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Sup Marketing Operations Supt
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for supervising support staff; providing support functions for the Geographic Business Unit (GBU); organizing and managing a computer network in the GBU marketing area; and managing the information filing system. JOB REQUIREMENTS: *4 years sales/marketing support experience involving independent decision making OR 4 years experience i...
Group Underwriting Consultant - Pharmacy Benefits
HCSC - Tulsa, OK
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...
Senior Manager Business Execution
HCSC - Tulsa, OK
Job Purpose: Responsible for managing projects, tools, analytical knowledge, and initiatives in support of group Medicare Sales to include: Driving analytics and reporting on key metrics in support of business needs across group Medicare, including those related to forecasting, goal-setting, and compensation modeling. Overseeing technical Medicare-specific projects and systems t...
Assoc Developer
HCSC - Tulsa, OK
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 Solutions Owner
HCSC - Tulsa, OK
This is a work from home position Job Purpose: This position is responsible for driving execution of the business technology vision and delivery of high-quality features by scrum team. Responsible for technology decisions, managing backlog, writing user stories, perform release planning, and providing leadership with development teams. Determin...
Quality Audit Analyst
HCSC - Tulsa, OK
Job Purpose: This position is responsible for planning and conducting detailed audits, analyzing programs, related to quality and performance. Review business transactions such as claims, inquiry or membership, processes etc. to assure that: a) Internal controls and Model Audit Rule requirements are adhered to, and b) Processing is performed timely, accurately, and completely in the appro...
Provider Relations Representative
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. JOB REQUIREMENTS: *Bachelor Degree and 1 year managed care experience in products or contracts OR 5 years experience in managed care environment with 1 yea...
Mgr Sales Delivery Support
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for managing staff accountable for supporting national and local accounts by preparing contracts/booklets and handling account set up. This position is responsible for developing and maintaining procedures, systems and tools and assisting in developing strategies and implementation of projects/initiatives. This position is accountable for direc...
Business Solutions Consultant
HCSC - Tulsa, OK
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 ...
Manager Budgets & Vendor Mgmt
HCSC - Tulsa, OK
Located in any Dearborn Life Insurance Company, subsiduary of HCSC, a mutual legal reserve company office locations ( IL - Belleville, Chicago, Lombard or Southfield, MI or Portland, ME or Albuquerque, NM or Tulsa/OKC, OK or TX - Amarillo, Austin, Houston, Richardson, San Antonio ) - this position is responsible for managing the budget and financial metric p...
Associate Business Consultant
HCSC - Tulsa, OK
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 ...
Workforce Management Spec
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for ensuring accurate and timely work performed in the department, work across the department with management and employees; prepare and analyze reports, assist with other projects and initiatives as needed. JOB REQUIREMENTS: *2 years reporting experience including developing reports and analyzing data *PC proficiency including Wo...
Unit Manager Coding Investigation
HCSC - Tulsa, OK
JOB PURPOSE: This position is responsible for managing and maintaining the coding investigation program and ensuring clinical, billing, coding and lowest cost setting reviews for services pre and post payment are performed utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. This position is responsible for assisting in develo...
Medical Quality Improvement Coordinator
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for assisting in monitoring and maintaining a medical quality improvement program to meet external regulatory and accreditation requirements, including but not limited to preventive care programs and Healthcare Effectiveness Data and Information Sets reporting. Conducts occasional On-site facility visits to participating network providers as p...
Sr Business Analyst - Automation
HCSC - Tulsa, OK
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...
