Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary This position is responsible for reviewing non-standard contracts for system capacity, implementing and auditing contract completion, handling contract inquiries by conducting research and coordination through various departments in resolution and responding to inquiries, conducting contract analysis and modeling, conducting quality control and analysis of quality reporting, preparing quality improvement recommendations, and develop documentation and training materials.Required Job Qualifications:
- 4 years of experience working in a managed care/ healthcare environment
- 1 year experience in healthcare contract pricing implementation and/or healthcare reimbursement
- Health care management database experience
- Knowledge of managed care contracts
- Knowledge of CPT, HCPCS, ICD9, Revenue code, and/or DRG coding practices
- Project management experience and/or audit experience
- Technical documentation and leadership skills
- Flexibility to meet deadlines in an environment of constantly changing priorities and workloads.
- Analytical skills including modeling
- Verbal and written communications skills including interpersonal skills to work across the organization to resolve problems, responding to inquiries, compose procedure manuals and training materials, and to discuss business and technical aspects with all levels of management
- Knowledge of both mainframe and windows-based applications
- PC skills including Microsoft Office with proficiency in Excel
Preferred Job Qualifications:
- Experience in Blue Chip, Vistar, Terminal Emulator, Premier Pricing, and/or Premier Provider
#LI - Hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Apply on company website
Find Connections via Linkedin
