Okay, I've searched for Healthcare Services Concept Specialist roles in the United States within the payment integrity sector, requiring 2-4 years of experience, for full-time positions, and with a salary range of $78,500 to$104,000. I have found 47 positions for you.

Sure. Here's the analysis:

Job Analysis:

The Healthcare Services Concept Specialist role at Performant is fundamentally centered around ensuring the accuracy and efficiency of healthcare payments by managing audit concepts effectively. This specialist will be charged with reviewing, updating, and developing audit concepts while navigating complex Medicare and commercial policies. Key responsibilities include collaboration with Segment Specialists, updating training materials, and thorough documentation, reflecting a need for meticulous attention to detail and exceptional organizational skills. The ability to analyze and interpret healthcare policies effectively is paramount, indicating that candidates will face challenges related to varying regulatory frameworks and client-specific adjustments. Success in this role is characterized by not only the precision of the audit concepts created but also the proactive adaptation to new policies, which ultimately supports Performant’s mission to reduce improper payments and foster better resource allocation within healthcare. The role will require a blend of technical coding knowledge and soft skills to communicate effectively across teams, underpinning the importance of being both a detail-oriented coder and a collaborative team member.

Company Analysis:

Performant operates in a pivotal space within the healthcare industry, focusing on payment integrity by leveraging technology and deep industry expertise. As a market leader in the recovery of improperly paid assets, the company is positioned as a trusted partner for Medicare, Medicaid, and other commercial entities, indicating significant influence and responsibility in the industry. This context implies that the Healthcare Services Concept Specialist will play a crucial role in maintaining compliance and quality standards, which are central to the company's reputation and operational efficiency. The prevailing values of innovation, integrity, and a strong ownership culture suggest a work environment that encourages initiative and accountability, aligning well with candidates who thrive in dynamic settings. Since the company emphasizes teamwork and cross-functional collaboration, this role is not only an individual contributor but also part of a broader team structure, interacting with various departments while significantly impacting the organization’s outcomes. The overarching strategic alignment underscores the necessity of this role in scaling operations, enhancing service offerings, and adapting to evolving healthcare regulations, all crucial for sustaining Performant’s growth trajectory and client trust.

Absolutely. Here are some mock interview questions that could come up:

• Tell me about a time when you had to interpret complex healthcare regulations. How did you manage the task?
• Describe a situation where you had to update or create training materials based on regulatory changes. What approach did you take?
• Can you tell me about an experience where you managed a multitude of tasks with competing deadlines? How did you ensure successful execution?
• Discuss an instance where you collaborated with team members to address an audit issue. What was your role and what were the results?
• How would you approach ensuring compliance in a constantly changing regulatory environment?
• What strategies would you use to analyze and update audit concepts in a timely manner?
• How do you intend to stay informed about changes in coding and billing practices relevant to this role?
• Imagine you are faced with a request to audit a complex claim that doesn’t seem to fit standard coding protocols. How would you handle it?
• If you discovered inaccuracies in a previously approved audit concept, how would you address that with your team?
• Why are you interested in working at Performant specifically?
• How do you think your values align with Performant's mission of enhancing revenue and cost containment in healthcare?
• What excites you the most about the healthcare payment integrity space?
• What do you think are the key challenges facing the healthcare payment integrity industry today?
• What questions do you have for us about the team dynamics and projects you would be involved in as a Healthcare Services Concept Specialist?
• How do you prioritize your professional development in terms of relevant certifications and continual learning?
• What aspects of our company culture resonate with you, and how do you see yourself contributing to it?