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Health Coordinator (Remote)
HCSC - Richardson, 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...
Holistic Health Specialist - Registered Nurse (RN)
HCSC - Richardson, TX
** This position needs to be based a commutable distance from Richardson or Abilene, 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 treatmen...
Provider Contracting Lead - Austin/Richardson
HCSC - Richardson, 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 - Richardson, 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...
Human-Centered Researcher I
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...
Data Modeler Consultant
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...
Business Consultant
HCSC - Dallas, 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 ...
Business Consultant
HCSC - Richardson, 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 ...
Business Consultant
HCSC - Sachse, 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 ...
Assistant IT Product Manager - Design Systems
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...
Business Analyst III
HCSC - Richardson, TX
"BASIC FUNCTION: This position is responsible for analyzing/coordinating requirements; defining project scope and requirements, translating business requirements into use cases, activity or flow diagrams, and participating in project management activities; performing business research to identify gaps between current state and future vision; conducting interviews with customers and enterp...
IT Application Architect - Facets
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 Divisional Strategy Consultant
HCSC - Richardson, TX
***This position has the opportunity to work from home 2 days a week.*** Job Purpose: This position is responsible for supporting the development of divisional strategies; identifying tools to assess and track strategic opportunities; providing end to end report development; interfacing between various internal business and technical or analyti...
BA
HCSC - Richardson, TX
Job Purpose: This position is responsible for leading the development of functional and non-functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirement. Required Job Qualifications: *Bachelor Degree and 2 years Information Technology experience OR Technical Certification and/or College Courses and...
Behavioral Health Care Coord
HCSC - Richardson, TX
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 knowledge of medical necessity criteria for all levels of behavioral healt...
