Senior Analyst, System Pricing

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🔥 9 minutes ago

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Logo of Health Care Service Corporation

Health Care Service Corporation

10,000+ employees

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

📋 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

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