{"id":4235169,"url":"https://alion.io/job/horizon-blue-contract-pricing-configuration-analyst","title":"Contract Pricing Configuration Analyst","company":{"id":1809289,"name":"Horizon Blue","domain":"horizonblue.com","url":"https://alion.io/company/horizonblue","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Analytics","role_family":"Analytics","seniority":null,"employment_type":"contractor","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":["New York, United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":70500,"max":94395,"currency":"USD","period":"year","gross":null,"usd_annual":94395},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false},{"name":"SQL","optional":false}],"status":"live","first_seen_at":"2026-11-13T09:31:21Z","employer_posted_date":null,"last_verified_at":"2026-11-13T09:31:21Z","board_verified":false,"closed_at":null,"days_open":1,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":1},"description":"This a Full Remote job, the offer is available from: United States, New Jersey (USA)\nHorizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.\n\nAbout the Role\n\nResponsible for the accurate and timely configuration and maintenance of provider reimbursement arrangements for healthcare professionals, institutions and ancillaries.Candidate MUST have: Strong analytical skills dealing with hospitals, ancillary and provider contracts.\n\nWhat You'll Do\n\nResponsibilities:\nInterpret company reimbursement arrangements for healthcare professionals, Institutions and ancillaries.\nConsults with relevant contract manager or reimbursement lead to determine appropriate interpretation and configuration of contract terms\nUnit test simple configuration changes to ensure accuracy of rate load.\nRespond to internal and external provider fee requests.\nPerforms problem resolution of configuration issues identified by the Service division or Provider Relations area\nMonitors and tests the accuracy of price rules, fee schedules, contract loads as assigned\nAssists with audit function to support both internal and external audits required by the company (SOX, SSAE16).\nAssist the Leads in the implementation of enterprise initiatives impacting pricing\nUnderstanding of medical terminology, medical coding (CPT4, ICD9/ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices\nDisclaimer:\nThis job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.\n\nWhat You Bring\n\nEducation/Experience:\nHigh School Diploma/GED required.\n\nRequires 3-5 years of Health Care experience specifically in provider contract and pricing configuration\n\nIn leiu of degree, requires 5 years of Health Care experience, specifically in provider contract and pricing configuration\n\nRequires prior experience in one or more claim systems.\n\nRequires experience with pricing and / or provider contract arrangements\n\nPrefers experience with NetworX Pricer and NetworX PBA\n\nPrefers knowledge of one or more claim system with preference in claims processing, pricing and contract set up.\n\nKnowledge:\nPrefers knowledge of business and technical requirements\n\nPrefer Claims processing systems knowledge\n\nPrefer knowledge of testing life cycle\n\nWorking knowledge of MS tools, including MS Office products, MS Access, SQL Server.\n\nSkills and Abilities:\nExcellent Communication and presentation skills (Verbal and written) since this is a direct business facing role.\n\nMust be client service focused with effective ability to empathize.\n\nNeeds to demonstrate willingness to cross-train, and be cross-trained, in other roles/duties.\n\nMust be detail oriented with strong organizational and data processing skills.\n\nProven ability to follow detailed instructions is essential, along with proven problem solving skills.\n\nProven analytical, research and problem solving skills a must.\n\nMust demonstrate the ability to learn quickly and apply learning to new situations. Must exhibit flexibility to change as appropriate.\n\nExhibits an energetic, inquisitive, positive approach to problem solving.\n\nAbility to maintain attendance to support required quality and quantity of work\n\nMulti-tasking skills and planning for prioritizing workload\n\nWhy Horizon?\n\nAt Horizon, you’ll do meaningful work that directly improves lives-while being supported by a mission-driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you!\nSalary Range:\n$70,500 - $94,395This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:\nComprehensive health benefits (Medical/Dental/Vision)\n\nRetirement Plans\n\nGenerous PTO\n\nIncentive Plans\n\nWellness Programs\n\nPaid Volunteer Time Off\n\nTuition Reimbursement\n\nDisclaimer:\nHorizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.\nHorizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. 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