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HCA Healthcare · 2 weeks ago

Health Plan Economics Specialist

Campbell, CA

Full-time

Onsite

Mid, Senior Level

$99K/yr - $149K/yr

5+ years exp

HCA Healthcare is dedicated to providing compassionate patient care and is seeking a Health Plan Economics Specialist. This role involves ensuring accurate preparation of health plan economics analyses and reporting in a Managed Care environment, focusing on financial, quality, and operational performance.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

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”

Qualification

Health Care EconomicsFinancial AnalysisManaged Care ExperienceDatabase DevelopmentSQLPower BICollaborationConfidentialityCommunication

Required

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

Experience in Health Care and Managed Care

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

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

Free counseling services and resources for emotional, physical and financial wellbeing

401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

Employee Stock Purchase Plan with 10% off HCA Healthcare stock

Family support through fertility and family building benefits with Progyny and adoption assistance.

Referral services for child, elder and pet care, home and auto repair, event planning and more

Consumer discounts through Abenity and Consumer Discounts

Retirement readiness, rollover assistance services and preferred banking partnerships

Education assistance (tuition, student loan, certification support, dependent scholarships)

Colleague recognition program

Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Company

HCA Healthcare

Glassdoor3.3

HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

Founded in 1968

Nashville, Tennessee, USA

10001+ employees