Sr. Manager Payment Integrity Operations

Job Summary At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. The position is responsible for managing and controlling the day-to-day operations of Payment Integrity Operations. This position is responsible for delivering business value through the use of enterprise information, gathered via internal systems and from key internal partners, which also includes the design, development, deployment, maintenance, enhancement and support for structuring, organizing, storing, retrieving, analyzing, and reporting strategic and tactical enterprise refund & recovery management information and operational/production data. Job Requirements Bachelor’s degree in business administration or related field. 6 years related business and management experience or its equivalent. Technical knowledge of group products and claims operations. Ability to analyze contract language and processes and procedures. Effective verbal, written and leadership skills. 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. Pay Transparency Statement At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location. #J-18808-Ljbffr