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Hybrid Provider Program Admin Analyst

Health Care Service Corporation · Richardson, Texas, US', 'Chicago, Illinois, US', 'Tulsa, Oklahoma, US, United States Of America · Hybrid

$54,800.00  -  $121,100.00

  • Professional
  • Office in Richardson, Texas, US', 'Chicago, Illinois, US', 'Tulsa, Oklahoma, US
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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 supporting provider data exchanged between HCSC and vendors as it relates to Government Programs lines of business (Medicaid/Medicare). Responsibilities include network program enhancement planning and implementation activities; ongoing program and production support and administration; system testing, training programs, coordination of reporting and issue research and resolution, and documentation and continuous improvement activities. This position interacts with key stakeholders across departments and external entities. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.

Required Job Qualifications:  

  • Bachelor Degree OR 4 years' experience in managed care or network management involving independent work and judgment.

  • Plus 3 years project management experience including leading and planning projects.

  • Managed care/network management database experience including knowledge of information flow.

  • PC proficiency to include Word, Excel and PowerPoint.

  • Clear and concise verbal and written communication skills including interpersonal and presentation skills.

  • Self-starter, meet deadlines, manage multiple tasks/projects, work in a team environment.

Preferred Job Qualifications: 

  • Ability to work independently with strong self-motivation and analytical/research/problem solving skills.

  • Conformability presenting research findings or improvement opportunities to leadership of various levels.

  • Experience with PPW (Premier Provider Web application)

  • Knowledge of state and federal network management legislation and regulations

Sponsorship will not be provided for this role.

Hybrid: Work in office 3 days a week; work from home 2 days a week.

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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

$54,800.00 - $121,100.00