Medicare Pricing & Reimbursement Analyst

HCSC Group; Albuquerque (NM); On-site; USD 48,000 - 86,000; Full time

Job summary

Health Care Service Corporation (HCSC) seeks a professional to provide technical direction in defining and implementing CMS Medicare Part B reimbursement rates. The role focuses on CMS methodologies, monitoring changes, and informing management of implications for Indian Health Service fiscal intermediary processes.

You will obtain current Medicare rates, work with systems to load them, and distribute pricing information to staff.

Qualifications

• Bachelor degree in Math, Statistics, or Computer Science or 4 years healthcare industry experience.
• 1 year experience with Access and 1 year experience with Excel.

Responsibilities

• Provide technical direction on defining and implementing CMS Part B reimbursement methodologies.
• Monitor CMS Part B pricing procedures and assess impact on Indian Health Service FI processes; inform management of implications.
• Obtain current Medicare rates and coordinate loading into systems.
• Distribute pricing information to staff for use in pricing.

Skills

Verbal and written communication

Math skills

Self-starter

Data analysis

Education

Bachelor degree in Math, Statistics or Computer Science

4 years experience in the health care industry

Tools

Access

Excel

Job description

Health Care Service Corporation (HCSC) seeks a professional to provide technical direction in defining and implementing CMS Medicare Part B reimbursement rates. The role focuses on CMS methodologies, monitoring changes, and informing management of implications for Indian Health Service fiscal intermediary processes.

You will obtain current Medicare rates, work with systems to load them, and distribute pricing information to staff.