HCSC Jobs - Page 8 | CareerArc

Jobs at HCSC - Page 8

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Medical Reviewer LVN

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for performing discharge care coordination and review activities for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. Review service requests, collect clinical and non-clinical data, verify eligibility, determin...

Medical Reviewer LPN

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. JOB REQUIREMENTS: * LPN with valid, current, unrestricted clinical license in the state of operations. * 3 years of clinical experience in physician office, hospita...

Reimbursement Analyst

HCSC - United States of America

BASIC FUNCTION: This position is responsible for developing reports based on a number of internal/external databases using SAS or a similar programming language; reporting includes pricing models for network negotiations and fee schedule updates used for claims adjudication; validating and researching report results using the original operation systems and the reporting data...

Sr Business Consultant

HCSC - United States of America

Job Purpose: This position is responsible for providing business analysis and leadership to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion; ove...

Customer Advocate I

HCSC - Great Falls, MT

BASIC FUNCTION: Under supervision and following unit specific coaching and training, this position is responsible for researching and responding to telephone and written inquiries within the statutory time frames and in an accurate and objective manner; collecting non-clinical data; determining benefit levels according to contract guidelines; completing notification of...

Strategic Product Manager

HCSC - Chicago, IL

Job Purpose: Based in Chicago, IL, this position is responsible for early stage ideation and strategy development for both current and next generation product solutions in the health insurance space, including occasionally managing complex existing products and/or a product suite. Responsible for leading and managing the product lifecycle from early stage i...

Sales Delivery Support Specialist II

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for billing account setup and maintenance activities for national and local accounts. Duties include setting up complex customer accounts and pricing rules on the AR billing platform based on contractual content, monitoring reports for anomalies, troubleshooting issues, interfacing with internal/external teams, peer reviews...

Sales Delivery Support Specialist I

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for billing account setup and maintenance activities for national and local accounts. Duties include setting up customer accounts and pricing rules on the AR billing platform based on contractual content, monitoring reports for anomalies, interfacing with internal/external teams, peer reviews, and meeting all quality standa...

Sr Technology Architect - Cloud SaaS

HCSC - Richardson, TX

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 pur...

Clinical Pharmacist

HCSC - Chicago, IL

***POSITION IS LOCATED IN THE CHICAGO, IL. HQ*** Specialty Drug and Pharmacy Network experience is preferred. BASIC FUNCTION: This position is responsible for performing activities associated with administration and management of pharmacy programs including but no...

Technology Architect

HCSC - Richardson, TX

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...

Technology Architect - Data

HCSC - Richardson, TX

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...

Sr Technology Architect - Facets

HCSC - Richardson, TX

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...

Medical Mgmt Specialist I (Care Coordinator - Transition of Care)

HCSC - United States of America

BASIC FUNCTION: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. Conduct follow-up with member/caregiver to ensure all needs are in place upon discharge, and addresses any barri...

Senior Paralegal –Regulatory Examinations

HCSC - Chicago, IL

Basic Function: This position is responsible for supporting the Enterprise Regulatory Examination Legal Team in a fast-paced practice by working with HCSC regulatory exam lawyers, internal audit, litigators, compliance, staff, and outside counsel on a variety of routine and complex matters. Duties will include but are not limited to: interfacing w...