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 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.

Required Job Qualifications:

• 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.

Preferred Job Qualifications:

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.

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

$92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location.