Health Care Service Corporation - United States, Chicago, IL; Albuquerque, NM; Helena, MT; Richardson, TX; Tulsa, OK

Seeking a Clinical Practice Consultant (RN, PA, or NP) in Albuquerque, NM. This field-based role drives quality improvement by collaborating with medical practices to enhance HEDIS measures within value-based care models. You will leverage your managed care expertise to conduct clinical assessmen...

Lead Payment Integrity Strategy & Operations at HCSC in Chicago, Richardson, or other key locations. Drive process re-engineering, CQI, and accreditation success (NCQA, URAC) with 8+ years in health insurance operations. Manage teams, analyze root causes, and implement best-practice business proc...

Seeking a detail-oriented **Reimbursement Analyst I** to join our team in Tulsa, Richardson, Chicago, or Albuquerque. You will develop critical reports using **SAS**, build pricing models for network negotiations, and maintain the PREMIER Pricer. Ideal candidates possess a Bachelor’s degree, 3+ y...

Join HCSC as a Principal Division Strategy Consultant in Chicago, Richardson, or Tulsa. Drive divisional short- and long-term planning, execute business strategies, and analyze competitive market data. Requires a Bachelor’s degree and 6+ years in healthcare or strategic consulting. Ideal for lead...