Refine Your Search
Displaying results 1 - 15 of 82
Community Health Program Analyst
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for the accounting, evaluating and reporting of community relations activities and investments across the organization to enable the enhancement of the company's relations with nonprofit partners, the public and community at large, government and regulatory authorities, members and potential member groups, and employees. Responsible for impleme...
Community Health Senior Program Manager
HCSC - Richardson, TX
JOB PURPOSE: This position is responsible for identifying, screening and assessing a portfolio of HCSC community health focus areas (such as Access to affordable housing and employment opportunities, high-quality education, consistent nutrition, and financial security are examples of the many factors that community health efforts could address). Responsibilities include planning, managing...
Senior 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 coor...
Provider Data Specialist
HCSC - Richardson, TX
BASIC FUNCTION: Under supervision, this position is responsible for establishing and maintaining provider demographic records and data which affects all claims payments, provider directories, and provider communications. Position is responsible for ensuring that all provider update (add, change, delete) requests are researched, analyzed, responded to, and completed in an accurate and time...
Behavioral Health Care Coord
HCSC - Richardson, TX
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating n...
Sr. Developer - Hadoop
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 purpose through...
Sr Infrastructure Engineer (Office 365 Suite)
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 purpose through t...
Medical Director
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. ESSENTIAL FUNCTIONS : Complete medical necessity prepayment, pre-certification and other claim reviews as required by applicable Sta...
Behavioral Health Care Coord
HCSC - Richardson, TX
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating n...
Holistic Health Specialist
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual *s health needs...
Marketing Service Representative - Healthcare Employee Benefits
HCSC - Richardson, TX
Located in Richardson TX within Sales & Account Management, this position is responsible for supporting Sales Representatives or Account Management personnel in the prospecting, acquiring or renewing business with a focus on renewal of existing business, servicing existing accounts. JOB REQUIREMENTS: * 1 year experience in health care management in a marketing service representativ...
Senior Consultant -Internal Consultant Group
HCSC - Richardson, TX
Basic Function: This position is responsible for functioning as an enterprise consultant, working within HCSC to lead engagements to resolve business issues and implement solutions. They play a critical role on enterprise level engagements responsible for leading a matrixed team responsible for delivery of the engagement objectives and serve as a project based senior ...
Infrastructure Change/Release Coordinator
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 purpose throug...
Marketing Service Representative - Healthcare Employee Benefits
HCSC - Richardson, TX
Located in Richardson TX this position is part of the Sales & Account Management Dept., works in a fast paced office based environement and is responsible for supporting Sales Representatives or Account Management personnel in the prospecting, acquiring or renewing business. JOB REQUIREMENTS: * 1 year experience in health care management in a marketing service representative role ...
Fraud Investigator
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for planning and developing investigation tools and techniques to conduct detailed investigations of potentially fraudulent claim activity by members, employees and providers, both internally and externally initiated, and makes recommendations for prosecution, recovery and litigation. Also, reviews operational controls, and claim system control...
