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1 - 10 of 19 matches in 0.007 seconds
Strategic Sourcing Analyst II (6974555)
Last Updated: 2019-11-09
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

SUMMARY:
Strategic member of a high performing sourcing team, responsible for Market Assessments, RFIs, and RFPs for Independent Medical Review and Clinical Software . Sourcing Analyst will also be responsible for contract negotiations and contract compliance. Analysts are expected to have excellent project management and time efficiency skills…

Primary Nurse Case Administrator I (6972369)
Last Updated: 2019-11-08
Employer: Health Care Service Corporation
Location: Chicago, IL

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…

Contract Specialist (6972324)
Last Updated: 2019-11-08
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position is responsible for drafting and maintaining contract templates, issuing account-specific documents; participating in the peer review process.

*JOB REQUIREMENTS: Knowledge of health insurance contract and claim administration agreement development and financial agreement development.

  • Knowledge of health products and procedures, contract requirements and underwriting…
Med Management Accreditation & Audit Coordinator - (6971605)
Last Updated: 2019-11-08
Employer: Health Care Service Corporation
Location: Chicago, IL

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…

Healthcare Quality Auditor (HEDIS and quality impr (6971595)
Last Updated: 2019-11-08
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position is responsible for reviewing medical records and abstracting and overreading data for quality improvement projects (HEDIS like measures) and HEDIS. This position collaborates internally and externally with stakeholders to drive improvement in quality outcomes and performance. The Quality Management Specialist (QMS

Clinical Delegation Coordinator (RN) (6969405)
Last Updated: 2019-11-07
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Job Purpose:

This position is responsible for leading, coordinating and participating in clinical delegation oversight audits of HCSC’s vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools based on state and federal regulations, conducts the reviews…

Oncology Medical Director - Pharmacy (6969301)
Last Updated: 2019-11-07
Employer: Health Care Service Corporation
Location: Chicago, IL

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…

Primary Nurse Case Admin I (6968619)
Last Updated: 2019-11-07
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Basic Function:

This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs concurrent review, discharge…

Primary Nurse Case Administrator I (6966121)
Last Updated: 2019-11-06
Employer: Health Care Service Corporation
Location: Chicago, IL

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…

Utilization Management Coordinator (6959930)
Last Updated: 2019-11-04
Employer: Health Care Service Corporation
Location: Chicago, IL

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…

Legend

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