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Clinical Process Improv Spec
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for developing and evaluating clinical business processes to support the cost of care, quality, compliance and financial performance strategy for the divisional/enterprise care management operations. Responsible for providing independent, objective evaluation and consultative services that enhance business performance, minimize risk and optimiz...
Care Coordinator UM/CM I (RN-Work from home)
HCSC - Chicago, IL
***After training, this will be a work from home position. Candidate will live within a commutable distance from the downtown Chicago office only*** 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...
Wellbeing Health Advisor - Oncology
HCSC - Tulsa, OK
Job Purpose: This position will be responsible for focusing on the overall health of the member by assisting the member with the goal of increased health and overall wellbeing by developing a one-to-one relationship with the member. Encourage members to utilize appropriate resources and web based tools available to them to access information regarding their condition as well as track progres...
Supervisor Financial Operations AR
HCSC - Richardson, TX
Job Purpose: This position oversees the day-to-day activities, processes and reporting associated with groups at the account level for Group Accounts Receivable Premium Team. Partners with Accounts Receivable offshore teams to assist with escalated phone calls. Required Job Qualifications: *Bachelors in Finance or Accounting, OR 4 years of experience, with 2 years specifically in ...
Sr Analytics & Reporting Analyst
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross-functional teams to address the division's issues; producing datasets and reports for analysis using system reporting to...
Senior Project Coordinator
HCSC - Chicago, IL
Job Purpose: This position is responsible for managing large, complex projects with high risk, including developing and maintaining project plans, issues logs, and status reports. Manage projects from inception through life cycle. Also lead and/or participate in project meetings and workgroups; managing multiple projects and resolve issues. Manage the relationship between CMO Office and ...
Employee Relations Specialist
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for working under the guidance of the manager and the Workforce Engagement Specialists to identify opportunities to improve/enhance work environment issues: educate and engage employees; guiding business leaders on effective solutions for addressing corrective action and conflict resolution; leading the development and administration of HR poli...
Internal Provider Network Representative II - Health Care Providers
HCSC - San Antonio, TX
Located in Richardson or San Antonio, TX this position is responsible for providing assistance to practitioners in resolution of claims, pricing, coding and contract issues; and working with internal departments to evaluate and resolve provider/contract and service issues. Handle more complex issues and may assist in training/mentoring staff. REQUIRED JOB QUALIFICATIONS: * Bachelor...
Medical Reviewer II - (15 openings)
HCSC - chicago, 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...
Coding Investigator Auditor
HCSC - Tulsa, OK
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 Resp...
Sr Project Delivery Specialist
HCSC - Richardson, TX
***This position will be based in the Richardson office only*** 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 als...
Holistic Health Specialist - Registered Nurse (RN)
HCSC - Richardson, TX
** THIS POSITION IS IN-OFFICE IN RICHARDSON, 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. Addi...
Holistic Health Specialist (Potential Telecommute)
HCSC - Oklahoma City, OK
Potential to work from home after performance standards are reached, usually 6-9 months at management's discretion. 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 alternate t...
Demand & Capacity Analyst
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...
Financial Operations Project Specialist II
HCSC - Helena, MT
OVERVIEW: This position will provide support for initiatives across the Financial Balancing and Controls department. This will include robotics process automation, offshore vendor management, process improvement initiatives as well as support for supplier management activities, issue management and service level agreements. In addition, the role will act as a liaison between Finance/Accou...
