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Web Application Dev Analyst
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for developing, maintaining, and supporting Web or JAVA applications for the enterprises Internet/intranet sites. Gathers and analyzes requirements. Programs all or selected components of Web or Java applications. Documents components and applications. Develops automation techniques to enable end-user content publishing; programs, tests and...
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:...
Claim Technician
HCSC - Marshall, TX
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...
Senior Provider Engagement Strategy Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for supporting the development of network strategies and provider engagement models that reflect innovative ways to buy care across lines of business and geographies; measuring provider efficiency in alternate reimbursement arrangements, providing end to end report development, interfacing between internal business and technical teams to achiev...
Senior Accreditation Coordinator
HCSC - Chicago, IL
JOB PURPOSE: Responsible for operations compliance with accreditation and regulatory requirements in assigned areas. Responsible for developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance to state and federal regulations. Responsibilities include collecting data and developing compliance documents/evidence for successful accreditation s...
Provider Data Specialist
HCSC - Albuquerque, NM
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...
Holistic Health Specialist - Registered Nurse (RN)
HCSC - Chicago, IL
** THIS POSITION IS BASED ON-SITE, IN-OFFICE IN CHICAGO, IL. APPLICANTS NEED TO LIVE A COMMUTABLE DISTANCE TO DOWNTOWN CHICAGO. ** BASIC FUNCTION This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies altern...
Technical Reporting Analyst II
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for participating in business analysis activities to gather requirements AND translating requirements into specifications that will be used to implement the required solution; developing single source data and reporting solutions; defining and executing test scenarios / cases; providing triage support for production issues or change request...
Senior Business Consultant, Consumer Solutions
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 Purpose
Marketing Service Representative
HCSC - San Antonio, TX
BASIC FUNCTION: Under the direction of the Manager, this position is responsible for supporting Sales Representatives or Account Management personnel in the prospecting, acquiring or renewing business. JOB REQUIREMENTS: * 1 year experience in health care management in a marketing service representative role OR 3 years experience in sales/marketing or health care manageme...
Holistic Health Specialist - Registered Nurse (RN)
HCSC - Richardson, TX
** THIS POSITION IS BASED ON-SITE, IN-OFFICE IN RICHARDSON, TX. APPLICANTS NEED TO LIVE A COMMUTABLE DISTANCE TO RICHARDSON, TX. ** ------------------------------------------------------------ At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to ref...
Specialty Markets Program Manager
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.
Risk Adjustment Prgm Analyst
HCSC - Albuquerque, NM
Job Purpose:This position is responsible for regulatory management and leadership of complex and evolving regulatory activities to support actuarial operational needs and deliverables; serves as subject matter expert in cross-functional teams; facilitate and participate in evaluation, development and implementation of new or modified strategies, processes, and operational methods and solutio...
Care Coordinator UM/CM I
HCSC - Downers Grove, IL
BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and service...
Business Analyst III
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for analyzing/coordinating requirements; defining project scope and requirements, translating business requirements into use cases, activity or flow diagrams, and participating in project management activities; performing business research to identify gaps between current state and future vision; conducting interviews with customers and ent...
