Sr. Analyst System Pricing - Work From Home

Job Summary

This position is 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; and maintaining an understanding of provider contracts.

Required Job Qualifications:

• 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 one or more of the following or similar 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.
• Leadership, analytical, problem-solving, organizational and communication skills.
• PC proficiency to include all Microsoft products.

Preferred Job Qualifications:

• Teradata/SQL queries
• AGILE method of IT project development along with Optimized Waterfall.

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.

Base Pay Range

$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.