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BH Care Management Specialist- Springfield IL
HCSC - Springfield, 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 n...
BH Care Management Specialist (Quincy, IL)
HCSC - Quincy, 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 n...
University Relations - IT Developer Intern
HCSC - Richardson, TX
It is vital that health insurers commit the time and resources to bring an innovation mindset to improving the health and well-being of their members. We have made a lot of changes in how we deliver new technology-driven capabilities at Health Care Service Corporation (HCSC) and these changes are fueling our technology-forward strategy. Why Intern with our IT team?
Sr Analytics Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Supports analytics adoption and execution across business areas. Provides consultation to user...
Sr Analytics & Reporting Analyst
HCSC - Chicago, IL
Job Purpose: (ENTER Q & A)This position is responsible for enterprise quality and analytics support and functioning as subject matter expert in creating reports, insights and analytics related to Healthcare Employer Data Information Set (HEDIS) reporting, Quality Star Rating (QRS), state specific reporting and other tasks associated with quality metrics reporting in s...
Pharmacy Operations Rep
HCSC - Albuquerque, NM
**POSITION IS LOCATED IN THE ALBUQUERQUE OFFICE** Must be a Certified Pharmacy Technician. BASIC FUNCTION: This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. Works with internal departments and external vendors to evaluate and resolve pharm...
Marketing Account Representative- Caliber Home Loans
HCSC - Richardson, TX
Responsibilities include: First point of contact for benefits inquiries, claims issues/escalations, conducting research on inquiries around claims and benefits, resolving issues by working across divisions, assisting in gathering information for proposals, maintaining databases, filing and preparing weekly/monthly reports and conducting analysis, and assisting or participating in...
Clinical Practice Consultant
HCSC - Chicago, IL
Job Purpose: This position is a field-based quality position, responsible for supporting HCSCs quality imperatives and value-based care models and relationships by collaboratively working with assigned medical practices or individual PCPs, the appropriate Medical Director and Clinic Directors and all medical and non-medical quality and other staff to improve key targeted HEDIS measure...
Care Coordinator UM/CM I
HCSC - Richardson, TX
***There are multiple openings associated with this posting. Candidates must live within a commutable distance from the Richardson, Texas office. After training, this will be a work from home position*** BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing...
Business Consultant, Government Programs
HCSC - Chicago, IL
HCSC's Government Programs Division is an integral part of HCSC's goal of providing members with health care options at every stage of life. Because Medicare and Medicaid members have very different characteristics from HCSC's group and retail members, and require unique services and benefits, the division's work is challenging and rewarding. Job Function ...
Associate Underwriter
HCSC - Downers Grove, IL
Associate Underwriter Chicago, IL Downers Grove, IL Richardson, TX Job Purpose: This position is responsible for quoting and rating proposals and renewal projections and approves cases within established authority guidelines. It is a risk assessment & management pos...
Assistant IT Product Manager
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 purpo...
SDG Implementation Analyst I
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for researching, analyzing and gathering data to support the implementation of new or renewing accounts, new legislation, and products across the enterprise. Works with cross functional HCSC teams/internal stakeholders to coordinate the implementation. Responsible for communications and implementation artifacts that describe progress, issues, a...
Utilization Management Coordinator - Registered Nurse (RN)
HCSC - Richardson, TX
** THIS POSITION IS IN-OFFICE AND CAN BE BASED IN CHICAGO, IL OR RICHARDSON, TX. ** 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 Managemen...
Utilization Management Coordinator - Registered Nurse (RN)
HCSC - Abilene, TX
** THIS POSITION IS BASED IN THE OFFICE AND CAN BE BASED IN RICHARDSON, TX OR ABILENE, 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 o...
