job summary: We are looking for Associates to join the Underpayments division of our Rules and Contracts team. This team has three main pillars: Global Rules, Medicaid, and Comprehensive Commercial. These teams are primarily responsible for underpayment opportunity generation (I.e., risk finding), and each team has a unique approach to the challenge. On the Comprehensive Commercial team, you will develop expertise in payer contract structures, contract modeling and contract-based rules writing. On the Medicaid team, you will specialize in Medicaid reimbursement structures (APR- DRG pricing, EAPG pricing, etc.), state-specific billing and coding requirements, and Medicaid- specific rule writing. On the Global Rules team, you will refine, optimize and create rules that can be executed on individual databases or across all databases in an automated rules system. location: Atlanta, Georgia job type: Permanent salary: $55,000 - 60,000 per year work hours: 8am to 4pm education: Bachelors responsibilities: Automate the execution of global and project-specific rules by converting them into a new framework for execution, which includes SQL development and verification of results; ? Manage and maintain rules by assessing hit rate (conversion to inflow), collectability, and complexity; ? Create new rules based on changing legislation, trends across clients, and collaboration with Comprehensive Commercial team; ? New client intake: review commercial contract structures and client data to efficiently assess likely underpayment opportunities for new Underpayment clients. qualifications: Experience level: ExperiencedEducation: Bachelors skills: SQLHealthcare Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.