Sr Payment Integrity Consultant - Payment Integrity

HCSC • Chicago, IL

1d • Hybrid

About The Position

This position is responsible for driving implementation of Payment Integrity (PI)-owned projects and reporting their 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 employees expected to work in the office at least three days per week and remotely two days per week.

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 applications, including 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 on 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 the plan's terms and conditions

What This Job Offers

• Job Type: Full-time
• Career Level: Senior