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Sr Regulatory Compliance Administrator

HCSC - Albuquerque, NM

Job Purpose : This position is responsible for coordinating and administering various responsibilities within the Regulatory Compliance Department, working with complex to high risk issues to support HCSCs business areas in compliance with various federal and state regulations; serving as a liaison with the Oversight departments, leading the team of Regulatory Complian...

Sr Regulatory Compliance Administrator

HCSC - IL

Job Purpose : This position is responsible for coordinating and administering various responsibilities within the Regulatory Compliance Department, working with complex to high risk issues to support HCSCs business areas in compliance with various federal and state regulations; serving as a liaison with the Oversight departments, leading the team of Regulatory Complian...

Sr Regulatory Compliance Administrator

HCSC - Rockford, IL

Job Purpose : This position is responsible for coordinating and administering various responsibilities within the Regulatory Compliance Department, working with complex to high risk issues to support HCSCs business areas in compliance with various federal and state regulations; serving as a liaison with the Oversight departments, leading the team of Regulatory Complian...

Sr Regulatory Compliance Administrator

HCSC - Chicago, IL

Job Purpose : This position is responsible for coordinating and administering various responsibilities within the Regulatory Compliance Department, working with complex to high risk issues to support HCSCs business areas in compliance with various federal and state regulations; serving as a liaison with the Oversight departments, leading the team of Regulatory Complian...

Sr Regulatory Compliance Administrator

HCSC - Tulsa, OK

Job Purpose : This position is responsible for coordinating and administering various responsibilities within the Regulatory Compliance Department, working with complex to high risk issues to support HCSCs business areas in compliance with various federal and state regulations; serving as a liaison with the Oversight departments, leading the team of Regulatory Complian...

Sales/Account Associate

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for learning specific aspects of the Sales/Marketing operations; and assisting in or supporting Sales Representatives/Account Management personnel in the prospecting, acquiring or renewing business. JOB REQUIREMENTS: * Bachelor Degree in Marketing, Business, Communications, Economics or Health Care OR 4 years health care experience in...

Sales/Account Associate

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for learning specific aspects of the Sales/Marketing operations; and assisting in or supporting Sales Representatives/Account Management personnel in the prospecting, acquiring or renewing business. JOB REQUIREMENTS: * Bachelor Degree in Marketing, Business, Communications, Economics or Health Care OR 4 years health care experience in...

Sr Sup Marketing Operations

HCSC - Richardson, TX

***This position has the opportunity to work from home 2 days a week*** BASIC FUNCTION: This position is responsible for supervising staff accountable for providing support functions and servicing of new and existing accounts; assisting in the request for proposal process, assisting in enrollment process, researching and resolving ...

Healthcare IT 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 pur...

Healthcare IT 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 pur...

Fraud Investigator

HCSC - Richardson, TX

Job Purpose: Responsible for investigative plans that will identify the nature and extent of potentially fraudulent behavior by providers, members, vendors, or employees. Investigative findings may result in corrective actions including recommendations for criminal or civil prosecution, recovery, and litigation. Assist in the review of operational controls and recomme...

Organizational Effectiveness Manager, Org Design

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for providing leadership to highly complex, strategic organizational design (OD) and organizational effectiveness (OE) initiatives and programs for divisions and subdivisions; partnering with large divisions and/or multiple divisions on large-scale organizational redesigns of key strategic significance to the organization; prov...

Financial Strategy & Planning Specialist

HCSC - Chicago, IL

***This position has the opportunity to work from home 2 days a week.*** 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 pre...

Utilization Management Coordinator RN

HCSC - Albuquerque, NM

*This is a remote job. 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 clini...

Provider Data Maintenance Spec

HCSC - Chicago, IL

This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. Review contracting, credentialing, and maintenance of Provider Data to support Claims payment, Marketing, Membership and Network Cont...