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1 - 7 of 7 matches in 0.007 seconds
Primary Nurse Case Administrator I (8028257)
Last Updated: 2021-04-10
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:AK-1041793
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…

Care Coordinator UM/CM I (8028250)
Last Updated: 2021-04-10
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:AK-1041803
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…

Coding Compliance Specialist (8015491)
Last Updated: 2021-04-07
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:WS-1041071
Description:

BASIC FUNCTION:
Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding…

Coding Compliance Specialist (8015489)
Last Updated: 2021-04-07
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:WS-1041069
Description:

BASIC FUNCTION:
Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding…

Reimbursement Analyst (8015462)
Last Updated: 2021-04-07
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:CH-1041748
Description:

BASIC FUNCTION:
This position is responsible for developing reports based on a number of internal/external databases using SAS or a similar programming language; reporting includes pricing models for network negotiations and fee schedule updates used for claims adjudication; validating and researching report results using the original…

Analytics & Reporting Consultant (8000535)
Last Updated: 2021-04-02
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:RHB-1041561
Description:

  • There are two roles associated with this posting*

BASIC FUNCTION:

This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and leading cross functional…

Quality Assessment Analyst (7993606)
Last Updated: 2021-03-30
Employer: Health Care Service Corporation
Location: Downers Grove, IL

Job ID:JMS-1041554
Description:

This job is located in Downers Grove, IL

Job Description:

Quality Assurance Analyst (QA) is responsible for assessing the quality of the performance of our call center associates who deal with our existing and potential customer. Coordinates and facilitates call calibration sessions for call center…

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