The Investigative Analyst will plan and conduct investigations into abusive billing practices, analyze data, and enhance internal control systems.

This position focuses on enhancing the work environment through conflict resolution, investigating employee grievances, and developing HR policies.

The Network Management Consultant supports provider recruitment and contracting, negotiates with providers, and manages relationships while traveling within the assigned territory.

Design enhancements and applications, link business needs to technical solutions, ensure database integrity, security, and management.

The Organizational Change Management Lead supports senior leadership in delivering strategic change initiatives, aligning stakeholders, and building change competencies across the organization.

This role involves drafting and preparing Benefit Booklets and SBCs, ensuring compliance, conducting audits, and leading team operations.

The Sr Analytics Consultant analyzes data to generate insights for member engagement, translating complex business challenges into actionable recommendations and working collaboratively across teams.

The Principal Corporate Strategy Consultant will support strategy development, planning, and implementation to drive growth and transformation in a fast-paced environment.

Responsible for supporting process improvement initiatives, data analytics, project management, and liaising between teams, focusing on analyzing and implementing business processes.

The Executive Director will manage government relations, analyze policies affecting Medicare, and collaborate with leadership on legislative strategies.

Lead the team responsible for claims management, mentoring team members to enhance productivity and customer service levels while achieving financial objectives.

Manage and enhance analytical tools and reporting data; lead a team to provide insights while managing performance guarantees and compliance.

The Sr Analytics Consultant at HCSC will provide analytical support and consultancy to stakeholders, leveraging technical skills in SQL, R, Python, and industry knowledge.

The Principal Corp Strategy Consultant will lead strategy development and implementation efforts, support leadership in transformation activities, and manage complex projects across the organization.

The Subrogation Analyst investigates liability situations, compiles information, recovers claims payments, and negotiates settlements for reimbursement.

This role supports business intelligence for enterprise portfolio performance, conducting analyses, preparing models, and presenting insights to senior leaders.

This role involves coordinating initial reviews, discharge care, and ensuring efficiency in medical services while liaising with providers. Responsibilities include data collection, eligibility verification, reporting on care quality, and communicating utilization management processes.

Intelligence Analysts at HCSC focus on mitigating risks related to physical security threats, gathering intelligence from various sources, and providing reports to management. They monitor crime data, assess threats, and collaborate with internal and external stakeholders to enhance security measures and stay informed on emerging risks.

The Director of Corporate Strategy leads strategy development and transformation activities, delivering projects to support senior leadership in driving growth and improving operational models.

The Business Consultant role involves managing vendor intake and evaluation, supporting teams in client requests, and leading complex initiatives across functional areas.