Healthcare Operations Support Specialist (SCA)

The HCS Operations Support Services team performs activities to healthcare audit client inventory activities such as claim re-pricing, client inventory status reporting, responding to client inquiries, researches and resolves issues that may arise, and other client account ad-hoc reporting and inventory support activities. This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on-time deliverables.

• Monitor internal and external reports and take specific actions based on the information.

• Respond to client correspondence and email request for information.

• Maintain provider information.

• Re-price claims using client contracts and systems.

• Create, document, and modify processes for new and existing clients as needed.

• Participate in special ad hoc projects and program initiatives as assigned.

• Contribute to team effort by completing assigned projects on time.

• Receive feedback and adjusts work priority as necessary.

• Perform other duties as assigned.

• High School Diploma/GED is required.

• Some college, Associate's or Bachelor’s degree preferred.

• Health care data analysis experience including gathering and documenting requirements for projects of all sizes a plus.

• Experience using Microsoft Excel and other Microsoft Office applications.

• Outstanding written and verbal communication skills.

• Good critical thinking, questioning, and listening skills; excellent attention to detail.

• Problem-solving and task management skills.

• Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames.

• Ability to handle changing situations and work within a diverse group.

• Strong Microsoft Office suite knowledge.

• Ability to work independently but also as a member of a team.

• Ability to meet objectives with minimal supervision.

• Strong technical skills are desired.

• Ability to work effectively with diverse teams is desired.

• Can meet objectives with minimal supervision.