HEALTH CARE SERVICE CORPORATION jobs in RICHARDSON TX, United Kingdom

analyst staff in the customer care call center. Also responsible for the evaluation of service levels, staff education... for this role** Required Job Qualifications: *Bachelor Degree in Health Care Administration, Business Administration, or 4 years...

physician leadership to support market strategy, implementation, and operations of value-based care (VBC) programs... and initiatives. This position shall coordinate across the Plan and broadly across HCSC to develop effective population health...

concurrently. *Presentation and group facilitation skills. Preferred Job Qualifications: *Health insurance or healthcare...

. JOB REQUIREMENTS: Bachelor’s degree OR 4 years health care management experience or customer service experience involving gathering...

and /or ACM certification *Provider side insurance experience *Familiarity with ancillary services including Home Health Care... with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family...

and URAC standards. Knowledge of state and federal health care and health operations regulations. *CA #LI-TELECOMMUTE... For Facilitating Member And Provider Appeals; Working Closely With Full Service Unit (Fsu), Provider Telecommunication Center (Ptc...

years customer service experience in a health care or health insurance environment OR college degree. *PC proficiency... manner. Accountable for meeting departmental small group accounts retention goals and service goals. JOB REQUIREMENTS...

contract negotiations, network development activities, and strategy development/implementation for designated health care... and strategies with national health care providers which include one or more of the following: hospitals, physician groups...

Ancillary or HealthCare benefit OR 8 years of sales experience. *Knowledge of marketing principles, health care benefits sales.... *Preferred Job Qualifications: *Bachelor's degree. *Insurance Health Care and ancillary benefit experience. *Knowledge...

of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs... or Case Management in a health insurance, managed care, physician office or hospital setting. PC proficiency to include Word...

and balancing techniques, acceptable accounting/audit controls, and managed care contracts. Knowledge of the health care industry... accountings, or managed care experience OR 9 years of Medicare audit, hospital accountings, or managed care experience. 1 year...

management, business operations or relevant health care industry experience. 3 years of experience leading with large... oriented. PC proficiency to include MS Office products, specifically Excel. Preferred Required Job Qualifications: Health...

of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs... experience of direct clinical care to the customer 1 year experience in Condition Management or Case Management in a health...

for researching, developing, and conducting preventive care and health education programs, including the development of newsletter.... Required Job Qualifications: Bachelor Degree in Health Education, Health Promotion, Community or Public Health, or in the health field...

advisory role to assess members for wellness education and disease management; introduce members to utilize the personal health... manager website as a tool for members to better manage their health; educate members regarding wellness and specific condition...

, as well as health care law and insurance law. 5. Keep abreast of all pertinent laws, trends, court rulings, etc., as they relate... of the health care or insurance field. Clear and concise verbal and written communication skills. Negotiation and diplomacy...

medical algorithms to determine health care expenditures, medical and economic outcomes, and cost containment strategies... and 3 years experience in Pharmacy, PBM or health care data, deep analytics, or insurance industry economics including 1...