Description
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for developing reports based on a number of internal/external databases using SAS or a similar programming language; reporting includes pricing models for network negotiations and fee schedule updates used for claims adjudication; validating and researching report results using the original operation systems and the reporting databases; and presenting reports to internal/external customers and responds to follow up questions.JOB REQUIREMENTS:
- Bachelor Degree in Business OR Health Care with 2 years data analysis experience in a health care environment OR 4 years experience in data analysis in a health care environment.
- Analytical skills and programming experience.
- PC proficiency to include Word, Excel, PowerPoint and Outlook.
PREFERRED JOB REQUIREMENTS:
- 1-year experience in healthcare contract pricing implementation and/or healthcare reimbursement
- Knowledge of provider reimbursement methodologies including but not limited to: RBRVS, APC and DRG programs
- Knowledge of coding practices including CPT, HCPCS, ICD-10, Revenue Code, and DRG
- Project management experience and/or audit experience. Technical documentation skills.
- Flexibility to meet deadlines in an environment of constantly changing priorities and workloads.
- Verbal and written communications skills including interpersonal skills to work across the organization to resolve problems, responding to inquiries, compose procedure manuals and training materials, and to discuss business and technical aspects with all levels of management.
- Knowledge of both mainframe and windows-based applications.
- Experience in BlueChip, Vistar, Salesforce, Terminal Emulator, Claims GUI, Premier Pricing, and/or Premier Provider.
This is a hybrid role requiring 3 days in the office and 2 days remote weekly.
We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.
#LI-Hybrid
HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
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