Accounting Policy Manager

Location: Chicago, IL
Job Type: Direct Hire
Salary: $90,000.00 - $100,000.00
Date: 2/14/2018
Job ID: 02564894
Job Description
Large Health Insurance Corporation—Downtown Chicago—Salary Commensurate with Experience
The Sizzle
  • Company provides competitive compensation, comprehensive benefits, and wellness programs.
  • Company offers flexibility and a work/life balance.
  • Company is customer-owned.
Minimum Education & Experience
  • Bachelor’s in Accounting, Finance, or related field and CPA required.
  • 6+ years’ experience in Accounting/Finance and 1+ year of supervisory/management experience required; 4+ year’s public accounting and insurance statutory accounting experience preferred.
  • Must have strong technical financial skills and a comprehensive understanding of accounting and GAAP.
  • Strong analytical, verbal, and written communication skills.
  • Proficiency in Microsoft Office.
  • Established project management experience and ability to work with numerous different groups throughout a large organization.
  • Demonstrated track record of attention to detail, time management, and prioritization skills.
Duties & Responsibilities
  • Perform clinical, billing, coding, and lowest cost setting reviews for services pre- and post- payment.
  • Utilize medical, contractual, legislative, policy, and other information to validate claims submitted and billed.
  • Conduct research.
  • Prepare documentation of findings and consult with Medical Directors as needed.
  • Coordinate with all departments involved in each case, i.e. Special Investigations, Customer Service, PASS, Network Management, Marketing, Case Management, Medical Review, Legal, Pricing, and Database.