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.

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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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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 visitinghttps://careers.hcsc.com/totalrewards.

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.