Payer Operations & Intelligence Specialist

The Payer Operations & Intelligence Specialist is responsible for independently managing and optimizing payer-related EDI transactions, insurance plan structures, and operational workflows across the RCS division. The role applies advanced analytical and problem-solving skills to ensure payer configurations, and reimbursement outcomes are aligned with regulatory requirements and company objectives. The Specialist exercises independent judgment in evaluating payer changes, interpreting industry changes, and implementing solutions to improve operational efficiency and financial performance.