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Principal Network Management Consultant
HCSC - Houston, TX
Located in Houston, TX this position is responsible for contracting large and complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value-based contracting, etc.). Develop and negotiate contracts to include language and financial terms. Develop and maintain relationships with providers. Ensure strategic coverage for assig...
Compliance Auditor - health audit business readiness, policy & procedure
HCSC - Richardson, TX
Located in TX (Austin, Richardson, Houston), this position is responsible for compliance support within the business area for internal audits, external audits, compliance training, and analysis of data and quality systems improvement and maintenance, complete state compliance reports, complete and submit accreditation/reaccreditation filings, and ensure ongoing compliance ...
Client Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for communicating the performance of the Health Advocacy Solutions (HAS) product to our book of clients. This role also performs research and assists in analyzing financial healthcare and product engagement data, including medical algorithms to determine health care expenditures, cost containment strategies, and p...
Associate Internal Auditor
HCSC - Helena, MT
BASIC FUNCTION: This position is responsible for participating in sub audits or small audits of financial and operational controls of various departments to assure compliance with prescribed procedures and policies. JOB REQUIREMENTS: *Bachelors degree in a business related field OR have completed an HCSC internship OR 1 year busine...
Analytics Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. May provide consultation to users and lead cross-functional teams to address busines...
Advanced Client Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for communicating the performance of the Health Advocacy Solutions (HAS) product to our book of clients. This role also performs research and assists in analyzing financial healthcare and product engagement data, including medical algorithms to determine health care expenditures, cost containment strategies, and p...
Clinical Account Consultant - Registered Nurse (RN) - Richardson
HCSC - Richardson, TX
** This position will ideally be based in Richardson, TX and has the ability to work from home 1 or 2 days a week after training as business needs allow. ** BASIC FUNCTION: This position is responsible for performing account management functions from the medical management perspective; serving as primary...
Sr Project Coordinator - Chicago / Richardson
HCSC - Richardson, TX
** This position will ideally be based in Richardson, TX OR Chicago, IL and has the ability to work from home 1 or 2 days a week after training as business needs allow. ** BASIC FUNCTION: This position is responsible for managing large, complex projects with high risk, including developing and maintaining project plan...
Senior Supervisor, Customer Service
HCSC - Richardson, TX
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. ...
Reporting Specialist
HCSC - Richardson, TX
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. ...
Quality Audit Analyst/Trainer
HCSC - Richardson, TX
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. ...
Claim Technician
HCSC - Abilene, TX
**IF SELECTED FOR THE NEXT STEP, YOU WILL BE ASKED TO COMPLETE HIREVUE, DIGITAL INTERVIEW** Job Purpose: Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolv...
On-site Wellbeing Health Advisor - Downtown Dallas
HCSC - Dallas, TX
** This role will be supporting dedicated client accounts and is located onsite at the C1 Innovation Lab in the West End in Downtown Dallas. The initial training for this position will be for approximately 2-3 weeks in Richardson, TX. ** ------------------------------------------------------------
Senior Actuarial Analyst
HCSC - Richardson, TX
Senior Actuarial Analyst Job Purpose: This position is responsible for participating in implementation, maintenance and more detailed analysis of models, studies and systems which use actuarial principles for the purposes of pricing, underwriting, statistics, reserving, forecasting and ...
RN-On Site Quality Audit Specialist (HEDIS)
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 healt...
