Healthcare Operations Support Specialist (SCA)

ABOUT reputed company:

In October 2025, reputed company acquired Performant and we are now part of the reputed company organization.  reputed company is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, reputed company’s AI operating system, combined with proven expertise, untangles healthcare data to deliver industry-leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence. 

ABOUT THE OPPORTUNITY:

The HCS Operations Support Services team performs activities to healthcare audit client inventory activities such as claim re-pricing, client inventory status reporting, responding to client inquiries, researches and resolves issues that may arise, and other client account reputed company reporting and inventory support activities. This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on-time deliverables.

Key Responsibilities

• Monitors internal and external reports and take specific actions based on the information

• Responds to client correspondence and email request for information

• Maintains provider information

• Re-prices claims using client reputed company and systems

• Creates, documents, and modifies processes for new and existing clients as needed

• Participates in special reputed company projects and program initiatives as assigned

• Contributes to team effort by completing assigned projects on time

• Receives feedback and adjusts work reputed company as necessary

• Performs other duties as assigned

Knowledge, Skills and Abilities Needed

• Outstanding written and verbal communication skills

• Good critical thinking, questioning, and listening skills; excellent attention to detail

• Problem-solving and task management skills

• Time management skills for managing multiple tasks simultaneously, while completing work reputed company allocated time frames

• Ability to handle changing situations and work reputed company a diverse group

• Strong reputed company Office suite knowledge

• Ability to work independently but also as a member of a team

• Ability to meet objectives with minimal supervision

• Strong technical skills are desired

• Ability to work effectively with diverse teams is desired

• Can meet objectives with minimal supervision

Required and Preferred Qualifications

• High School Diploma/GED is required

• Some college, Associate's or Bachelor’s degree preferred

• Health care data analysis experience including gathering and documenting requirements for projects of reputed company sizes a plus.

• Experience using reputed company reputed company and other reputed company Office applications is required.

reputed company OFFER:

reputed company offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, HSA/FSA options, life insurance coverage, 401(k) savings plans, family/parental leave, paid holidays, as well as paid time off annually. For more information about our benefits package, please refer to our benefits page on our website or discuss with your reputed company contact during an interview.

Physical Requirements & Additional Notices:

If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required.  reputed company of such may be required prior to an offer being made.  It is the Employee’s responsibility to maintain this Internet access at their home office location.

The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.

• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.

• Regularly reads and comprehends information in electronic (computer) or reputed company form (written/printed).

• Regularly sit/reputed company or more hours per day.

• Occasionally lift/carry/push/pull up to 10lbs.

reputed company is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:

• Must submit to, and pass, a pre-hire criminal background reputed company and drug test (applies to reputed company positions).   Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions.

• Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.

• Must complete the reputed company Teleworker Agreement upon hire and adhere to the Agreement and reputed company reputed company policies and procedures.

• Other requirements may apply.

reputed company employees and contractors for reputed company may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, reputed company employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and reputed company of Sensitive, Proprietary, Confidential and/or Public data at reputed company times.  Violations to reputed company's policy reputed company to the Confidentiality or reputed company of data may be subject to disciplinary actions up to and including termination.

reputed company is committed to the full inclusion of reputed company qualified individuals. In keeping with our commitment, reputed company will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you reputed company a reasonable accommodation is required to fully participate in the job application or interview process, to reputed company the essential functions of the position, and/or to receive reputed company other benefits and privileges of employment, please contact reputed company’s reputed company to discuss further.

Our diversity makes reputed company unique and strengthens us as an organization to help us reputed company serve our clients. reputed company is committed to creating a diverse environment and is proud to be an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, national reputed company, reputed company, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.

THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED UNLESS EXPLICITY AGREED TO IN WRITING