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BASIC FUNCTION This position is responsible for supporting the development of network strategies and provider engagement models that reflect innovative ways to buy care across lines of business and geographies; measuring provider efficiency in alternate reimbursement arrangements, providing end to end report development, interfacing between internal business and technical teams to achieve goals; a
Posted 2 days ago
This position is responsible for providing assistance to practitioners in resolution of claims, pricing, coding and contract issues; and working with internal departments to evaluate and resolve provider/contract and service issues. Handle more complex issues and may assist in training/mentoring staff. REQUIRED JOB QUALIFICATIONS Bachelor's degree and two years' experience resolving network manage
Posted 2 days ago
BASIC FUNCTION 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 logs, and status reports. Also lead or participating in the project meetings and
Posted 2 days ago
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. Basic Function Under supervision, this
Posted 2 days ago
PLEASE NOTE, THIS POSITION IS TYPICALLY BASED IN OFFICE IN CHICAGO, IL. APPLICANTS NEED TO LIVE A COMMUTABLE DISTANCE TO DOWNTOWN CHICAGO. AT THIS TIME DUE TO THE COVID 19 HEALTH CRISIS, ALL CLINICAL TEAMS HAVE BEEN DEPLOYED TO WORK FROM HOME FOR THE TIME BEING. BASIC FUNCTION This position is responsible for performing a variety of functions and is a single source of contact for members, health c
Posted 2 days ago
This position is responsible for workforce planning activities for large locations or line of business for contact center operations. Supporting the annual budget planning process, coordinating workload forecasting and capacity planning activities, including those related to suppliers. Supporting real time monitoring of business operations Optimizing resource utilization. Developing and maintainin
Posted 2 days ago
The position is responsible for researching and reporting on cyber threats that are potential risks to HCSC; working within an interdisciplinary team of engineers and analysts to evaluate tools deployed in these attacks as well as the tactics and procedures used by cyber espionage operators; mining existing threat research and external open sources for indicators of cyber attacks to create actiona
Posted 2 days ago
Health Care Service Corporation
- Waukegan, IL / Chicago, IL / Naperville, IL
This position is responsible for creating and maintaining process information for IT processes, including mapping and measuring business objectives to IT process outputs; driving conversations with IT and business partners to define process requirements, and create process flows and metrics to measure success for one or two of the following processes incident, problem, service request, configurati
Posted 2 days ago
Responsible for operations compliance with accreditation and regulatory requirements in assigned areas. Responsible for developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance to state and federal regulations. Responsibilities include collecting data and developing compliance documents/evidence for successful accreditation surveys; monitoring and
Posted 2 days ago
This position will be responsible for focusing on the overall health of the member by assisting the member with the goal of increased health and overall wellbeing by developing a one to one relationship with the member. Encourage members to utilize appropriate resources and web based tools available to them to access information regarding their condition as well as track progress towards wellbeing
Posted 2 days ago
Health Care Service Corporation
- Corpus Christi, TX / Edinburg, TX / Harlingen, TX
Located in McAllen, Edinburg, Brownsville, Harlingen, or Corpus Cristi, 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 Bachelor degree and 1 year of health insurance account management/sales support experience OR Ba
Posted 2 days ago
Located in Houston, TX, this position is responsible for cultivating relationships with assigned TRS District's Benefit Administrators, members, and broker working as the local representative for assigned district(s) for the TRS account. Ensure client satisfaction including education, benefit fairs, and daily servicing of member needs; and contribute to the retention and expansion of membership wi
Posted 3 days ago
Located in Richardson TX within Sales & Account Management, this position is responsible for supporting Account Management personnel with a focus on renewal of existing business, servicing existing accounts. Additional duties may include support of prospecting and acquiring new business. JOB REQUIREMENTS 1 year experience in health care management in a marketing service representative role OR 3 ye
Posted 3 days ago
BASIC FUNCTION Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include conducting research; spends approximately 90 of the scheduled time on the phone according to business need. JOB REQUIREMENTS High school diploma O
Posted 3 days ago
BASIC FUNCTION This position will be responsible for the client facing data and analytics engagements for some of HCSC's largest clients. The candidate will preferably have presentation experience or a proven track record of conveying complex ideas to a diverse audience. Will lead research in analyzing financial and health data for large employer groups. Must have experience with tools such as SQL
Posted 3 days ago
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