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Provider Data Specialist

HCSC - Albuquerque, NM

Selected applicants will be required to complete a video interview, via HireVue. BASIC FUNCTION: Under supervision, this position is responsible for establishing and maintaining provider demographic records and data which affects all claims payments, provider directories, and provider communications. Position is responsible for ensuring that all provi...

Provider Analysis Specialist

HCSC - United States of America

BASIC FUNCTIONS: This position reports directly to the Manager of HIR/Internal Operations and is responsible for analyzing, researching, and preparing documentation for implementation of provider contract provisions and changes for all networks for the Plan and Subsidiaries. Successful performance of this function is critical to the company because it direct...

Developer

HCSC - Chicago, IL

Job Purpose: This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Required Job Qualifications: *Bachelor Degree and 2 years Information Technology experience OR Technical Certification and/or Col...

Product Manager - Wellbeing Management

HCSC - Richardson, TX

Job Purpose: This position is responsible for managing existing products and contributing to the development of strategy for both current and next generation product solutions in the health insurance space. Plays a significant role in the product lifecycle from ideation through market launch by analyzing and interpreting market trends, developing marketing ...

Developer

HCSC - Chicago, IL

Job Purpose: This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Required Job Qualifications: *Bachelor Degree and 2 years Information Technology experience OR Technical Certification and/or College ...

Accountant II

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for preparing financial reports and statements by performing accounting and analysis at an advanced level, balancing and preparing complex multi-dollars journal entries and account reconciliations. Researching and troubleshooting challenging questions and unusual cases that may involve several systems; r...

Associate Developer

HCSC - Chicago, IL

Job Purpose: This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Required Job Qualifications: *Bachelor Degree OR Technical Certification and/or College Courses and 1 year Information Techno...

Medical Mgmt Social Worker II

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, transportation and/or helping with locating support groups, as applicable. Evaluate the psychosocial and emotional need...

BA

HCSC - Richardson, TX

Job Purpose: This position is responsible for leading the development of functional and non-functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirement. Required Job Qualifications: * Bachelor Degree and 2 years Information Technology ...

Senior Data Scientist

HCSC - Chicago, IL

We're looking for a Senior Data Scientist in our growing Enterprise Data Science Team to develop new data science products using machine learning, natural language processing, data visualization techniques, and other forms of advanced analytics. The Enterprise Data Science team is also a Center of Excellence for data science at Blue Cross and Blue Shield of Illinois, New...

Network Innovation Delivery Specialist - Health Care Provider Data

HCSC - Richardson, TX

Located in Richardson, TX this position is responsible for the implementation and maintenance of value-based care programs ensuring infrastructure and processes are in place, and coordinating data delivery. Works across departments including the broader Enterprise business units, ensures successful deployment and enhancements to systems and processes. Conduct feasibi...

Sup Customer Service

HCSC - Oklahoma City, OK

*This role will be exclusively located at our HCSC location in Oklahoma City, OK.* BASIC FUNCTION: This position is responsible for supervising and overseeing day-to-day operations of Customer Service units. JOB REQUIREMENTS: * Bachelor Degree and 2 years business experience OR 3 years business experience an...

Strategic Sourcing Advisor

HCSC - Chicago, IL

Job Purpose: This position is responsible for identifying, developing and executing sourcing strategies for the most cost effective pricing and best service; developing strategic sourcing processes by partnering with Business Teams to define specifications and requirements; developing the strategic sourcing strategy roadmap within the Medical Management Category Team; anal...

Senior Network Management Consultant

HCSC - Austin, TX

BASIC FUNCTION: This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned territory. Develop knowledge of products, contracting language, fee schedules and negotiation skills. Responsibilities include servicing of large or complex groups, IPA's and facilities, developing a...

Senior Digital Communications Consultant

HCSC - Richardson, TX

Job Purpose The Senior Digital Communications Consultant is responsible for implementation and delivery of the digital communications strategy that supports the enterprise business plan. The Sr Consultant will handle the day-to-day operations of the digital communications development and operation team, and ensure realization of anticipated benefits. ...