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Database Specialist

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 ...

Utilization Management Coord

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and non-clinical data, ...

Health Coordinator

HCSC - Albuquerque, NM

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 crea...

Family Health Navigator - Registered Nurse (RN)

HCSC - Richardson, TX

** This role will be supporting a dedicated client account and entails field-based travel across DFW - including hospitals in Downtown Dallas. The initial training for this position will be for approximately 4-weeks in Richardson, TX and the position is work-from-home / telecommute after the initial training period. ** --------------------

Care Coordinator UM/CM I

HCSC - Albuquerque, NM

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 crea...

IT/IS GRC Specialist

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...

Medical Management Specialist I - Government Programs

HCSC - Albuquerque, NM

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 crea...

Care Coordinator UM/CM I

HCSC - Albuquerque, NM

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 crea...

Family Health Advocate - LCSW/LMSW

HCSC - Richardson, TX

** This is a telephonic, home-based position in Dallas/Ft. Worth with field travel (members' homes, hospitals and provider office visits) to the local market typically within a 50 mile radius. ** H-E-B Custom Account As a member of our H-E-B Regional Custom Care Team, you will have the opportunity to improve the quality of life of H-E-B employees ...

Utilization Management Coordinator

HCSC - Tulsa, OK

BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and non-clinical data, ...

Unit Manager Clinical Operations - Government Programs

HCSC - Downers Grove, IL

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 non-clinical ...

Sr Manager IT Product - Claims systems

HCSC - Chicago, IL

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...

Provider Services Analyst

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for assisting and coordinating credentialing, provider administration, and network management policies and procedures; acts as a liaison between internal and external customers; also provides reporting, auditing and analysis support for provider administration and credentialing programs. JOB REQUIREMENTS: * Bachelors degree plus 1 yea...

Provider Engagement Strategy Consultant

HCSC - Chicago, IL

Job Purpose: This position is responsible for leading complex cost of care projects, or provider engagement models that reflect innovative ways to ensure alignment and integration across functional areas in support of divisional strategies. The resource will thoroughly analyze opportunities and identify compatibility, feasibility and dependencies of strategies; work...

Financial Strategy & Planning Specialist

HCSC - Chicago, IL

Job Purpose: This position is responsible for participating in critical analysis of models, studies and systems for the purposes of driving a deep understanding of the financial outcomes of a Line of Business; and participating in preparation of analytical reports and presentation materials. Assists development of financial and operational insight with respect to performance data and ...