Sr Payment Integrity Consultant - Payment Integrity
Health Care Service Corporation•Helena, MT
•$69,800 - $125,900•Hybrid
About The Position
This position drives the implementation of Payment Integrity (PI)-owned projects and reports project status and risks. Working with cross-functional teams, the consultant identifies new payment integrity opportunities, tracks and reports KPIs and impact metrics, and works with the PI Program Manager to draft communications about project progress, impact, value, and ROI. The role is hybrid, with at least three days per week in the office and two days remote.
Requirements
- Bachelor's degree and 3 years of business requirement experience, or 7 years of business requirements experience in health insurance operational functions or relevant experience.
- Knowledge of and experience in payer operations.
- Implementation experience.
- Clear and concise interpersonal, verbal, and written communication skills.
- PC proficiency with Microsoft Access, Excel, Word, and PowerPoint.
Nice To Haves
- Healthcare background.
- Project Management experience.
- Experience managing vendor contracts.
- Advanced Excel experience.
Responsibilities
- Drive implementation of Payment Integrity-owned projects.
- Report project status and risks.
- Work with cross-functional teams to identify new payment integrity opportunities.
- Track and report KPIs and impact metrics.
- Work with the PI Program Manager to draft communications about PI project progress, impact, value, and ROI.
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
- Other incentives
- Annual incentive bonus plan, subject to its terms and conditions
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What This Job Offers
Job Type
Full-time
Career Level
Senior
