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IT Finance TBM Analyst IV
HCSC - Chicago, IL
BASIC FUNCTION: Do you have a finance background, consider working with data and analytics a strength, and enjoy partnering with leadership to make data driven decisions? As a member of the Technology Business Management (TBM) team, this role will be responsible for building complex financial models; conducting the ongoing maintenance and co...
Business Consultant
HCSC - Richardson, TX
Job Purpose: This position is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency. The resource may support and lead teams responsible for implementation of initiatives with high complexity that affects multi...
Technical Business Quality Analyst I
HCSC - Albuquerque, NM
BASIC FUNCTION: This position is responsible for identifying, analyzing, and evaluating requirements for implementation; developing written test plans and test cases from requirements document; executing testing criteria, analyzing test output; documenting work plans for assignments; reporting and communicating issues/discrepancies and recommending solutions; a...
Strategic Product Manager, Stop Loss
HCSC - Tulsa, OK
Strategic Product Manager, Stop Loss Job Purpose: This position is responsible for managing complex existing products and or a product suite and leads the development of product strategy for both current and next generation product solutions in the health insurance space. Responsible for leading and managing the pro...
Sr Contact Mgmt Ctr Analyst
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for serving as a liaison between contact center customers and the Contact Management Center (CMC); serving as a subject matter expert on CMC available technologies, services and processes; collecting customer business requirements; coordinating new customer implementation activities; monitoring customer satisfaction, quality and p...
Senior Provider Relations Representative
HCSC - Alamogordo, NM
BASIC FUNCTION: This position is responsible for enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. Handle more complex issues and may assist with training/mentoring staff. JOB REQUIREMENTS: *Bachelor Degree and 2 years managed care experien...
Reports Analyst
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for generating and analyzing a variety of reports and other documents, including preparing and distributing the results. This position may assist in the identification and development of improvements to operational production processes. JOB REQUIREMENTS: * 2 years of college and 2 years reporting experience OR 4 year...
Quality Mgmt Spec I (NCQA /URAC)
HCSC - Chicago, IL
This role is open to our 5 state plans: Chicago, Richardson, TX, Albq NM, and Tulsa, OK- must reside within 100 miles from our home office location Highly seeking NCQA/URAC experience BASIC FUNCTION: (Accreditation/FEP) This position is responsible for facilitating...
Quality Mgmt Spec I (HEDIS)
HCSC - Chicago, IL
This role is open to our 5 state plans: Chicago, Richardson, TX, Albq NM, and Tulsa, OK- must reside within 100 miles from our home office location Highly seeking HEDIS experience BASIC FUNCTION: (HEDIS) This position is responsible for facilitating all aspects of ...
Quality Mgmt Spec I
HCSC - Helena, MT
This role is open to our 5 state plans: Chicago, Richardson, TX, Albq NM, and Tulsa, OK-, and Helena MT must reside within 100 miles from our home office location Highly seeking NCQA/URAC and/or HEDIS experience BASIC FUNCTION: (Accreditation/FEP) This position is ...
Portfolio Management Consultant
HCSC - Richardson, TX
Job Summary: This position is responsible for providing executive transparency and analysis into the financial health, spend, benefits/value and strategic alignment of technology investment portfolios. Required Job Qualifications: * Bachelor's Degree and 4 business or other relevant work experience, 2 of which should be in project/portfolio management, or deve...
Medical Management Specialist I - Cuba or Albuquerque, NM
HCSC - Albuquerque, NM
**This is a Work from Home position located in Cuba or Albuquerque, NM** **and will travel to members homes" JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gath...
Human-Centered Researcher I
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care 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 pow...
Customer Advocate I
HCSC - San Angelo, TX
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB R...
Business Analyst (BA) – Chicago\Richardson
HCSC - Richardson, TX
** This position needs to be based a commutable distance to Chicago, IL OR 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....
