Health Plan Economics Specialist

Health Plan Economics Specialist

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Health Plan Economics Specialist today with HCA Healthcare.

Come join our team as a Health Plan Economics Specialist. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The Health Plan Economics Specialist is responsible for ensuring the accurate and timely preparation of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance of the company, as well as other duties as assigned by the Controller and CFO.

Supervisor : Controller

Duties include but not limited to :

• Collaborate in the development, implementation, and maintenance of databases, tools and systems that will be used for Health plan Metrics, Analytics and Reporting for a Managed Care organization
• Develop and maintain related reports for Managed Care performance metrics, targets, membership, revenue and medical expense by health plan, Line of Business and Specialty, as a health plan delegated payer
• Ad hoc report development in platforms such as AS400, Cozeva, Excel, SQL, Power BI
• Provide support for Finance, Contracting, Planning, Budget and Forecasting, and Monthly Performance
• Work with Finance, Medical Management, Contracting, IT and Claims departments
• Provide support for and attend health plan Joint Operating Committees
• Attend Health plan contract negotiations
• Maintains strictest confidentiality
• Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement"

Education :

Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or other business related field - required

Experience :

Experience in Health Care and Managed Care

Five to six years of experience in a Finance or Accounting position preferred

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Health Plan Economics Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.