Jobs At HCSC In Albuquerque, NM - Page 5 | CareerArc

Jobs at HCSC in Albuquerque, NM - Page 5

116 job openings within 25 miles

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Displaying results 61 - 75 of 116

Medical Mgmt Specialist I

HCSC - Albuquerque, NM

**This is a Work from Home position located in Albuquerque, New Mexico** JOB PURPOSE:This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing data for regulatory reports. This position will represent the company to members.

Care Coordinator UM/CM I

HCSC - Albuquerque, NM

**This is a Work from Home position located in New Mexico or Texas** BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, ...

Quality Audit Analyst/Trainer

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for planning and conducting training, performing detailed audits, analyzing programs, and managing projects. Ensure that processes and procedures are being followed and work is performed timely, accurately and within processes/standards. JOB REQUIREMENTS: *4 years experience in health insurance OR Bachelor degree and 2 years of healt...

Assoc Developer

HCSC - Albuquerque, NM

As the health care industry continues to rapidly transform, our IT team conceives, develops, and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this purpose throug...

Software Developer - Full Stack

HCSC - Albuquerque, NM

Job Purpose: This position will perform software engineering for a customer facing website which has over 20 Million customers. The role is to design, write code, test, and implement new capabilities which drive customer value. We are a product driven software engineering organization that practices Scrum. Required Job Qualifications: *B...

Customer Service Representative II

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for providing assistance to providers and Indian Health Services (IHS). This position researches, analyzes, and responds to telephone and written inquiries related to claims issues, pricing issues, and coordination of benefits. This position is also responsible for resolution of inquiries, including adjustments and making recommendations regarding...

Community Health Coordinator

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for contacting members and community partners in assigned areas and is responsible for performing ongoing functions to support the Social Service department. Responsible for contacting identified members to inform and educate them on health care programs, responding to inquiries from members, and supporting the clinicians in the Physical and B...

Associate Automation Programme

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for applying emerging technologies to develop sophisticated database solutions. Working closely with business and technical areas. Analyzing and defining requirements associated with operational efficiency within Customer Service and translating them into functional design documents. Designing, testing, and implementing technical production au...

Sr. SQL Developer

HCSC - Albuquerque, NM

Job Purpose: This position is responsible for assisting existing Database Administrator Leads and becoming a Lead in the Database Administrator (DBA) space. The DBA is responsible for design and develop physical database to meet project development requirements, including functionality, optimal performance, scalability and availability. Performance validation and tuni...

Analytics & Rptg Consultant

HCSC - Albuquerque, NM

Telecommute 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 leading cross functional teams to address the divisions issues; producing datasets and reports for an...

Health Coordinator

HCSC - Albuquerque, NM

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 supporting the clinicians in the Medical Management department with their provider and member activities. JOB REQUIREMENTS: *1 year of college and 2 years experience...

Group Underwriting Consultant - Pharmacy Benefits

HCSC - Albuquerque, NM

JOB PURPOSE: This position is responsible for achieving profit, growth, service and expense objectives through the financial analysis and pricing of HCSCs pharmacy business by quoting and rating proposals, projection renewal and the preparation of annual settlements and experience reporting. Under minimal supervision, the Group Underwriting Consultant serves a...

Customer Delivery Consultant

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for leading the collection, analysis, and evaluation of reporting requirements, and for the specification of standard and customized reports in order to fulfill the needs of internal and/or external clients; work closely with our clients to understand reporting requirements, to ensure user acceptance criteria is defined and fol...

Business Solutions Consultant

HCSC - Albuquerque, NM

Business Solutions Consultant BASIC FUNCTION: This position is responsible for leading the operations readiness of Network programs. Developing and managing the operations readiness approach and managing an end-to-end plan that enables contractual agreements with providers. Analyzes complex business problems and issues using data from internal and external sources ...

Associate Business Consultant

HCSC - Albuquerque, NM

Job Summary: This position is responsible for providing business analysis to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency of value base care operations of new programs and provider contracts. The resource will support teams responsible for operational readiness within Network government ...