Job SummaryThe 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.
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 visiting https://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.
Base Pay Range$92,700.00 - $167,500.00
Exact compensation may vary based on skills, experience, and location.
