at HCSC in Chicago, Illinois, United States Job Description Remote Work From Home (HB) Full time

R0055424

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable. Job Summary The Network Integration Technical Analyst is responsible for building and monitoring multiple functions within the Integrated Client Environment ( ICE ) in order to support both the Provider Network Integration team and the Luminare Health organization as a whole. This position requires analytical thinking and a proactive approach to identifying issues to minimize negative impact to the Luminare Health business.

Required Job Qualifications:

+ High School diploma or equivalent required

+ A minimum of four years of experience working in medical claims, provider maintenance or network support environments.

+ Strong organizational, collaborative and interpersonal skills

+ Strong trouble shooting and analytical skills

+ Ability to read, understand and interpret external vendor network documentation

+ Understanding of claim routing and claim pricing processes

+ Ability to work in a fast paced customer service focused organization

+ Ability to work effectively with team members, other Luminare Health departments (such as claims and client management), networks and clients

+ Ability to effectively deal with problems and see through to resolution

+ Excellent verbal and written communication skills

+ Experience using SQL to query and analyze data

+ Strong understanding of

Excel Preferred Job Qualifications:

+ Bachelor's Degree

+ Knowledge of PowerSTEPP, HealthEdge, Facets, or similar claim payment/pricing engines

+ Experience working in a TPA and/or payer operation

+ Understanding of EDI terminology and file structures (837/835/etc.)

+ Strong ability to perform root-cause-analysis

+ Familiarity with . NET or other programming/scripting languages, including experience working with conditional business rules, decision logic, or automated claim processing workflows. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to

Max Range:

$25.34 - $47.58 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest Luminare Health news, content, and be first in line for new job opportunities. Join our Talent Community. (https://bit.ly/ LHBTC ) Luminare Health, a wholly owned subsidiary of Health Care Service Corporation ( HCSC ), is on track to become the nation's best and largest third-party administrator. We are committed to delivering service excellence and dedicated to making healthcare simpler, better, and more affordable for our clients and their members. Our people are at the heart of everything we do. We foster a collaborative, purpose-driven culture where employees are empowered to make an impact, grow their careers, and help transform the healthcare experience. To view full details and how to apply, please login or create a Job Seeker account