Public Consulting Group

Sr. Claims Analyst

Job Locations US-IL-Chicago | US-Home or Remote Position
Posted Date 1 month ago(8/13/2021 8:32 AM)
Job ID
2021-6954
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Education Services

Overview

About Public Consulting Group

Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Education practice offers consulting services and technology solutions that help schools, school districts, and state education agencies/ministries of education to promote student success, improve programs and processes, and optimize financial resources. 

 

PCG's Education practice offers consulting services and technology solutions that help schools, school districts, and state education agencies/ministries of education to promote student success, improve programs and processes, and optimize financial resources.

 

School-based Medicaid programs are critical to ensuring that children get the health and educational services they need. As the nation’s largest provider of school-based Medicaid services, PCG provides Medicaid revenue services to more than 20 state agencies and 4,000 U.S. public school districts.

 

To learn more, visit https://www.publicconsultinggroup.com/education/financial-solutions/

 

 

Responsibilities

Role:

 

PCG is currently seeking a Senior Claims Analyst for our Education Practice area within the Revenue Services team.  For the right motivated individual, there is an excellent opportunity to grow with us and help state agencies and school districts across the country recover available federal Medicaid reimbursement for health-related services, and administrative activities.  The Senior Claims Analyst will work in a fast-paced, challenging, and entrepreneurial work environment as part of a growing team consisting of consulting, operations, and development staff. 

The Senior Claims Analyst will work in the Medicaid Administrative Claiming (MAC) business line.  This position focuses on client engagement and operational execution functions.  The Senior Claims Analyst will also assist with business development and efficiency initiatives for the growing MAC business line.  The Senior Claims Analyst will report directly to the national MAC lead. 

 

Responsibilities:

 

  • The Senior Claims Analyst can expect to play an active role in a wide range of work assignments including, but not limited to: 
  • Preparing and submitting MAC claims; 
  • Providing internal and external reporting statics;  
  • Providing client helpdesk support;  
  • Defining, documenting, and improving business processes; 
  • Assisting with quality control projects; 
  • Assisting with preparation of other written reports and materials for clients; 
  • Assisting with the implementation of new projects;  
  • Assisting in administration of random moment time studies; 
  • Training others on the function of analyzing, preparing and submitting claims; 
  • Conducting policy, competitor, and other market research; and  
  • Supporting proposal development teams, including writing sections, coordinating efforts and preparing proposal submissions 

Qualifications

Required Skills:

 

  • Ability to provide exceptional client service; 
  • Excellent interpersonal skills, ability to positively interact with colleagues, especially during high pressure and stressful situations;  
  • Dedication to accomplishing goals and meeting challenges; 
  • Ability to work in a cross-functional team environment and autonomously; 
  • Ability to exercise independent judgment and take action on it; 
  • Logical and efficient, with a keen attention to detail; 
  • Ability to communicate effectively both orally and in writing; 
  • Strong analytical and problem-solving skills;  
  • Highly organized and able to manage time to achieve results within a specified timeframe; 
  • Ability to work with clients and colleagues in virtual video-conferencing settings; 
  • Ability to learn, understand and apply PCG’s MAC solutions; 
  • Proficient with the following Microsoft applications: Microsoft Outlook, Excel, Viso, and Word; and 
  • Commitment to living and promoting PCG’s organizational values of impact, community, passion and entrepreneurial spirit 

 

Qualifications:

 

Education:

Bachelor’s Degree is required.  

 

Experience: 

  • A minimum of 5 years of professional experience; 
  • Experience working for K-12 school-district, government agency, or consulting firm in the Medicaid arena is preferred; and   
  • Prior MAC experience is favorable  

 

 

 

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EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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