Jobs At HCSC In Albuquerque, NM - Page 2 | CareerArc

Jobs at HCSC in Albuquerque, NM - Page 2

122 job openings within 25 miles

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Displaying results 16 - 30 of 122

Health Coordinator

HCSC - Albuquerque, NM

**This is a hybrid role located in Albuquerque, New Mexico** **You will be required to work in the office 2-3 days per week** BASIC FUNCTION: This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquires from members, and s...

Sr Sales Strategy Specialist

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for the delivery of project development, project management and/or leadership of HCSC National Accounts projects/initiatives from inception to completion. This position is also responsible for key messaging delivery as well as developing, participating in and assessing the implementation and enhancements of the sales dist...

Sales Strategy Specialist

HCSC - Albuquerque, NM

BASIC FUNCTION : This position is responsible for supporting the HCSC National Sales Division's needs by researching, assisting and participating in the implementation and enhancements of the strategies, tactics, programs and tools related to national group market net growth, products, prospects & operational processes. This position functions as the unify...

Network Regulatory Analyst

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for NM Network Management regulatory compliance activities and audits. Coordinates with core enterprise teams such as Legal, Government Relations, LRM, Customer Service, provider credentialing, quality assurance, Medicare Office, Medicaid Office, NCQA or URAC, A&G, and other internal staff/SMEs to assure regulatory compliance a...

Behavioral Health Care Coord - Utilization Management

HCSC - Albuquerque, NM

**This is a Telecommuter position to be located in any of the following locations: Chicago, IL; Downers Grove, IL; Naperville, IL; Rockford, IL; Danville, IL; Springfield, IL; Quincy, IL; Waukegan, IL; Marion, IL; Belleville, IL or Albuquerque, NM BASIC FUNCTION: This position is responsible for ensuring accurate and timely ...

Sr Anl Sys Pricing

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for system pricing development; support functions needed for contract financial analysis and performance; coordination of internal/external audit requests; performing routine and ad hoc reporting; and maintaining an understanding of provider contracts. Required Job Qualifications: * Bachelor Degree in ...

Medicare Operations Specialist

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for project leadership and coordination of the Medicaid and Medicare managed care regulations and program changes supporting Health Care Service Corporation Dual Eligible Program. Operations Specialist works with other areas of the organization on the development, testing and implementation of program policies, business pro...

Analytics & Reporting Analyst

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and reports for analysis using system reporting too...

Delegation Oversight Coordinator

HCSC - Albuquerque, NM

. This role is a Flex position - some days in office some days WFH - open to IL, TX, OK, and NM residing within 250 miles from our home office location. Accreditation experience highly preferred. Job Purpose : This position is responsible for auditing and monitoring delegated vendors i...

Manager, Network Policy

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for leading the IL State plan in network regulatory and accreditation agencies policy/process, reviews and execution planning. Work across the state plans leaders to align policy strategy with execution roadmap to ensure constant alignment with changing demands of the marketplace, and regulatory and legislative requirements...

Customer Advocate I

HCSC - Albuquerque, NM

**Starting rate of $16.00 per hour PLUS progressive salary increases over the first 18 months in the role** Great Benefits including: Pension, 401K match, Annual bonuses plus other company perks! BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members a...

Behavioral Health Care Coord

HCSC - Albuquerque, NM

**Telecommuter position** BASIC FUNCTION: This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowled...

Business Technical Consultant

HCSC - Albuquerque, NM

***This position has the opportunity to WFH 2 days a week*** JOB DUTIES: This position is responsible for delivering technical solutions for Sales Strategy to key project milestones through specification, testing and implementation, adhering to the project schedule and project delivery methodology. Responsibilities include working with the business and technical teams including...

Medicare Group Senior Account Executive

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for the account management, consultative, and strategic oversight for a block of Group Medicare accounts. Cultivates relationships, identifies add-on sales opportunities, and services accounts to expand the business and help meet/exceed sales and renewal objectives. This position is responsible for strategic and complex accounts with significant ...

Business Consultant

HCSC - Albuquerque, NM

This role is open to our state plans: Chicago, IL, Richardson, TX, Albq NM, and Tulsa, OK- must reside within 250 miles from our home office location Job Purpose: This position is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of divisional str...