Investigative Analyst

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.

Required Job Qualifications:

• Bachelor's degree from an accredited college AND 2 years of general knowledge of claims processing operations and contract and benefit administration, financial control procedures, and statisticsOR 6 years of healthcare investigative experience, including exposure to one or more of the following functional areas: claims processing operations; contract administration; claims coding; and/ or finance and accounting, OR law enforcement experience
• Clear, concise communication skills, and strong analytical and quantitative skills.
• Experience with Microsoft Office Suite, with an emphasis on Excel and Access.

• Analytical and quantitative skills

Preferred Job Qualifications:

• Knowledge of Medicare
• Knowledge of medical practice patterns.
• Experience working in a financial, accounting, criminal justice, or legal environment.
• Certified Coder
• Investigative Accreditation (AHFI, or CFE)

Please note that this role is HYBRID with an in-office requirement of 3 days a week

# LI-LK1

# LI-Hybrid

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 plansubject to the terms and the conditions of the plan.

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.