Hybrid Senior Payment Integrity Strategist

HCSC; Chicago (IL); Hybrid; USD 70,000 - 126,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a driven PI implementation professional to drive the execution of payment integrity projects. The role involves cross-functional collaboration to identify opportunities, track KPIs, and report on ROI and impact to leadership.

The position requires a blend of business analysis, payer operations knowledge, and strong communication skills, with a flexible hybrid schedule allowing three days in-office and two days remote.

Qualifications

• Bachelor's degree or 7 years of business requirements experience in health insurance operational functions or relevant experience.
• Knowledge of and experience in payer operations.
• Implementation experience.
• Clear and concise interpersonal, verbal and written communication skills.
• Proficiency with Microsoft applications including Access, Excel, Word and PowerPoint.

Responsibilities

• Drive implementation of PI-owned projects and report status and risks.
• Identify new payment integrity opportunities while collaborating with cross-functional teams.
• Track KPIs and impact metrics and report progress.
• Draft communications on PI project progress, impact, value, and ROI.

Skills

Payer operations

Implementation experience

Interpersonal communication

MS Office suite

Business requirements

Education

Bachelor's degree in health insurance operations or related field

Tools

Microsoft Access

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Health Care Service Corporation (HCSC) is seeking a driven PI implementation professional to drive the execution of payment integrity projects. The role involves cross-functional collaboration to identify opportunities, track KPIs, and report on ROI and impact to leadership.

The position requires a blend of business analysis, payer operations knowledge, and strong communication skills, with a flexible hybrid schedule allowing three days in-office and two days remote.