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Sr Portfolio Delivery Manager
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Job Purpose: This position is responsible for assisting PDL with end-to-end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to...
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From HEALTH CARE SERVICES INC
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Date
2019-11-19
Company
HEALTH CARE SERVICES INC
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Location
Tulsa, OK
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About the job:
Job Purpose: This position is responsible for assisting PDL with end-to-end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of delivery issues Required Job Qualifications : * Bachelor’s Degree and 5 years of IT experience, including experience in Project management, OR 9 years of IT experience, including experience in Project management. * Analytical thinking and consultative problem...
Location:
Tulsa, OK
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Project Management Professional
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
5
Workplace Documents
5

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Sr Manager Business Solutions/Lead
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Job Purpose: This position is responsible for supporting Portfolio Lead in business interactions/relationship management, demand consolidation and prioritization, and portfolio strategy/roadmap. Required Job Qualifications: *Bachelor's degree and 5...
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From HEALTH CARE SERVICES INC
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Date
2019-11-19
Company
HEALTH CARE SERVICES INC
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Location
Chicago, IL
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About the job:
Job Purpose: This position is responsible for supporting Portfolio Lead in business interactions/relationship management, demand consolidation and prioritization, and portfolio strategy/roadmap. Required Job Qualifications: *Bachelor's degree and 5 years Information Technology experience OR 9 years of Information Technology experience. *3-5 years of resource management (staff of 5+ people) and/or leadership experience. *Understanding of enterprise architecture and how to apply architectural principles. *Knowledge of cloud computing platforms (SaaS / PaaS (Software-as-a-Service /...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
5
Workplace Documents
5

Display

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Sr Portfolio Delivery Manager
Quick view
Job Purpose: This position is responsible for assisting PDL with end-to-end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to...
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From HEALTH CARE SERVICES INC
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Date
2019-11-19
Company
HEALTH CARE SERVICES INC
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Location
Chicago, IL
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About the job:
Job Purpose: This position is responsible for assisting PDL with end-to-end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of delivery issues Required Job Qualifications : * Bachelor’s Degree and 5 years of IT experience, including experience in Project management, OR 9 years of IT experience, including experience in Project management. * Analytical thinking and consultative problem...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Project Management Professional
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
5
Workplace Documents
5

Display

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Senior Administrative Specialist, Network Services
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Description: Blue Cross and Blue Shield of New Mexico is looking for a motivated individual to be a part of our dedicated RADV /IVA (Risk Adjustment Data Validation / Initial Validation Audit) team. This team is focused on the retrieval and review...
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From HEALTH CARE SERVICES INC
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Date
2019-11-19
Company
HEALTH CARE SERVICES INC
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Location
Albuquerque, NM
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About the job:
Description: Blue Cross and Blue Shield of New Mexico is looking for a motivated individual to be a part of our dedicated RADV /IVA (Risk Adjustment Data Validation / Initial Validation Audit) team. This team is focused on the retrieval and review of provider/medical documentation for purposes of validating claims submitted to CMS for payment. The sample population consists of individuals on and off the exchange as well as small employer groups. Basic Function Under supervision, this position is responsible for developing spreadsheets, project tracking, responding to inquiries and...
Location:
Albuquerque, NM
Job Type:
Full-Time
Permanent
Occupation:
Executive Secretaries and Executive Administrative Assistants
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Sr Data Architect
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BASIC FUNCTION: As a member of the Enterprise Architecture Services – Information Architecture team, you will be responsible to drive optimal data architecture that efficiently and effectively presents an integrated view of enterprise data for both...
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From HEALTH CARE SERVICES INC
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Date
2019-11-19
Company
HEALTH CARE SERVICES INC
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Location
Richardson, TX
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About the job:
BASIC FUNCTION: As a member of the Enterprise Architecture Services – Information Architecture team, you will be responsible to drive optimal data architecture that efficiently and effectively presents an integrated view of enterprise data for both operational and analytical business processes. Also serve as a leader guiding on data architecture decisions and solutions to project teams. BASIC JOB REQUIREMENTS: - Bachelor Degree in MIS, Computer Science, Business Management, Programming, Economics, Engineering, OR a related discipline with an advanced degree preferred, or its equivalent - 10+...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
TOGAF certification
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

Display

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WorkKeys®

Sr Developer -ETL
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Description: 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...
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From HEALTH CARE SERVICES INC
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Date
2019-11-19
Company
HEALTH CARE SERVICES INC
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Location
Chicago, IL
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About the job:
Description: 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position is responsible for developing,...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Software Developers, Applications
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

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WorkKeys®

Care Coordinator UM/CM I
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We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
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About the job:
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We’re also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their plan benefits,...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Developer - Salesforce
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As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Chicago, IL
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About the job:
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position is responsible for developing, integrating,...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Software Developers, Applications
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

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WorkKeys®

Behavioral Health Care Coord
Quick view
Description: We are the Health Care Management division of HCSC - a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole...
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From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
View Map
About the job:
Description: We are the Health Care Management division of HCSC - a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their...
Location:
Richardson, TX
Job Type:
Part-Time
Full-Time
Permanent
Contract
Occupation:
Medical and Health Services Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Medical Reviewer II - (15 openings)
Quick view
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or...
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From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
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About the job:
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from providers or members concerning medical determinations. JOB REQUIREMENTS * Registered Nurse (RN) with current, active, unrestricted RN license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Sr Project Coordinator, Enterprise Policy & Procedures
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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...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
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Location
Chicago, IL
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About the job:
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. Job Function This position is responsible for managing large, complex projects with high risk; including developing and maintaining project plans, issues logs, and status reports. The Senior Project Coordinator will manage projects from...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Information Technology Project Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
5
Workplace Documents
5

Display

Recommended

WorkKeys®

Wellbeing Health Advisor
Quick view
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with...
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From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Chicago, IL
View Map
About the job:
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We’re also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their plan benefits,...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Diabetes Educator
Cloudera Certified Professional
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Sr Hadoop Administrator
Quick view
As the healthcare 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...
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From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Chicago, IL
View Map
About the job:
As the healthcare 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position is responsible for handling 24x7 operations...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Network and Computer Systems Administrators
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
ITIL Foundation certification (v3)
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Medical Management Specialist I - Govenment Programs (Kendall/Kankakee counties)
Quick view
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
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Location
Livingston, IL
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About the job:
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We’re also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their plan benefits,...
Location:
Livingston, IL
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Master's degree
Certifications/Licenses:
Licensed Professional Counselor
Driver's License
Licensed Social Worker
Licensed Clinical Social Worker
Licensed Clinical Professional Counselor
Licensed Master Social Worker
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

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WorkKeys®

Customer Advocate I
Quick view
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...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
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About the job:
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 OR GED. * 6 months customer service experience OR 6 months experience in an office environment. * Data entry and/or typing experience. * Interpersonal, verbal and written communication skills. *...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

Recommended

WorkKeys®

Sr Hadoop Administrator
Quick view
Description: As the healthcare 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...
Add to Your Backpack | See all jobs from this company
From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
View Map
About the job:
Description: As the healthcare 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position is responsible for handling 24x7...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Network and Computer Systems Administrators
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
ITIL Foundation certification (v3)
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Wellbeing Health Advisor
Quick view
Job Purpose: 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...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Albuquerque, NM
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About the job:
Job Purpose: 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 goals. This position is also responsible for guiding the member through transitions in care, handling a member's complex needs as well as acute and chronic conditions. Additionally,...
Location:
Albuquerque, NM
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Neonatal Intensive Care Unit
Certified Diabetes Educator
Cloudera Certified Professional
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Sr Infrastructure Engineer
Quick view
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company...
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From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
View Map
About the job:
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position will work on the End User Computing Engineering...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Software Developers, Applications
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
ITIL Foundation certification (v3)
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

Display

Recommended

WorkKeys®

Wellbeing Health Advisor
Quick view
Description: We are the Health Care Management division of HCSC - a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole...
Add to Your Backpack | See all jobs from this company
From HEALTH CARE SERVICES INC
Report this job
Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Richardson, TX
View Map
About the job:
Description: We are the Health Care Management division of HCSC - a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical partnerships in the communities where we work and live, because everyone should have access to quality health care. We use innovative tools and approaches to help members get the most out of their...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Neonatal Intensive Care Unit
Certified Diabetes Educator
Cloudera Certified Professional
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Medical Reviewer II - (15 openings)
Quick view
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Tulsa, OK
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About the job:
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from providers or members concerning medical determinations. JOB REQUIREMENTS * Registered Nurse (RN) with current, active, unrestricted RN license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the...
Location:
Tulsa, OK
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Medical Reviewer II - (15 openings)
Quick view
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Marion, IL
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About the job:
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from providers or members concerning medical determinations. JOB REQUIREMENTS * Registered Nurse (RN) with current, active, unrestricted RN license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the...
Location:
Marion, IL
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

Display

Recommended

WorkKeys®

Medical Reviewer II - (15 openings)
Quick view
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or...
Add to Your Backpack | See all jobs from this company
From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
View company profile

Location
Chicago, IL
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About the job:
BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from providers or members concerning medical determinations. JOB REQUIREMENTS * Registered Nurse (RN) with current, active, unrestricted RN license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the...
Location:
Chicago, IL
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
Certified Registered Nurse
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Sr Cybersecurity Platform Operations Consultant
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As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
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Location
Richardson, TX
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About the job:
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position is responsible for completing day-to-day...
Location:
Richardson, TX
Job Type:
Full-Time
Permanent
Occupation:
Information Security Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
6
Workplace Documents
6

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Sr Hadoop Administrator
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Description: As the healthcare 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...
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From HEALTH CARE SERVICES INC
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Date
2019-11-18
Company
HEALTH CARE SERVICES INC
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Location
Waukegan, IL
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About the job:
Description: As the healthcare 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 purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose: This position is responsible for handling 24x7...
Location:
Waukegan, IL
Job Type:
Full-Time
Permanent
Occupation:
Network and Computer Systems Administrators
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
ITIL Foundation certification (v3)
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Sr Mgr Subscriber Services
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BASIC FUNCTION: This position is responsible for managing one or more areas in Subscriber Services. JOB REQUIREMENTS: *Bachelor Degree and 4 years management / supervisory or project management experience OR 6 years business experience and 4 years...
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From HEALTH CARE SERVICES INC
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Date
2019-11-17
Company
HEALTH CARE SERVICES INC
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Location
Tulsa, OK
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About the job:
BASIC FUNCTION: This position is responsible for managing one or more areas in Subscriber Services. JOB REQUIREMENTS: *Bachelor Degree and 4 years management / supervisory or project management experience OR 6 years business experience and 4 years management / supervisory or project management experience. *Experience in developing / leading or inspiring employees. *Verbal and written communication skills *Analytical and organizational skills and ability to meet deadlines. PREFERRED JOB REQUIREMENTS: *Knowledge of medical management platforms, i.e. Smart UM; Aerial *Experience maintaining...
Location:
Tulsa, OK
Job Type:
Full-Time
Permanent
Occupation:
Administrative Services Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
National Committee for Quality Assurance
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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