Medicare Pricing Specialist

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

Job summary

Health Care Service Corporation (HCSC) is seeking a technical lead responsible for defining and implementing provider reimbursement rates, aligning with CMS Medicare methodologies, primarily for Part B. This role includes monitoring pricing procedures and evaluating impacts on Indian Health Service fiscal intermediary processes.

Responsibilities include obtaining current Medicare rates, coordinating with systems to load rates, and distributing information to staff for pricing.

Qualifications

• Data analysis experience required
• Verbal and written communication skills
• Math skills

Responsibilities

• Provide technical direction on defining and implementing provider reimbursement rates based on CMS Medicare methodologies, primarily Part B.
• Monitor Part B pricing procedures and evaluate impact on IHS FI processes.
• Obtain current Medicare rates and coordinate with systems to load and distribute to staff.

Job description

Health Care Service Corporation (HCSC) is seeking a technical lead responsible for defining and implementing provider reimbursement rates, aligning with CMS Medicare methodologies, primarily for Part B. This role includes monitoring pricing procedures and evaluating impacts on Indian Health Service fiscal intermediary processes.

Responsibilities include obtaining current Medicare rates, coordinating with systems to load rates, and distributing information to staff for pricing.