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Full-Time

The quality of care we provide our patients doesn't change no matter how it is delivered. Joining UnitedHealth Care as an Advice Line Registered Nurse can be your opportunity to offer a higher level of care to our members. While your work will take place...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquires from members, and supporting the clinicians in the Medica...

Richardson, TX

1 miles

Full-Time

As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company purpose: To...

Richardson, TX

1 miles

Full-Time

Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the United States and fourth largest overall, operating throu...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is responsible for reviewing non-standard contracts for system capacity, implementing and auditing contract completion, handling contract inquiries by conducting research and coordination through various departments in resolu...

Richardson, TX

1 miles

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Full-Time

BASIC FUNCTION: This position is responsible for overseeing the workflow of the assigned credentialing teams, performing specialty audits, monitoring/tracking/trending the accuracy of specific credentialing functions performed by departmental staff; maint...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: Under supervision, this position is responsible for scheduling all reviews requiring a medical director/physician advisor review, according to the appropriate federal, state, NCQA and URAC requirements and regulations. This position is als...

Richardson, TX

1 miles

Full-Time

Looking for applicants with Project Coordinator skills, and experience with PowerPoint BASIC FUNCTION: Under supervision, this position is responsible for performing secretarial/administrative duties to support the work of the appropriate Director, Sr. Di...

Richardson, TX

1 miles

Full-Time

“As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose:...

Richardson, TX

1 miles

Full-Time

“As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose:...

Richardson, TX

1 miles

Full-Time

“As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose:...

Richardson, TX

1 miles

Full-Time

***** ON SITE INTERVIEWS ***** November 7, 2017 9:00 a.m. - 6:00 p.m. Location: The Renaissance Hotel Richardson 900 East Lookout Drive; Richardson, TX Candidates must bring hardcopy of current resume to be interviewed. BASIC FUNCTION: We will be intervie...

Richardson, TX

1 miles

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Full-Time

As part of our Retail and Government Programs Risk Adjustment Operations team, you will support the technical data and reporting needs for risk adjustment initiatives and submissions, as well as perform strategic analysis to provide insights for future pl...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is accountable for creating, managing and reporting processes designed to monitor and evaluate activities and functions delegated statewide to contracted groups, Independent Physician Associations (IPAs) and vendors for all p...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is responsible for managing and controlling HCSC property functions for various Texas remote facilities. JOB REQUIREMENTS: * Bachelor Degree in Engineering or 6 years asset management experience. * Property management, commun...

Richardson, TX

1 miles

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Full-Time

BASIC FUNCTION: This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting...

Richardson, TX

1 miles

Full-Time

***NEED TO BE PHYSICALLY LOCATED IN THE DFW AREA*** ***Bilingual (English and Spanish) is highly desired, as well as the ability to interact with clients and their employees. Must have excellent presentation skills, too*** BASIC FUNCTION: This position is...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is responsible for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, respond...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is responsible for assisting and coordinating credentialing, provider administration, and network management policies and procedures; acts as a liaison between internal and external customers; also provides reporting, auditin...

Richardson, TX

1 miles

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Full-Time

At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with 'excellence' one of our core values,...

Richardson, TX

1 miles

Full-Time

JOB PURPOSE: This position is responsible for performing behavioral health case management in accordance with accepted department criteria; consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monito...

Richardson, TX

1 miles

Full-Time

Job Purpose: This position is responsible for managing the gathering and assessing business information needs and preparing system requirements. Manages and controls the activities of a team of analysts that performs analyses, development and evaluation o...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION : This position is responsible for constructing forecasts, recommendations and strategic / tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or a...

Richardson, TX

1 miles

Full-Time

Job Purpose: This position is responsible for interfacing with all operational areas within HCM (Healthcare Management) to support effective divisional business and technology interruption preparation, response and recovery. Focus is on supporting the imp...

Richardson, TX

1 miles

Full-Time

BASIC FUNCTION: This position is responsible for discharge care coordination, episodic case management and pre-admission/post-discharge counseling for an acute condition. This position is responsible for handling duties in an independent manner and may as...

Richardson, TX

1 miles

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