Medicare Pricing Analyst for Part B Reimbursement

Health Care Service Corp.; Albuquerque (NM); On-site; USD 42,000 - 93,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a professional to provide technical direction in defining and implementing Medicare Part B reimbursement methodologies. The role involves monitoring pricing procedures and evaluating fiscal impacts on Indian Health Service intermediary processes.

The ideal candidate will have a background in math or statistics, healthcare finance, and strong data-analysis skills, with experience using databases and spreadsheets.

Qualifications

• Bachelor degree in Math, Statistics, or Computer Science or 4 years health care industry experience.
• 1 year of data analysis experience required.
• Knowledge of healthcare finance and reimbursement methodologies.

Responsibilities

• Provide technical direction on CMS-based provider reimbursement rate definitions and implementations.
• Monitor Medicare Part B pricing procedures and evaluate impact on Fi processes.
• Collaborate with systems to load current Medicare rates and distribute pricing information.

Skills

Data analysis

Verbal and written communication

Math skills

Self-starter with deadlines

Education

Bachelor degree in Math, Statistics, or Computer Science

Tools

Access

Excel

Job description

Health Care Service Corporation (HCSC) is seeking a professional to provide technical direction in defining and implementing Medicare Part B reimbursement methodologies. The role involves monitoring pricing procedures and evaluating fiscal impacts on Indian Health Service intermediary processes.

The ideal candidate will have a background in math or statistics, healthcare finance, and strong data-analysis skills, with experience using databases and spreadsheets.