Risk Adjustment Prgm Analyst (Tulsa, OK)

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**This position has the opportunity to work from home 2-3 days a week.***

Job Purpose:
This position is responsible for regulatory management and leadership of complex and evolving regulatory activities to support actuarial operational needs and deliverables; serves as subject matter expert in cross-functional teams; facilitate and participate in evaluation, development and implementation of new or modified strategies, processes, and operational methods and solutions in relation to business objectives, decisions and statutes, regulations and/or sub-regulatory guidance requirements.

Required Job Qualifications:
*Bachelor"s degree and 3 years of experience in business.
*Experience conducting analyses and developing, executing and communicating strategic and operational impacts.
*Creative thinking skills.
*Experience providing strategic and tactical direction based on quantitative and qualitative analyses.
*Knowledge of the regulatory process and health care industry business requirements, processes, functions and drivers.

Preferred Job Qualifications:
*Working knowledge of business process model and organizational functions.
*Working knowledge of the Affordable Care Act and Reinsurance and Risk Adjustment programs.
*Experience working on an Initial Validation Audit (IVA).
*Working knowledge of medical coding standards

*CB

DICE 14

*CA

#LI-Hybrid

Relocation assistance will not be provided for this position. Sponsorship will not be provided for this position.

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Requirements:

Expertise Accounting / Finance
Job Type Full-Time Regular
Location OK - Tulsa, TX - Richardson, IL - Chicago, NM - Albuquerque

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.
If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.
Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".
More Information on Health Care Service Corporation
Health Care Service Corporation operates in the Healthtech industry. The company is located in Helena, MT, Albuquerque, NM, Richardson, TX, Tulsa, OK and Chicago, IL. Health Care Service Corporation was founded in 2022. It has 13563 total employees. To see all 52 open jobs at Health Care Service Corporation, click here.
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