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Utilization Management Coord
HCSC - Tulsa, OK
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 clinical and non-clinical data, verifies eligibil...
Behavioral Health Care Coordinator (Chicago, IL and Richardson, TX)
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 n...
Analytics & Reporting Analyst
HCSC - Richardson, TX
As part of our Government Products Reporting and Insights team, you will support the most vulnerable of our population: Medicare and Medicaid members. By gathering and analyzing their health, utilization and financial data you will provide meaningful insights to ultimately help in developing programs and initiatives to help them gain access to care. This is a great opportunity for those that...
Program Consultant
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...
Communications Consultant III
HCSC - Austin, TX
Located in either Austin or Richardson TX, this position is responsible for developing and executing a variety of communications to meet the needs of multiple audiences through interaction with key stakeholders, subject matter experts and management at all levels of the organization; drafting, editing and supervising the production of communications to be distributed to a variety of audience...
Senior Analytics & Reporting Analyst
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. Job Purp...
Sales/Account Associate
HCSC - Houston, TX
Located in Houston, TX this position is responsible for learning specific aspects of the Sales/Marketing operations for Employer Group Insurance; 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 ...
Claim Technician
HCSC - Danville, IL
Job Purpose:Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims.Required Job Qualifications: * *High School diploma or GED. * *Data entry and/or typing experience. * *Clear and concise written and verbal communication skills. * *Experience process...
Unit Manager Clinical Operations
HCSC - Dallas, 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" one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. Job Purpose: This positi...
RN Care Coordinator UM/CM II
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...
RN Care Coordinator UM/CM 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 ...
Member Care Coordinator (Chicago or Downers Grove)
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 creat...
Medicaid Contract Consultant
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for leadership and coordination of the assigned Medicaid programs in accordance with contractual and regulatory requirements, implementing program changes and working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the assigned Medicaid...
Customer Advocate I
HCSC - Quincy, 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:
University New Grad - Cost Accountant I
HCSC - Chicago, IL
University New Grad – COST ACCOUNTANT Why Start your Career at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the United States and fourth largest overall, operating...
