Sr Payment Integrity Consultant - Payment Integrity

HCSC Group; United States; Ibrido; USD 70.000 - 126.000; Tempo pieno

Descrizione del lavoro

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

Competenze

• 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).

Mansioni

• 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.

Conoscenze

Business requirements

Payer operations

Implementation experience

Communication skills

Formazione

Bachelor's degree

Strumenti

Microsoft Access

Microsoft Excel

Microsoft Word

PowerPoint

Descrizione del lavoro

Sr Payment Integrity Consultant - Payment Integrity### Sr Payment Integrity Consultant - Payment IntegrityApply: Flex: IL - Chicago: MT - Helena: NM - Albuquerque: OK - Tulsa: TX - Richardson: Posted Today: R0056193At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.# # **Job Summary**### This position is responsible for driving implementation of PI-owned projects, reporting status and risks. While working with cross-functional teams, responsible for identifying new payment integrity opportunities. Responsible for tracking and reporting KPIs and impact metrics, working with the PI Program Manager to draft communications on PI project progress, impact, value, and ROI.### **Required Job Qualifications:*** Bachelor's degree and 3 years of business requirement experience OR 7 years of business requirements experience in health insurance operational functions or relevant experience* Knowledge of and experience in payer operations* Implementation experience* Clear and concise interpersonal, verbal and written communication skills* PC proficiency with Microsoft applications including access, excel, word and power point **Preferred Job Qualifications:*** Healthcare background* Project Management experience* Experience managing vendor contracts* Advanced excel experience **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.**### **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.# # **Base Pay Range**$69,800.00 - $125,900.00Exact compensation may vary based on skills, experience, and location.