Monitor and maintain the tables, due to unpredictable payer updates. Navigate complex and evolving regulatory scenarios.
  • Analyze and maintain Medicaid master fee schedules.
  • Think through situations independently and in collaboration with others.
  • Maximize the efficiency and use of our product solutions in day-to-day operations by properly maintaining payer specific edits.
  • Leverage internal loading systems to rou...

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    📍 Location Details

    🌆
    City
    Heredia
    🗺️
    Country
    Costa Rica
    🚗
    Commute
    Local Area

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