Note: The job is a remote job and is open to candidates in USA. Health Care Service Corporation (HCSC) is a purpose-driven company focused on employee development and success. The Sr. Analyst System Pricing role is responsible for system pricing development, supporting contract financial analysis, coordinating audit requests, and maintaining an understanding of provider contracts.
Responsibilities
- This position is responsible for system pricing development; support functions needed for contract financial analysis and performance; coordination of internal/external audit requests; performing routine and ad hoc reporting; and maintaining an understanding of provider contracts
Skills
- Bachelor Degree in Finance, Accounting or Math with 6 years experience in the Health Care Industry OR 8 years experience
- 6 years experience in interpreting provider contracts and system requirements
- 6 years experience in a managed care healthcare environment
- 5 years experience in one or more of the following or similar claims adjudication and pricing systems: Blue Chip, MHS or HMO systems
- Knowledge of CPT, HCPCS, ICD10, Revenue code and/or DRG coding practices, Relative Value Unit, Anesthesia, Durable Medical, and other methodology in support of current and future pricing scenarios
- Flexibility to meet deadlines in an environment of constantly changing priorities and workloads
- Leadership, analytical, problem-solving, organizational and communication skills
- PC proficiency to include all Microsoft products
- Teradata/SQL queries
- AGILE method of IT project development along with Optimized Waterfall
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan subject to the terms and the conditions of the plan
Company Overview
Company H1B Sponsorship