Senior Payment Integrity Consultant — Hybrid Role

HCSC Group; United States; Hybrid; USD 70.000 - 126.000; Vollzeit

Zusammenfassung

Health Care Service Corporation seeks a Sr Payment Integrity Consultant to drive PI projects, report risks, and identify new integrity opportunities. You will work with cross-functional teams to track KPIs, measure ROI, and draft communications on progress and impact.

Strong requirements, payer operations, and implementation experience are essential. The role is a flex/hybrid position, requiring three in-office days and two remote days, with base pay aligned to posted range and bonuses per

Qualifikationen

• Bachelor's degree or 7 years of business requirements experience in health insurance.
• Experience in payer operations and projectImplementation capabilities.
• Clear, concise interpersonal, verbal and written communication skills.
• Proficiency with Microsoft Office applications (Access, Excel, Word, PowerPoint).

Aufgaben

• Drive PI-owned projects and report status and risks with cross-functional teams.
• Identify new payment integrity opportunities and track KPIs and ROI.
• Draft communications on project progress and impact with PI Program Manager.

Kenntnisse

Business requirements

Payer operations

Implementation experience

Communication skills

Ausbildung

Bachelor's degree

Tools

Microsoft Access

Microsoft Excel

Microsoft Word

PowerPoint

Jobbeschreibung

Health Care Service Corporation seeks a Sr Payment Integrity Consultant to drive PI projects, report risks, and identify new integrity opportunities. You will work with cross-functional teams to track KPIs, measure ROI, and draft communications on progress and impact.

Strong requirements, payer operations, and implementation experience are essential. The role is a flex/hybrid position, requiring three in-office days and two remote days, with base pay aligned to posted range and bonuses per