Health Care Service Corporation
Sr Medicare Regulatory Analyst
Health Care Service Corporation, Chicago, Illinois, United States, 60290
At HCSC, our employees are the cornerstone of our business and the foundation of our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Below, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary
Submission of Member and Marketing materials to CMS for HCSC's Medicare Advantage. Applying CMS Regulations Pertaining to Medicare Advantage to the review of Member and prior to submission to CMS. Providing Assistance and Guidance Regarding Medicare Advantage Regulations to HCSC Staff. Working with other areas of the organization on the development, testing, and implementation of organization, process, and system changes to ensure the requirements of the Medicare Advantage program. Assisting MCO in Coordination of the contract with CMS Enterprise-Wide. Required Job Qualifications:
Bachelor Degree in Business OR 2 years' experience with health insurance. 2 years' experience with health insurance benefits and/or operations. Knowledge of Medicare Advantage product. Verbal and written communication skills. Ability to present Medicare trends and findings in meetings with management. Ability to organize multiple tasks and responsibilities. Ability to analyze data reports. Experience developing and running queries in a database. PC proficiency including Microsoft Word, Excel, PowerPoint. 10-15% travel required. This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Preferred Job Qualifications:
Knowledge of CMS Medicare Advantage software applications. Knowledge of Medicare Regulations and Guidelines. Knowledge of health benefits. 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. Our benefits include 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, and other incentives. Learn more at https://careers.hcsc.com/totalrewards. The compensation will vary depending on your skills, education, knowledge, and experience. This role is eligible for an annual incentive bonus plan, subject to plan terms and conditions. HCSC Employment Statement: We are an Equal Opportunity Employer committed to a welcoming environment that respects and values the differences of our employees. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range:
$54,800.00 - $121,100.00
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Below, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary
Submission of Member and Marketing materials to CMS for HCSC's Medicare Advantage. Applying CMS Regulations Pertaining to Medicare Advantage to the review of Member and prior to submission to CMS. Providing Assistance and Guidance Regarding Medicare Advantage Regulations to HCSC Staff. Working with other areas of the organization on the development, testing, and implementation of organization, process, and system changes to ensure the requirements of the Medicare Advantage program. Assisting MCO in Coordination of the contract with CMS Enterprise-Wide. Required Job Qualifications:
Bachelor Degree in Business OR 2 years' experience with health insurance. 2 years' experience with health insurance benefits and/or operations. Knowledge of Medicare Advantage product. Verbal and written communication skills. Ability to present Medicare trends and findings in meetings with management. Ability to organize multiple tasks and responsibilities. Ability to analyze data reports. Experience developing and running queries in a database. PC proficiency including Microsoft Word, Excel, PowerPoint. 10-15% travel required. This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Preferred Job Qualifications:
Knowledge of CMS Medicare Advantage software applications. Knowledge of Medicare Regulations and Guidelines. Knowledge of health benefits. 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. Our benefits include 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, and other incentives. Learn more at https://careers.hcsc.com/totalrewards. The compensation will vary depending on your skills, education, knowledge, and experience. This role is eligible for an annual incentive bonus plan, subject to plan terms and conditions. HCSC Employment Statement: We are an Equal Opportunity Employer committed to a welcoming environment that respects and values the differences of our employees. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range:
$54,800.00 - $121,100.00
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