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RN - Medical Mgmt Specialist I (Care Coordination)
HCSC - Sapulpa, OK
**This position is located in Creek County** JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company ...
UX Product Designer II
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...
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...
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 ...
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...
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...
Claim Technician
HCSC - Rockford, 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 ...
Analytics Consultant
HCSC - Chicago, IL
The Provider & Network Data Science team delivers advanced analytics and data science tools to healthcare providers, members of our Blue health plans, and business and clinical stakeholders within HCSC. Our day-to-day work involves data analysis, machine learning, and automation, while regularly engaging with stakeholders to develop the best solutions to optimize healthcare spe...
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 Communications Consultant (Group Medicare Product Management)
HCSC - Chicago, IL
Basic Function The Senior Communications Consultant is part of our Group Medicare Product Management Team. The position is responsible for developing and executing a variety of Medicare communications to meet the needs of multiple audiences through interaction with clients and management at all levels of the corporations. Responsibilities include,...
Multimedia Developer II
HCSC - Chicago, IL
Job Purpose: This position is responsible for creating internal and external-facing electronic multimedia content (primarily video and photo) to support public relations, brand storytelling and executive communications; consulting with clients, including company executives, to manage projects through revisions until final product approval is granted; a...
Data Science Engineer - Provider & Network
HCSC - Chicago, IL
The Provider & Network Data Science team delivers advanced analytics and data science tools to healthcare providers, members of our Blue health plans, and business and clinical stakeholders within HCSC. Our day-to-day work involves data analysis, machine learning, and automation, while regularly engaging with stakeholders to develop the best solutions to optimi...
Utilization Management Coordinator - Registered Nurse (RN)
HCSC - Chicago, IL
*** Work schedule for this position *** Tuesday - Saturday or Wednesday - Sunday / hours 10:00 am to 6:30 pm BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/...
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...
