Health Care Service Corporation - United States, Chicago; Albuquerque; Helena; Richardson; Tulsa

Lead high-risk internal compliance investigations for a major health insurer. This Richardson or Chicago-based role requires a Bachelor's degree and 4+ years of investigative experience. You'll prepare detailed reports, recommend corrective actions, and mentor team members. Ideal candidates have ...

Lead Medicare Part D actuarial strategy and financial performance for Individual MAPD and PDP products. This executive role in Chicago or Richardson oversees end-to-end bid development, forecasting, and cross-functional leadership. Requires 10+ years of actuarial and management experience with de...

Join our team as a Credentialing Coordinator in Richardson. You will manage timely provider credentialing and recredentialing for network participation. The role requires 3 years of business experience and 1 year in credentialing or quality audit. Strong PC, analytical, and communication skills i...

Seeking a Financial Analyst II to perform complex Value-Based Care (VBC) provider performance and financial modeling analyses. You will monitor VBC contract performance, analyze cost of care trends, and prepare financial statements. This role requires a Bachelor's in Finance/Accounting and 4 year...

Seeking a licensed Behavioral Health Care Coordinator (RN or Master's-level professional) for remote work in eligible states. Conduct clinical reviews for medical necessity, utilizing your 3+ years of psychiatric experience. This role involves case analysis, telephonic member assistance, and appl...