Reimbursement Analyst I (Work-From-Home)

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Job Summary

This role is responsible for supporting provider contracting and pricing strategy through advanced data analysis and modeling; translate reimbursement terms into actionable pricing logic, pricing structures within the PREMIER Pricer, and validating and researching report results using the original operation systems and reporting databases; presenting reports to internal/external customers; and responding to follow-up questions.

Required Job 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

Preferred Job Qualifications:

• 1-2 years experience in pricing configuration, contract interpretation, and/or hospital/managed care reimbursement options (i.e. Diagnosis Related Group, Per Diem, Flat Rates, etc) - HIGHLY PREFERED

• Technical background in SAS or other BASIC programming languages

Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

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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. Learn more about our benefit offerings by visiting .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

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

$55,900.00 - $123,500.00

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

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

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