Manager - System Pricing - Work From Home
About The Position
This position is responsible for coordinating research and developing new facility pricing methodologies and/or new facility types/specialties; recommending, initiating or writing appropriate System Change requests (SCRs); verifying testing results and approved changes for production; providing documentation and training associated with the pricing system and changes or modifications; interfacing with divisions which impact the pricing aspects of the claims processing system; ensuring files are constructed and maintained; and coordinating activities with Service Unit and Network Management to ensure accurate and consistent claim pricing. 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.
Requirements
- 5 years' experience in a regular business or HMO claims and/or claims related unit, which involves problem identification with analysis, documentation, and/or resolution.
- 1 year management experience, which demonstrates leadership abilities and sound decision.
Nice To Haves
- Strong analytical skills
- Experience with SQL and Teradata
- Advanced proficiency in Excel
Responsibilities
- Coordinating research and developing new facility pricing methodologies and/or new facility types/specialties
- Recommending, initiating or writing appropriate System Change requests (SCRs)
- Verifying testing results and approved changes for production
- Providing documentation and training associated with the pricing system and changes or modifications
- Interfacing with divisions which impact the pricing aspects of the claims processing system
- Ensuring files are constructed and maintained
- Coordinating activities with Service Unit and Network Management to ensure accurate and consistent claim pricing
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
