Operations Planning Specialist (PDP Oversight & Monitoring)
Health Care Service Corporation - Nashville, TN
Hiring: Operations Planning Specialist (PDP Oversight & Monitoring) Company: Health Care Service Corporation Location: Nashville, TN Job Posted Time: 2026-09-10 11:49:18 Employment Type: Remote Target Skills & Keywords : Medicaid, Medicare, Microsoft Excel, Microsoft PowerPoint About the job Experience: •3-4 years of relevant Medicare (Part D and/or Part C) or other government program experience in eligibility, premium billing or healthcare operations. •4 years of relevant Medicare (Part D and/or Part C) or other government program experience in eligibility, premium billing or healthcare operations. Required Skills: •Will be responsible for oversight of Enrollment & Premium Billing operations to identify non-adherence to established processes as well as identify improvement opportunities, reporting results through ongoing audit spreadsheets, dashboards and scorecards. Qualifications: •Bachelor's Degree or equivalent experience. •Proficiency with Microsoft Word, Excel, Outlook, PowerPoint. •Must be self-motivated and possess the competencies required to work in a fast-paced and heavily matrixed environment •Demonstrated capacity to perform responsibilities independently as well as an effective team member •Excellent conceptual and analytical skills with the ability to identify linkage between interfacing systems and processes, identify issues and manage/execute solutions to resolution. •Strong problem solving skills and detail orientation. •Demonstrated capacity to analyze situations and is comfortable dealing with ambiguity. •Capacity to learn process and product information quickly and efficiently. •Excellent organizational and written/verbal communication skills. •Knowledge of advanced Excel, report writing, and analysis activities. Compensation: •$41,700 - $92,800 / year •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!