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Hybrid Analytics & Reporting Consultant - Audit

HCSC · TX - Richardson, United States Of America · Hybrid

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Sponsored by Oyster

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 evaluating accuracy of provider contracts leveraging reports and tools in support of the division; understanding contract terms and how they translate into provider payment; interfacing with contract negotiation team to discuss contract discrepancies; creating specifications for contract audit process enhancements based on business needs; possibly providing consultation to users and leading cross-functional teams to address the enterprise/divisional contract and/or data issues; producing datasets and reports to support contract analysis using system reporting tools; possibly performing research and assisting in analyzing contracts and/or data related to enterprise/divisional strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships; and continuously gaining a deeper understanding of the division’s contracts and data in order to meet business needs; analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers; identifying and interpreting trends and patterns in contracts and/or datasets to locate influences.
This position is responsible for acting as the liaison between business and analytical teams; communicating healthcare payer-based business concepts to analytics users; communicating and marketing the value of analytics outputs to business users in healthcare payer settings.

Required Job Qualifications:
* Bachelor degree and 4 years of analytical experience in relationship management or driving analytics insights into action OR 9 years of analytical experience in relationship management or driving analytics insights into action.
* Experience gathering and document business requirements in support of information-related strategies.
* Experience solving complex problems; Experience taking a new perspective using existing solutions.
* Knowledge of various software development processes, including SDLC, Agile methodologies, and tools and technologies.
* Experience creating and conducting presentations to inform and influence.
* Experience in leading functional teams and projects.
* Experience with SAS, SPSS, R, MATLAB, SQL, Python etc.
* Clear and concise verbal and written communication skills.
* PC proficiency with Microsoft applications including Access, Excel, Word and Power Point.

Preferred Job Qualifications:

* Understanding of healthcare provider reimbursement methods (e.g., DRG, OPPS, Case Rate, Per Diem, Stop Loss, RVU).

* Experience reviewing and evaluating healthcare provider contracts.

* Knowledge of medical coding process and conventions.

* Bachelor’s degree in business, engineering, or mathematics.
* master’s degree.
* Healthcare experience in contract audit, contract negotiation, business analytics, or innovation management.

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorship is not available.

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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

$82,700.00 - $149,300.00