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Project Coordinator
HCSC - Albuquerque, NM
*This position is based in Albuquerque, NM* Job Description: This position is responsible for providing technical and operational support to departments, divisions or enterprise areas. Perform tasks include developing and managing projects; develop and facilitate training; writing system functionality; testing new development; and maintaining project plans, issue ...
Producer Sales Consultant, New Mexico
HCSC - Albuquerque, NM
Basic Function The Producer Sales Consultant is responsible for new sales of individual health insurance products and ancillary products by assigned producers (brokers and general agents) for New Mexico. This position is responsible for the recruitment and selection of new producers. The role is accountable for attaining new sales growth goals inc...
Customer Advocate I
HCSC - Albuquerque, NM
BASIC FUNCTION: This position is responsible for providing assistance to members in the “Center of Excellence” call center setting by responding to telephone and written inquiries in a prompt, accurate and first-call resolution manner. Duties include: advising on plan information, performing research and inquiry status of which 90...
Claim Technician
HCSC - Albuquerque, NM
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 ...
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...
Account Executive III - Health Insurance
HCSC - Albuquerque, NM
Located in Albuquerque, NM this position is responsible for ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. JOB REQUIREMENTS: * General Lines Agent * Life, Health, and HMO State Insurance License. * 6 years successful recor...
Network Management Consultant
HCSC - Albuquerque, NM
**POSITION IS LOCATED IN THE ALBUQUERQUE HQ** **Contract Negotiation, Managed Care and Project Management experience preferred** BASIC FUNCTION: This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for as...
Provider Relations Representative - Behavioral Health
HCSC - Albuquerque, NM
Located in Albuquerque, NM this position is responsible for enhancing relationships with Behavioral Health Providers; and acting as liaison with providers through education, training, claims assistance, and ongoing provider service. JOB REQUIREMENTS: * Bachelor's Degree and 1 year managed care experience in products or contracts OR 5 years experience in a manage...
Pricing Coordinator
HCSC - Albuquerque, NM
BASIC FUNCTION: This position is responsible for providing technical direction on defining and implementing provider reimbursement rates based on Center for Medicare and Medicaid Services (CMS) Medicare methodologies, primarily in the Part B programs; monitoring the structure of and changes to the Medicare Part B pricing procedures and evaluating the impact...
Proposal Writer - Telecommuter
HCSC - Albuquerque, NM
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. ...
Associate Proposal Writer - Telecommuter
HCSC - Albuquerque, NM
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.
