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Test Engineer - Data Analytics
HCSC - Richardson, TX
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 power of this p...
Sr 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 Analytics & Reporting Analyst - Medicare Stars
HCSC - Richardson, TX
BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross-functional teams to address the divisions issues; producing datasets and reports for analysis using system...
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 focu...
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 n...
Primary Nurse Care Administrator Specialty / CDE (Certified Diabetes Educator)
HCSC - Richardson, TX
Job Purpose: This position's primary focus is the management of members with Specialty (Oncology / Diabetes ) diagnoses. This position will be responsible for performing all functions of Case Management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing Specialty care. Th...
Sr 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 solutions and resulting technical specifications within limits of code environment; linking Business Analyst needs a...
Sr Developer - Big Data
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 4 years Information Technology exper...
Credentialing Representative
HCSC - Richardson, TX
**If chosen to proceed, each candidate will be required to complete a video interview via HireVue** BASIC FUNCTION: Under supervision, this position responsible for review and completion of primary source verification data in an accurate and timely fashion for credentialing and recredentialing of practitioners for multi states. Conducting research in ord...
Claims Delegation Oversight Coordinator
HCSC - Richardson, TX
Job Purpose The Claims Delegation Coordinator is responsible for leading, coordinating and participating in claims delegation oversight audits of HCSC's vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools and...
Test Engineer
HCSC - Richardson, TX
Job Purpose: This position is responsible for developing frameworks for test scripting, automation and troubleshooting. Required Job Qualifications: *Bachelor Degree and 2 years Information Technology experience OR Technical Certification and/or College Courses and 4 year Information Technology experience OR 6 years Information Technology experience. *Experie...
Systems Analyst - Web Content Management
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...
BA
HCSC - Richardson, TX
Job Purpose: Job Purpose: This position is responsible for leading the development of functional and non-functional business requirements; working with the Business, IT Product Mangers and the Business Solutions Lead to understand business strategy and translate into product requirement. Required Job Qualifications: *Bachel...
Sr Contract Specialist
HCSC - Richardson, TX
Basic Function: This position is responsible for analyzing, reporting, and documenting objections for new and renewing Standard Small Group, Retail, LG/MM contracts, as well as ancillary products. This position is responsible for reviewing non-standard contract language and coordinating with the drafting & filing teams for all 5 stat...
Sr Developer
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 4 years Information Technology experience OR Technical Certification and/or Col...
