HCSC Jobs - Page 4 | CareerArc

Jobs at HCSC - Page 4

270 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 46 - 60 of 270

Family Health Navigator

HCSC - Austin, TX

BASIC FUNCTION: This position is responsible for discharge care coordination, episodic case management and pre-admission/post-discharge counseling for an acute condition. Provide education/local resource information and encourage member (self) education. Determine case complexity and consult with other internal departments as needed. JOB REQUIREMENTS: * *Regist...

Coding Compliance Specialist

HCSC - Tulsa, OK

BASIC FUNCTION: Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS Coding G...

Clinical Account Consultant

HCSC - Albuquerque, NM

BASIC FUNCTION: This position is responsible for performing account management functions from the medical management perspective; serving as primary contact for Marketing Major/National, Enterprise National and Mid-Market Accounts specific to presentations for existing and prospective clients, medical issues and questions...

Business Consultant, Value Based Care Solutions

HCSC - Chicago, IL

Job Purpose The Business Consultant is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of Value-Based Care strategies including new program design, implementation and performance management to drive better outcomes and higher quality care. She or he will&nbsp...

Analytics & Reporting 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 determi...

Analytics & Reporting Analyst

HCSC - Chicago, IL

BASIC FUNCTION: (TECHNICAL CLAIMS)This position is responsible for improving health care operations by identifying business process re-engineering opportunities, conducting research studies, and developing solutions; investigating key business problems through quantitative analyses of utilization and healthcare cost data; working with complex, raw healthcare...

Clinical Pharmacist

HCSC - Richardson, TX

***POSITION CAN BE LOCATED IN THE CHICAGO, IL. HQ OR RICHARDSON, TX. HQ*** BASIC FUNCTION: This position is responsible for performing activities associated with administration and management of pharmacy programs including but not limited to assisting in the development, implementation a...

Sr Project Delivery Specialist

HCSC - Richardson, TX

**POSITION CAN BE LOCATED EITHER IN THE RICHARDSON HQ OR THE CHICAGO HQ** Job Purpose: This position is responsible for collaborating with business partners to align business solutions. Serving as functional liaison between the Intake team, and operations teams. Reviewing project scope, supporting business needs across del...

Regulatory Implementation Consulting Manager

HCSC - Chicago, IL

Job Purpose: This position is responsible for providing consulting, direction, guidance and support to help drive federal (retail, group, technical and corporate related) regulatory implementations across the enterprise. Assist executives, and their teams, in federal regulatory implementations, to include the translation of applicable regulatory requirem...

Provider Relations Representative - Behavioral Health

HCSC - Albuquerque, NM

Located in Albuquerque, NM this position is responsible for enhancing relationships with Behavioral Health Providers; and acting as liaison with providers through education, training, claims assistance, and ongoing provider service. JOB REQUIREMENTS: * Bachelor's Degree and 1 year managed care experience in products or contracts OR 5 years experience in a manage...

Medical Director

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. ESSENTIAL FUNCTIONS : Complete medical necessity prepayment, pre-certification and other claim reviews as required by app...

Medical Director

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. ESSENTIAL FUNCTIONS : Complete medical necessity prepayment, pre-certification and other claim reviews as required by app...

Customer Advocate I

HCSC - Springfield, IL

BASIC FUNCTION: Under supervision and following specific coaching and training, this position is responsible for researching and responding to telephone and written inquiries in an accurate and objective manner; determining benefit levels according to contract guidelines; researching and resolving customer inquiries regarding their medical clai...

IT/IS GRC Specialist

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for a wide range of responsibilities across all phases of our Information Security Vendor Management Program. The team works closely with Procurement, the Privacy Office, Audit, and Internal Business Owners to develop strategy, tactics, set expectations and assess vendor security posture. The successful candidate will work ...

Clinical Delegation Coordinator (RN)

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 determi...