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Sr Regulatory Analyst

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for review and implementation of legislative and regulatory changes. Accountable for monitoring, analyzing and determining legislative and regulatory changes which impact the field of work. Coordinate implementation of changes including drafting of communications and training. Work across operational areas. Handle...

Sr Mgr Performance & Results

HCSC - Chicago, IL

Job Purpose: This position leads a team in providing consulting, analytics and reporting for provider network access, cost and quality, and partners with sales and account management teams to maximize group market sales and retention. This position is responsible for leading and partnering with the division and the Enterprise in identifying, validating, mon...

Sr Data Science Product Mgr

HCSC - Richardson, TX

We're looking for a Data Science Product Manager in our Enterprise Data Science organization to engage senior and executive leadership to understand their most significant business challenges, design new data science products and solutions to automate or enable better decision making to address these challenges, build long-term product roadmaps, scale and deliver on those produ...

Senior Analytics & Reporting Analyst

HCSC - Downers Grove, IL

Senior Analytics & Reporting Analyst BASIC FUNCTION: This position is responsible for: *Creating reports, insights and analytics in support of the division *Creating specifications for reports and analysis based on business needs *Possibly providing consultation to users and working on cross-function...

Product Manager - Transparency Solutions

HCSC - Chicago, IL

Job Purpose: This position is responsible for managing existing products and contributing to the development of strategy for both current and next generation Transparancy Product Solutions in the health insurance space. Plays a significant role in the product lifecycle from ideation through market launch by analyzing and interpreting market trends, develop...

Medical Quality Improvement Coordinator - RN

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. JOB REQUIREMENTS: *Registered Nurse (RN) with unrestricted, ...

Lead Data Science Product Mgr

HCSC - Richardson, TX

We're looking for a Senior Data Science Product Manager in our Enterprise Data Science organization to engage senior and executive leadership in our Claims domain to understand their most significant business challenges, design new data science products and solutions to automate or enable better decision making to address these challenges, build long-term product roadmaps, scal...

Health Coordinator

HCSC - Helena, MT

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 department with their provider and member activities. JOB REQUIREMENTS: *1 year of college and 2 ye...

Health Advocate Concierge

HCSC - Chicago, IL

Job Purpose: This position is responsible for being a compassionate and dedicated advocate for the member to demonstrate a concierge attitude when assisting members with maximizing their benefits, navigating the healthcare system and reaching their optimal health. Responsible for providing guidance and answering questions from members about their benefits and medical cla...

Customer Advocate I

HCSC - Great Falls, MT

BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the scheduled time on the phone according to business need. JOB RE...

Claims Analyst II

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for performing complex operational functions required to ensure timely and accurate payment of claims, customer satisfaction and support the business needs of the IHS/CHS division by understanding how activities and functions produce the results our customer expects; performing activities and functions required to produce results ...

Associate Project Manager

HCSC - Richardson, TX

USED ONLY WITHIN EPPOBASIC FUNCTION: This position is responsible for managing projects and subprojects / work efforts, typically of small to medium size and complexity, based on experience and demonstrated skill and success; developing project deliverables including project plans, schedules, and status reports; facilitating meetings including preparation by scheduling and c...

Associate Health Data Exchange Analyst

HCSC - Chicago, IL

HCSC is doing innovative and important work to align incentives and analytics at the point of care by delivering actionable insights to providers. We are leading the way to improve healthcare by increasing collaboration with providers ...

Assoc Infra Svc Del Analyst

HCSC - 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 pow...

Analytics & Reporting Analyst

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and reports for analysis usin...