Senior Payment Integrity Consultant — Hybrid (3 days)

Luminare Health Benefits Inc.; Chicago (IL); Hybrid; USD 70,000 - 126,000; Full time

Job summary

HCSC is seeking a Business Requirements Analyst to drive the implementation of PI-owned projects and report on status and risks. You will work with cross-functional teams to identify payment integrity opportunities and track KPIs, drafting communications on progress, impact and ROI.

The role requires a Bachelor's degree with related health insurance experience and strong MS Office skills. This hybrid role includes three days in the office and two days remote.

Qualifications

• Bachelor's degree or higher with 3+ years of business requirements experience in health insurance.
• Knowledge of payer operations and health insurance processes.
• Experience in implementation projects.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Access, Excel, Word and PowerPoint.

Responsibilities

• Drive implementation of PI-owned projects and report status and risks.
• Identify new payment integrity opportunities while coordinating with cross-functional teams.
• Track KPIs and impact metrics and draft communications on project progress, impact and ROI.
• Collaborate with PI Program Manager to ensure alignment with program goals.

Skills

Payer operations knowledge

Implementation experience

Interpersonal communication

Microsoft Office proficiency

Education

Bachelor's degree

Tools

Microsoft Excel

Microsoft Access

Microsoft Word

PowerPoint

Job description

HCSC is seeking a Business Requirements Analyst to drive the implementation of PI-owned projects and report on status and risks. You will work with cross-functional teams to identify payment integrity opportunities and track KPIs, drafting communications on progress, impact and ROI.

The role requires a Bachelor's degree with related health insurance experience and strong MS Office skills. This hybrid role includes three days in the office and two days remote.