Jobs At HCSC In Austin, TX | CareerArc

Jobs at HCSC in Austin, TX

27 job openings within 25 miles

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Sr Business Consultant

HCSC - Austin, TX

Job Purpose: This position is responsible for providing business analysis and leadership to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completio...

Sr Analytics & Rptg Con

HCSC - Austin, TX

BASIC FUNCTION : This position is responsible for creating business insights and analytics in support of the division; providing high level consultation to users while leading cross-functional teams to address the division's issues; designing and producing datasets and reports for analysis using system reporting tools; performing research and analyzing...

Provider Service Representative - Austin/Richardson/San Angelo/ San Antonio

HCSC - Austin, TX

Job Purpose: This position is responsible for the contracting, credentialing, and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across all lines of business. This includes providing accurate and timely administration of provider contracts, rosters and requests supporting quality initiatives to ensure data accuracy. Res...

Mgr Network Reg Compliance - TX

HCSC - Austin, TX

Job Purpose: This position is responsible for managing Network Management internal and external audit and compliance activities, associated with core provider credentialing, quality assurance, Medicare CMS, Medicaid HSD, NCQA or URAC, Appeals, and provider delegation oversight. Responsible for the end to end provider network data integrity and quality assurance. Including maintaining ...

Medicare Operations Specialist

HCSC - Austin, TX

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...

Provider Service Representative - Austin/Houston/Richardson/San Antonio

HCSC - Austin, TX

JOB PURPOSE: This position is responsible for providing assistance to ancillary providers in resolution of claims, pricing, coding and contract issues; and working with internal departments to evaluate and resolve provider/contract and service issues. Handle more complex issues and may assist in training/mentoring staff REQUIRED JOB QUALIFICATIONS...

Business Configuration Analyst

HCSC - Austin, TX

Job Purpose:This position is responsible for understanding business requirements, analyze options and determine best way to configure software to achieve business objective while aligning with capability strategy/roadmap of software. This role works closely with a team of architects, developers, business analysts and end users / customers to ensure the successful implementation of the softwa...

Senior Network Development Specialist - Dental Provider Network Recruitment (National)

HCSC - Austin, TX

This role will report into Dearborn Life Insuarance Company, a subsidiary of Health Care Service Corporation, a mutual Legal Reserve Company. This role is responsible for complex contracting of Dentists within a specific assigned territory or by assignment. Responsible for achieving annual dental network growth goals. Conduct initial outreach to Dental offices and regular follow ups t...

Health Coordinator (Remote)

HCSC - Austin, TX

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 ex...

Provider Contracting Lead - Austin/Richardson

HCSC - Austin, TX

BASIC FUNCTION: This position is responsible for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value based contracting, etc.). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure...

Provider Contracting Lead - Austin/ Richardson

HCSC - Austin, TX

BASIC FUNCTION: This position is responsible for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value based contracting, etc.). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure...

Business Consultant

HCSC - Austin, TX

Job Purpose: This position is responsible for providing business analysis, documentation, and guidance to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency. Creates and maintains documentation, translates technical/complicated information into clear and concise documents. Supports and leads teams ...

BH Care Management Specialist

HCSC - Austin, TX

**This is a Work from Home position located in Austin, TX** BASIC FUNCTION: This position is responsible for conducting care 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 com...

Quality Audit Analyst/Trainer

HCSC - Austin, TX

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...

Corporate Development Associate

HCSC - Austin, TX

Are you ready to work for the largest customer-owned health insurer in the nation and the fourth largest overall? Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries), you will be responsible for supporting HCSCs inorganic growth and diversification efforts, including merge...