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.

Job Summary

This position is responsible for duties including training, development, communication and implementation of office audit standards, policies and procedures, reviewing monitoring, establishing tasks, setting goals and evaluating of employee work performance, reviewing operational programs, establishing work priorities, and researching technical and procedural issues related, but not limited to the actions that could potentially affect the member premium received from The State of New Mexico, for Medicaid members.

Required Job Qualifications:

• Bachelor’s degree in Accounting, Finance, or related field.
• 5 years’ experience in health care, managed care, health insurance or consulting.
• 2 years leadership experience.
• Advance knowledge on overall Medicaid payment methodology and CMS Payments, primarily in regard to members’ demographic status (i.e. Medicaid, State & County Codes), among others.
• Analytical and verbal and written communication skills.
• Experience trending member specific data and analyze for accurate financial reporting.
• Ability to work with stakeholders within enterprise as well as external vendors.
• Experience calculating figures and amounts such as discounts, interest, commissions, proportions and percentages.
• Time management and multitasking skills and the ability to work with multiple deadlines.
• Demonstrates initiative for all facets of position responsibility.
• Project management skills, investigative skills, problem solving, judgment skills and research competence.

Preferred Job Qualifications:

• Master’s Degree or certification in Accounting, Finance, or related field.
• Knowledge and experience on Medicare Advantage Member and Enrollment processes.
• Experience with SQL, SAS and MS Excel including data import, manipulations and extraction, report development and ad hoc programming.
• Knowledge of economic and accounting principles and practices, analysis and reporting of financial data.
• Customer service oriented.

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

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 plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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.

Base Pay Range

$90,900.00 - $164,200.00