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Sr Wrkfr Plan Analyst
HCSC - Richardson, TX
Job Purpose: This position is responsible for workforce planning activities for large locations or line of business for contact center operations. Supporting the annual budget planning process, coordinating workload forecasting and capacity planning activities, including those related to suppliers. Supporting real time monitoring of business operations Optimizing resourc...
Medical Management Trainer - Registered Nurse (RN)
HCSC - Richardson, TX
* * This position needs to be based a commutable distance from Chicago, Springfiled, IL or Richardson, TX . ** BASIC FUNCTION: This position is responsible for development and delivery of initial and ongoing clinical, technical, and non-clinical training programs. The position ensures identification and integration of training...
Java Developer
HCSC - Richardson, TX
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 purpo...
IT Business Systems Analyst (Healthcare - Medicare/Medicaid)
HCSC - Richardson, TX
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 pur...
Provider Data Maintenance Spec
HCSC - Richardson, TX
This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. Review contracting, credentialing, and maintenance of Provider Data to support Claim's payment, Marketing, Membership and Network Con...
Infrastructure Executive Support Analyst
HCSC - Richardson, TX
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 pur...
Provider Reimbursement Program Analyst
HCSC - Richardson, TX
This is a telecommuter position which will be located in Albuquerque, NM or Chicago, IL or Richardson, TX or Tulsa, OK. BASIC FUNCTION: Persons in this role analyze, design, implement and support HCSC Facility Provider Reimbursement methodologies and applications. JOB REQU...
Sr Enterprise Data Analyst
HCSC - Richardson, TX
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 pur...
Sr Enterprise Data Analyst
HCSC - Richardson, TX
Job Purpose: This position is responsible for leading the development of functional and non-functional business requirements. Required Job Qualifications: * Bachelors degree and 4 years of data and analytics experience OR Technical Certification and/or college courses and 6 years of data and analytics experience OR 8 years of data and analytics experience * Experience in require...
Sr Business Consultant
HCSC - Richardson, 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 completion; oversight coordination, and abilit...
Medicare Group Sr Account Exec
HCSC - Richardson, TX
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 ...
Executive Medical Director
HCSC - Richardson, TX
BASIC FUNCTION: This highly independent position is responsible for planning and implementation of medical policies and programs and strategic involvement with the cost of health care for accounts with more than 50,000 members. This position is primarily accountable for advising and implementing medical guidelines, management of high cost claimants, payment guidelines, claim reviews, and ...
Sup Coding Compliance
HCSC - Richardson, TX
***This position is TELECOMMUTE but must reside in NM, IL, or TX*** BASIC FUNCTION: This position is responsible for providing supervision of the auditing and validation of medical record coding functions and monitors accuracies of coding processes, coordinates and directs daily activities responsible for accurate, compliant and timely coding and work queue review ...
Clinical Pharmacist
HCSC - Richardson, TX
***THIS IS A TELECOMMUTER ROLE. IT CAN BE LOCATED IN THE CHICAGO, IL. HQ, OR TULSA, OK. HQ OR RICHARDSON, TX. HQ*** * Pharmacy Consultancy and/or Managed Care experience is a plus.* BASIC FUNCTION: This position is responsible for performing pharmacy program quality improvement activitie...
Clinical Account Consultant Pharmacy
HCSC - Richardson, TX
***POSITION is NOT a Telecommuter role. IT CAN BE LOCATED IN ANY OF THESE HCSC'S OFFICES IN TEXAS: RICHARDSON, AUSTIN, HOUSTON, SAN ANTONIO WITH A FLEX/HYBRID WORK SCHEDULE*** **Must have good communication skills, client-interfacing and relationship-building experience, Presentation skills and Managed Care experienc...
