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Sr. Product Development Consultant -Portfolio Optimization

HCSC - Chicago, IL

Job Purpose: This position is responsible for managing complex business use cases and translating and defining requirements with a focus on pricing and performance guarantees, communication & marketing, and training & education. As part of the portfolio optimization partners internal consulting team, this role will lead and manage the product lifecycle from ideation t...

Sr. Product Development Consultant - Reporting & Analytics

HCSC - Chicago, IL

Job Purpose: This position is responsible for managing complex business use cases and translating and defining reporting requirements to enable IT to effectively develop adequate data warehousing and ETL solutions. Responsible for leading and managing roles and responsibilities during the product lifecycle from ideation through market launch. Serves as the primary poi...

Assoc Automation Programmer

HCSC - United States of America

“If chosen to proceed, each candidate will be required to complete a video interview via HireVue.” Job Purpose: This position is responsible for applying emerging technologies to develop sophisticated database solutions. Working closely with business and technical areas. Analyzing and defining requirements associated with operational efficiency wi...

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...

Medical Management Specialist I - 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 ...

Member Care Coordinator - Government Programs

HCSC - Lovington, 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...

Member Care Coordinator - Government Programs

HCSC - Sante Fe, 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 Reviewer LPN (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...

Senior Business Solutions Consultant

HCSC - Chicago, IL

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. BASIC FU...

Fraud Investigator - Insurance Claims

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for planning and developing investigation tools and techniques to conduct detailed investigations of potentially fraudulent claim activity by members, employees and providers, both internally and externally initiated, and makes recommendations for prosecution, recovery and litigation. Also, reviews operational controls, and claim ...

Customer Advocate I

HCSC - Richardson, TX

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 REQUIREMENTS:...

Customer Advocate I

HCSC - Springfield, IL

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 REQUIREMENTS:

Production Support & Issue Analyst

HCSC - Chicago, IL

Job Purpose: The Production Support & Issue Analyst is responsible for providing support, triage and resolution of complex system and/or application issues to support Value Based Care program operations. He or she will gather and assess business information needs and results for Value Base Care programs. Central point of contact for production related issues. She or he will interact w...

Staff Accountant (Accountant II)

HCSC - Chicago, IL

(Fin Rptg)This position is responsible for preparing financial reports and statements by performing accounting and analysis at an advanced level, preparing journal entries and account reconciliations. Researching and troubleshooting challenging questions and unusual cases; responding to complex or escalated questions or issues or volatile situations. Preparing reports requiring analysis or e...

Product Architect Consultant (Middleware-WAS)

HCSC - Chicago, IL

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...