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Pricing Analyst

Job in Canfield, Mahoning County, Ohio, 44406, USA
Listing for: Wipro Limited
Full Time position
Listed on 2025-12-31
Job specializations:
  • IT/Tech
    Data Analyst, Data Security
Job Description & How to Apply Below

Provider Pricing Analyst

JOB SUMMARY

The Contract Analyst is a member of a cross-functional team of business experts tasked with managing the professional and institutional reimbursement of contractual language for medical and dental provider contracts. The analyst will play a key role in contract methodologies, analyzing requirements, pricing, and validating configurations with Business owners to ensure requirements and quality goals are met.

ESSENTIAL JOB FUNCTIONS/DUTIES
  • Provide analysis and documentation to support pricing requirements for accurate reimbursement allowances.
  • Analyze claims to ensure compliance with contract reimbursement language.
  • Interpret medical/insurance codes such as procedure and diagnosis codes.
  • Support testing and audit requirements.
  • Update customer-specific documentation and reference materials.
  • Participate in meetings to support decision-making, enhancements, problem-solving, and process improvement.
  • Respond to inquiries from clients, claims, and customer service teams.
  • Contribute to daily departmental performance and meet individual goals related to accuracy and timeliness.
  • QUALIFICATION REQUIREMENTS
    • Strong understanding of pricing methodologies for insurance claims.
    • 3-5 years of experience in the insurance industry.
    • Proficiency with CPT/HCPCS procedure codes, revenue codes, and ICD-10.
    • High aptitude for working with numbers.
    • Excellent interpersonal and communication skills.
    • Detailed knowledge of medical claim coding requirements.
    • Strong attention to detail, analytical, and problem-solving skills.
    • Solid work ethic and positive demeanor.
    • Proficient with Microsoft Office products.
    About the company

    Wipro Limited is a leading global information technology, consulting, and business process services company. We harness the power of cognitive computing, hyper-automation, robotics, cloud, analytics, and emerging technologies to help our clients adapt to the digital world and succeed. Recognized globally for our comprehensive portfolio of services, commitment to sustainability, and corporate citizenship, we have over 180,000 employees serving clients across six continents.

    We discover ideas and connect the dots to build a better and bolder future.

    Notice

    Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

    We provide reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility or .

    Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

    An Automated Employment Decision Tool (AEDT) will score your skills and responses. For bias audit and data use details, visit (Use the "Apply for this Job" box below). NYC applicants may request alternative processes or accommodations at aedt or .

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