CONFIGURATOR L4

Job description

Job Description

JOB DESCRIPTION

The Burgess Source Configurator is responsible for configuring, maintaining and optimizing the Burgess Source claims pricing and payment integrity platform. This role ensures accurate reimbursement logic, regulatory compliance and seamless integration with payer systems. The configurator works closely with business, compliance and IT teams to deliver accurate pricing outcomes and support operational efficiency.

RESPONSIBILITIES

• Understanding of HRP modules and Burgess Source
• Configure, update, and maintain pricing rules and reimbursement logic within Burgess Source.
• Translate regulatory, contractual, and payer-specific policies into system configurations.
• Implement custom fee schedule changes.
• Maintain version control and documentation for all configuration changes.
• Develop and execute test plans for new rules, updates, and platform releases.
• Conduct regression testing to ensure stability and accuracy after changes.
• Investigate pricing discrepancies and perform root-cause analysis.
• Validate outcomes against expected reimbursement methodologies.
• Support data ingestion processes for fee schedules, provider files, and reference data.
• Ensure data integrity and troubleshoot data-related issues.
• Interpret contract changes and ensure timely implementation within the system.

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EXPERIENCE/SKILLS

MINIMUM REQUIREMENTS

• Minimum of 5 years of experience in payer operations, claim processing, and experience deploying Burgess source.
• Minimum of 5 years of hands-on configuration experience in Burgess source.
• Must possess working knowledge of Medicare operations, system development and testing.
• Expertise in using Microsoft Office; including Excel, Word, Access, Power Point, and Visio.
• Experience working within a matrix organization. Excellent oral and written communication skills and the ability to interface with all levels of customer organization.

PREFERRED REQUIREMENT

• Experience in health insurance, payment integrity or claims operations in parallel with Burgess source.

EDUCATION

• Bachelor’s degree in business or health care preferred; demonstrated work experience may be considered in lieu of degree.

SKILLS

• Collaboration, leadership, organizational, writing, interpersonal and communication skills.

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Deliver

1.

Continuous Integration, Deployment

100% error free on boarding & implementation, throughput %, Adherence to the schedule

2.

Quality & CSAT

On-Time Delivery, Troubleshoot queries

Customer experience, completion of assigned certifications for skill upgradation

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Mandatory Skills: Health and Welfare (HW) Tech .

Experience: 5-8 Years .

The expected compensation for this role ranges from $60,000 to $80,000 .

Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.

Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.

Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.

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