Managed Care Policy Analyst
San Antonio, Texas
At Experian Health, our employees have the opportunity to shape more than products – they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management, identity management, patient engagement, and care management for hospitals, physician groups, labs, pharmacies and other risk-bearing entities. Our success relies on people who are given the freedom to imagine new frontiers in the rapidly changing healthcare space and push the boundaries of innovation. Help us realize our vision of applying data for good and changing the healthcare landscape for the better – for all of us.
- Full Time
- Level: All
- Travel: Variable
- Glassdoor Rating: 3.7 out of 5
At Experian Health, our employees have the opportunity to shape more than products – they shape the future of U.S. healthcare. When looking for new talent to join our health teams, we look for individuals with the following traits:
- Innovation 9
- Problem-Solver 9
- Presenter 8
- Technologically savvy 10
- Confident 6
- Independent 4
- Customer Focused
- Team player
Experian offers comprehensive coverage with flexible options for you as well as your spouse/domestic partner and eligible dependents. This includes medical, dental and vision insurance, health care savings and spending accounts, dependent care FSA, health & wellness program, and telemedicine.
Personal Finance Protection
We offer several benefits that strengthen your financial protection such as a 401k plan with an employer match, an employee stock purchase plan, life & additional insurance coverage.
We invest in your professional future through our education assistance program and many professional development programs. We also grant 20 scholarships to high school seniors each year to children of Experian employees.
We offer flexible time off in addition to corporate holidays, sick days and paid volunteer time off.
Experian supports your life outside the office with benefits such as our new parental leave policy covering time off for birth mothers as well as birth fathers and mothers/fathers of adoptive or foster children, adoption assistance, and pet insurance.
Experian employees enjoy many other benefits through our employee discounts, company sponsored activities, and flexible total rewards packages. Many of our office locations provide onsite amenities such as fitness centers, game rooms, cafeterias and free snacks in break rooms. We support work/life balance with convenient offices in several metropolitan locations and flexible work arrangements when possible.
“The support you receive when on-boarding and the commitment to human development has been excellent and probably the best I’ve experienced in my professional career.”Peter Moraga, Senior Account Executive - Fraud and ID
“I have never seen a more supportive sales culture. With the dedicated marketing resources and continuous training, it’s a culture with high expectations with the tools and resources to help you achieve.”Sam Hubbard, Account Executive - CU Vertical
“If you want to join a high integrity, world-class organization that allows you the creative freedom to take your ideas and visions and to implement them, then Experian might be for you.”Victor Grigaliunas, Sales Director
“My role is challenging, which keeps things new and interesting. The rewards and accolades are nice, and the company does a great job recognizing hard work and a job well done.”Connor Reilly, BIS Hunter
“I am an Account Manager within CIS. I manage hundreds of accounts across every industry and product group that Experian offers to cross sell, which will further benefit my client’s bottom line revenue.”Amber Banks, Account Manager
“Experian is very focused on growing and retaining talent by offering as many opportunities as possible to those seeking it. My three years with Experian are testament to that, with my move to Boston from London being a prime example!”Brolin Rodrigues, Sales Engineer
“Experian embodies the phrase “pay it forward” in that every person I have worked with, whether they have been here for 20 years and are at the top or have been here for 4 months, is willing to take time out of their day to help you in any way they can.”Grace Jakubowski, Account Executive - Growth Channel/Core Team
DescriptionAt Experian Health, our employees have the opportunity to shape more than products – they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management, identity management, patient engagement, and care management for hospitals, physician groups, labs, pharmacies and other risk-bearing entities. Our success relies on people who are given the freedom to imagine new frontiers in the rapidly changing healthcare space and push the boundaries of innovation. Help us realize our vision of applying data for good and changing the healthcare landscape for the better – for all of us.
The Managed Care Policy Analyst obtains and delivers the necessary data to other analysts for generating notices to physicians, clinics, hospitals, and other kinds of healthcare organizations about changes to U.S. insurance companies’ payment policies and procedures.
This data is obtained from specific website monitoring software and the job requires that this analyst be dedicated to daily, punctual review of the changes that the software detects. Analytical skills, Focus, Accuracy, and Timeliness are paramount.
• Using prior medical administrative payer knowledge, display critical thinking in determining whether a website change is significant or not.
• Ability to follow detailed instructions and demonstrate follow through on step by step guidelines
• Apply problem-solving skills in locating unmonitored information for specific insurance companies and adding it to the website monitoring software.
• Work quickly and accurately while working independently to supply multiple analysts with data from the website monitoring software.
• Interact daily with analysts in Cost Rica and U.S. as needed to complete all tasks.
• Using prior experience, recognize the various types of web pages (PDF document versus html) and components/functions of a web page (bookmark).
• Exhibit broad knowledge of internet technology.
• Display familiarity with Microsoft Word, Excel and Outlook.
• Being self-driven, ability to engage in deductive reasoning and critical thinking.
Knowledge, Experience & QualificationsEducation and Experience:
• Bachelor’s degree preferred or equivalent education and experience.
• Minimum of two years in the healthcare/medical field and medical terminology a plus.
• Excellent written and verbal communication skills
• Learn new content quickly and integrate into daily processes.
• Organize and manage detailed processes.
• Identify, analyze and solve problems.
• Foster a cooperative and team-oriented work environment.