Hybrid Senior Payment Integrity Strategist

Health Care Service; Chicago (IL); Hybrid; USD 70,000 - 126,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a results-driven professional to drive implementation of PI-owned projects, monitor status and risks, and identify new payment integrity opportunities with cross-functional teams.

This flexible hybrid role requires strong analytical abilities, KPI tracking, and clear communications on project progress, value, and ROI. The base pay range is $69,800–$125,900 with potential annual incentives.

Qualifications

• Bachelor's degree and 3 years of business requirements experience 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
• PC 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 with cross-functional teams
• Track KPIs and impact metrics and draft communications on PI project progress, impact, value and ROI
• Collaborate with PI Program Manager on communications and progress updates

Skills

Interpersonal skills

Verbal communication

Written communication

Payer operations knowledge

Implementation experience

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 results-driven professional to drive implementation of PI-owned projects, monitor status and risks, and identify new payment integrity opportunities with cross-functional teams.

This flexible hybrid role requires strong analytical abilities, KPI tracking, and clear communications on project progress, value, and ROI. The base pay range is $69,800–$125,900 with potential annual incentives.