Blue Cross Blue Shield $70,000 jobs in Richardson, TX

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Process Design Consultant
Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for using analytical tools and strategy consulting techniques to help functional teams re-imagine new or existing operations and
Sponsored by HCSC
Manager Network Management - Provider Contracting / Hospital...
Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
Located in Richardson, TX for Network Management - North Region, contracting including assertive influencial and effective negotiations with Hospitals,
Sponsored by HCSC
RN Educator
Medical Center of McKinney - McKinney - McKinney, TX
We also received the prestigious Blue Distinction award for our Total Hip and Total Knee Replacement program from Blue Cross and Blue Shield....
Sponsored by HCA Inc

Care Coordinator UM/CM I

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and

Medical Account Coordinator

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for performing medical management functions and serving as the primary contact for medical issues and questions for specified,

Associate Network Mgmt Consultant

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage of providers for assigned

Director & Actuary

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for the pricing and profitability for an assigned block or line of business to assure the fulfillment of corporate financial and

Unit Mgr Case Management

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for supervising staff involved in case management activities and support for Case Management programs, developing and

Network Management Consultant

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for providing support to the Provider recruitment and contracting process to ensure strategic coverage of Providers for assigned

Process Design Consultant

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for using analytical tools and strategy consulting techniques to help functional teams re-imagine new or existing operations and

Behavioral Health Care Coord

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on

Case Management Coordinator II

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying

Assistant Actuary

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX
This position is responsible for actuarial analysis and strategic recommendations involving costs, trends, network performance, cost containment program
Medical Reviewer LVN
Blue Cross Blue Shield of IL, MT, NM, OK & TX - Dallas, TX
This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and
Sponsored by HCSC
Care Management Specialist III
Blue Cross Blue Shield of IL, MT, NM, OK & TX - Dallas, TX
This position is responsible for discharge care coordination, episodic case management and pre-admission/post-discharge counseling for an acute condition.
Sponsored by HCSC

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