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Systems Analyst

HCSC - Richardson, TX

Job Purpose: This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Business Analyst needs and Architect definitio...

Medicaid Operations Specialist

HCSC - Chicago, IL

BASIC FUNCTION: This position is responsible for providing operational services, assistance and program implementation and coordination for one or more of the day-to-day Medicaid operation functions (e.g. billing, claims enrollment, and customer service.) This resource is responsible for resolving complex and / or escalated internal or external operational questions. Additio...

Clinical Strategy Manager

HCSC - United States of America

**POSITION CAN LOCATED IN ANY OF OUR OFFICES IN TEXAS, ILLINOIS, OKLAHOMA AND NEW MEXICO** **OPTION TO WORK FROM HOME IS AVAILABLE WITHIN GUIDELINES** **KNOWLEDGE OF MEDICAL POLICY IS A MUST** Job Purpose: This position is responsible for ensuring the implementa...

Assistant IT Product Manager

HCSC - Richardson, TX

This position is responsible for assisting the IT Product Manager with lifecycle management of an IT product (application family); triaging inbound requests for the product manager (i.e. bug fixes or new projects); acting as a proxy for the IT Product Manager to interact with project teams and assisting the IT Product Manager with the with the tactical activities related to pro...

Developer Specialist - Salesforce

HCSC - Richardson, TX

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 5 years Information Technology experience ...

Business Analyst

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. Work with business to elaborate business requirements and develop epics. Work with IT product teams to elaborate epics a...

Utilization Management Coordinator - Registered Nurse (RN)

HCSC - 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 Management Divisions. This position reviews service requests, collects clinical and non-c...

Holistic Health Specialist - Registered Nurse (RN)

HCSC - 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. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience.&nb...

Provider Reimbursement Pricing Analyst (TX)

HCSC - Richardson, TX

Job Purpose: This position is responsible for configuration, implementation, testing, and support of all professional provider contracts. This position performs the certain support functions to include but not limited to: contract financial analysis and performance; coordination of internal/external audit requests; performing routine and ad hoc reporti...

Senior Business Consultant, Medicaid - Managed Care Vendor Mgmt.

HCSC - Chicago, IL

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. ...

Developmental Specialist

HCSC - Tulsa, OK

BASIC FUNCTION: This position is responsible for assisting with development and support of staff by monitoring and auditing job performance; determining developmental needs; providing training and feedback; making suggestions to enhance procedural and corporate training. The position is part of the MAC (Mobile Assistance Center) outreach team. JOB REQUIREMENTS: * H...

Claim Technician

HCSC - Danville, IL

Job Purpose:Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims.Required Job Qualifications: * *High School diploma or GED. * *Data entry and/or typing experience. * *Clear and concise written and verbal communication skills. * *Exper...

Application Architect

HCSC - Richardson, TX

Job Purpose: HCSC is embarking on a multi-year effort to re-platform a significant amount of its business to the Trizetto Facets platform and we are looking for talented individuals with Facets platform experience to join our IT Product Team . This position is responsible for ensuring alignment of project specific designs with applic...

Application Architect

HCSC - Richardson, TX

Job Purpose: This position is responsible for ensuring alignment of project specific designs with application architecture roadmap; supporting project and/or product teams on functional and technical design activities; defining the interaction between application packages, databases, and middleware systems to optimize product functional coverage; acting as ...

Holistic Health Specialist - Registered Nurse (RN)

HCSC - 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 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.&nb...