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Strategic Sourcing Advisor

HCSC - Chicago, IL

Job Purpose:This position is responsible for identifying, developing and executing sourcing strategies for the most cost effective pricing and best service; developing strategic sourcing processes by partnering with users to define specifications and requirements; managing the strategic sourcing strategy for a specific group; analyzing industry markets and assessing risk, gathe...

Sr. Reporting Analyst - Marshall/ Richardson (Remote)

HCSC - United States of America

**Candidates Must Live Within 100 miles of Marshall, TX or Richardson, TX** Job Purpose: This position is responsible for acting as a department representative for Enterprise Database systems and as a process owner for report development to support operational effectiveness. This position is responsible for examining customer needs an...

Sr Product Delivery Consultant

HCSC - Downers Grove, IL

Job Purpose: This position is responsible for leading strategic, cross enterprise implementations of new products or product enhancements that are critical to the retention of accounts, maintaining market relevancy and responding to legislative and regulatory initiatives. This role serves as the business lead on a given implementation within the Produc...

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's Degree and 1 year managed care experience in products or contracts OR 5 years experience in managed care enviro...

Primary Nurse Case Administrator I (RN) Remote

HCSC - Richardson, TX

***This will be a work from home role, candidates must reside within 100 miles of the posting location*** Basic Function: This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involve...

On Site Quality Audit Spec

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for conducting provider/practitioner on-site office audits; reviewing and analyzing medical record keeping, medical records and HEDIS documentation; identifying quality issues and monitoring, implementing and tracking interventions; performing oversight of delegated organizations; and ensuring compliance with Plan, BCBSA, NCQA and...

NA Senior Strategic Account Executive

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for providing the high-level consultative and strategic oversight for existing accounts to meet retention, service, and revenue targets. Cultivates relationships, identifies sales opportunities, and service accounts to expand the business and meet corporate and divisional sales renewal objectives. This position is the senior level...

Medical Management Social Worker II

HCSC - Richardson, TX

***This will be a work from home position, candidates must reside within 100 miles of Richardson, Texas*** BASIC FUNCTION: This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, t...

Health Coordinator

HCSC - Richardson, TX

***This will be a remote role and candidates must reside within 100 miles of a posting location*** 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...

Health Coordinator

HCSC - Richardson, TX

***This will be a work from home position, candidates must reside within 100 miles of either Austin, Richardson, or Houston, Texas*** 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...

Group Underwriting Consultant - Pharmacy Benefits

HCSC - Richardson, TX

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 Consu...

Developer-Bigdata

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 ...

Customer Experience Consultant (CX)

HCSC - Chicago, IL

Job Purpose The Customer Experience Consultant is part of HCSC's newly formed Growth Capabilities & Experience Team, which identifies, defines, and optimizes opportunities to drive diversified growth including those offerings beyond core medical across capabilities and expanded geographies. This role reports to the Manager of Customer Experience and is a key player in d...

Admin Clerk III - Lombard

HCSC - Lombard, IL

BASIC FUNCTION: Under the direct supervision, performs complex clerical duties of a varied nature, requiring a thorough familiarity with departmental policies, procedures, and practices, and may train, or assist in training new employees in departmental operations. JOB REQUIREMENTS: * High School Diploma. * 2 years business expe...

Admin Clerk III - Lombard

HCSC - Lombard, IL

BASIC FUNCTION: Under the direct supervision, performs complex clerical duties of a varied nature, requiring a thorough familiarity with departmental policies, procedures, and practices, and may train, or assist in training new employees in departmental operations. JOB REQUIREMENTS: * High School Diploma. * 2 years business expe...