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Sr Mgr Govt Compliance
HCSC - Albuquerque, NM
Job Purpose: This position is responsible for leading efforts to evaluate Government Programs (Medicare and Medicaid) regulations, guidance and contracts, assessing the risk that those items present with respect to HCSC government contracts; may manage one or more direct reports and provide oversight of the business' operational compliance with the requirements through m...
Senior Managing Actuary
HCSC - Richardson, TX
Senior Managing Actuary Job Purpose: This position is responsible for managing the implementation, maintenance and critical review and analysis of models, studies and systems which use actuarial principles for the purposes of pricing, underwriting, statistics, reserving, forecasting and other actuarial functions; developing complicated models...
Primary Nurse Case Administrator I
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 non-clinical p...
IT/IS GRC Specialist
HCSC - Richardson, TX
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 t...
Cybersecurity Solutions Engineer - EndPoint Security
HCSC - Richardson, TX
As the healthcare industry continues to rapidly transform, our HealthTech team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 HealthTech team unleashes the power of this p...
Clinical Account Consultant - RN
HCSC - Chicago, 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 p...
Sr 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...
Medical Management Specialist I - Government Programs
HCSC - tulsa, OK
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...
Medical Director - Pharmacy (Part Time)
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 creat...
Lead Business Analyst
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...
Sr. Developer - ORMB
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...
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 (RN-Remote)
HCSC - Richardson, TX
***This is a work from home position after approx. 3 weeks of training in office, must reside within 75 miles of either Richardson, Texas or Chicago, Illinois office location*** 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 li...
Business Analyst
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 throug...
Utilization Management Coordinator - Registered Nurse (RN)
HCSC - Richardson, TX
** THIS POSITION IS IN-OFFICE IN RICHARDSON, TX. ** 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 revie...
