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

Summary:
This position is responsible for provider data accuracy / data quality improvement in resolution of provider demographic issues. Works with internal departments and external contacts and customers to evaluate and resolve provider/demographic issues that impact the contract or service. Conduct research and identify issues, develop reports, and lead the creation of reporting needs. This role supports enterprise provider directory accuracy by conducting audits, identifying and analyzing data quality issues, and monitoring corrective actions to drive continuous improvement.

JOB REQUIREMENTS:

• Bachelor Degree OR 4 years’ experience in the health care/insurance industry.

• Plus 1 year health care network management, health care customer service or health care product experience.

• Knowledge of policies, products and procedures; contracts, applications and products.

• PC proficiency including Word and Excel.

• Verbal and written communication skills to compose business correspondence.

• Problem solving skills

• Analytical and reporting skills to develop reports and analyze data.

PREFERRED JOB REQUIREMENTS:

• Knowledge of claims processing systems.

• Strong knowledge of Excel and Access.

• Polished and professional email and phone etiquette; customer service minded

• Ability to work under strict regulations and timelines

• Ability to navigate multiple projects with varying deadlines

Sponsorship will not be provided for this role.

This is a Telecommute (Remote) role.

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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

$38,100.00 - $80,000.00

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