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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. ...
Sales Strategist - Group Health Benefits
HCSC - Downers Grove, IL
This position is responsible for analyzing and monitoring Sales and Retention data and trends, Leading Strategic Planning efforts across markets for the division, and monitoring competitive threats and market trends. As an integral member of the Sales and Account Management team, this position will also be responsible for representing Group Markets priorities in key HCSC strate...
Developmental Specialist
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 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 ...
Associate Revenue Analyst
HCSC - Chicago, IL
Job Purpose: This position is responsible for data management, submission and reconciliation of discrepancies as well as analysis and reporting for Government Programs member premium received from CMS or States which will be used by the Revenue Manager as well as within all levels in the organization. This position is responsible for maintaining the database of all member varia...
Admin Technical Analyst II
HCSC - Tulsa, OK
BASIC FUNCTION: This position will support various Quality Improvement Program Committees that impact Regulatory Compliance and Accreditation standards. Under supervision, this position is responsible for serving as a departmental resource; maintaining databases and other tracking methods; conducting research; coordinating departmental initiatives; and...
Coding Investigator Auditor
HCSC - Albuquerque, NM
** This position is located in the Albuquerque Headquarters office** **Looking for candidates with experience in Claims Processing, Auditing and Coding**. Job Purpose: This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre...
Contract Implementation Analyst I - Provider Reimbursement
HCSC - Richardson, TX
Located in Richardson, TX this position is responsible for reviewing non-standard contracts for system capacity, implementing and auditing contract completion, handling contract inquiries by conducting research and coordination through various departments in resolution and responding to inquiries, conducting contract analysis and modeling, conducting quality control and analysi...
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 an...
Sr Application Architect - Oracle Revenue and Billing Management.
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 ...
Medical Director
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. ESSENTIAL FUNCTIONS : Complete medical necessity prepayment, pre-certification and other claim reviews as required by app...
Learning & Development Specialist
HCSC - Oklahoma City, OK
Job Purpose: This position is responsible for collaboration with departmental and business resources to understand business performance gaps and learning needs. Accountable for managing overall curricula project initiatives, including the creation of design strategy, detailed needs analysis, and designing and developing relevant adult learning solutions for the business. The sc...
Marketing Service Representative
HCSC - Downers Grove, IL
JOB PURPOSE: This position is responsible for supporting Sales Representatives or Account Management personnel in the prospecting, acquiring, or renewing business. Duties vary based on market and type of role supporting and may include any of the following: building relationships with customer representatives/brokers, researching and coordinating the resolution of customer i...
