Healthcare Operations Support Specialist

Role Description

The HCS Operations Support Services team performs activities to healthcare audit client inventory activities such as:

• Claim re-pricing
• Client inventory status reporting
• Responding to client inquiries
• Researching and resolving issues that may arise
• Other client account ad-hoc reporting and inventory support activities

This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on-time deliverables.

Qualifications

• Outstanding written and verbal communication skills
• Good critical thinking, questioning, and listening skills; excellent attention to detail
• Problem-solving and task management skills
• Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames
• Ability to handle changing situations and work within a diverse group
• Strong Microsoft Office suite knowledge
• Ability to work independently but also as a member of a team
• Ability to meet objectives with minimal supervision
• Strong technical skills are desired
• Ability to work effectively with diverse teams is desired

Requirements

• High School Diploma/GED is required
• Some college, Associate's or Bachelor’s degree preferred
• Health care data analysis experience including gathering and documenting requirements for projects of all sizes a plus
• Experience using Microsoft Excel and other Microsoft Office applications

Company Description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.