[Hiring] Reimbursement Analyst I @Health Care Service Corporation

Role Description

This position is responsible for developing reports based on a number of internal/external databases using common programming languages. This person will:

• Create pricing models for network negotiations and fee schedule updates used for claims adjudication.
• Implement pricing information into the PREMIER Pricer system.
• Validate and research report results using the original operation systems and reporting databases.
• Present reports to internal/external customers and respond to follow-up questions.

Qualifications

• Bachelor Degree in Business Administration or Computer Science with 3 years' experience in data analysis and reimbursement OR 7 years' experience to include data analysis, reimbursement analysis/modeling, and college courses.
• Experience and basic understanding of reimbursement methods and financial modeling.
• Health Care data experience and knowledge of Medicare pricing methodologies (RBRVS, DRG, ASC).
• Verbal and written communication skills as well as interpersonal skills necessary to work in a team environment.
• Analytical skills.
• Self-starter with ability to work with minimal supervision to meet deadlines.
• PC proficiency to include MS Office or other spreadsheet and word processing software for Windows.

Requirements

• Technical background in BASIC programming languages.
• 1 year experience or more in FACETS or other Reimbursement Systems.
• 1 year experience with Provider contract (operations, fee schedules, rate sheets, contract lifecycle support, etc.).
• 1 year healthcare claims adjudication experience.
• Sponsorship will not be provided for this role.
• This is a Telecommute (Remote) role.

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.