Senior Analyst, System Pricing

🕒 2 days ago

🦬 Montana, New Mexico, +3 more states – Remote

🦬 Montana – Remote 🌶️ New Mexico – Remote 🌪️ Oklahoma – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $61.5k - $136.1k / year

⏰ Full Time

🟠 Senior

💰 Pricing Analyst

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• responsible for system pricing development • support functions needed for contract financial analysis and performance • coordination of internal/external audit requests • performing routine and ad hoc reporting • maintaining an understanding of provider contracts

🎯 Requirements

• Bachelor Degree in Finance, Accounting or Math with 6 years experience in the Health Care Industry OR 8 years experience • 6 years experience in interpreting provider contracts and system requirements • 6 years experience in a managed care healthcare environment • 5 years experience in claims adjudication and pricing systems: Blue Chip, MHS or HMO systems • Knowledge of CPT, HCPCS, ICD10, Revenue code and/or DRG coding practices, Relative Value Unit, Anesthesia, Durable Medical, and other methodology in support of current and future pricing scenarios • Flexibility to meet deadlines in an environment of constantly changing priorities and workloads • PC proficiency to include all Microsoft products

🏖️ Benefits

• 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 • other incentives