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VP of Operations
ECI Technologies
Watertown, CT
- $120,000 to $150,000 USD / year
As a member of the Leadership Team, the General Manager establishes operational controls, reporting systems, and performance expectations to improve profitability, workforce development,…
Added just now
AI & Business Automation Manager
Christie
Remote, United States
The AI & Business Automation Manager identifies, develops, and implements AI-driven solutions and automated workflows to improve operational efficiency across Christie Lites. This role…
Added just now
NM
Clinical Pharmacist Lead-Medication History Services, Full-time Rotating
Northwestern Memorial Healthcare
Chicago, IL
- $67.68 to $87.99 USD / hour
- Full-time
Under the direction of the Pharmacy Practice Coordinator and Manager Pharmacy, the Clinical Pharmacist Lead assists in facilitating the daily operations and delivery of quality service…
Added 1 min ago
Registered Nurse (RN) Manager - Adult Psych
UHS
SAVANNAH, GA
Lead and shape the daily operations of a dynamic 50-bed acute inpatient hospital for adults, overseeing the delivery of high-quality, patient-centered care for individuals with psychiatric…
Added 1 min ago
HRIS Senior Specialist
ICANN
Los Angeles, CA
Working closely with the Senior HRIS Manager, this position provides hands-on functional and technical support for HR systems, staff data, reporting, integrations, system testing, and…
Added 1 min ago
Store Manager
Shell
Glasgow, KY
The Store Manager will demonstrate a high degree of proficiency and consistency in each of the following performance areas: Technical Skills, Leadership, Personal Effectiveness,…
Added 1 min ago
Vice President, Portfolio Manager
Midwest Trust Company
Addison, TX
The Vice President, Portfolio Manager is responsible for managing discretionary investment portfolios and serving as a trusted advisor to high-net-worth individuals, families, trusts,…
Added 1 min ago
CH
Operations Manager
CVS Health
Signal Mountain, TN
- $18 to $28 USD / hour
The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and…
Added 1 min ago
CH
Operations Manager
CVS Health
La Porte, IN
- $20 to $34 USD / hour
The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and…
Added 1 min ago
CH
Pharmacy Lead Technician
CVS Health
Thompsons Station, TN
- $18 to $27 USD / hour
As a Lead Technician, you will be an example for and support the pharmacy team in delivering operational and service excellence within your store. Lead Technicians use and build upon the…
Added 1 min ago
Supervisor, Call Center Pharmacy Technician
CVS Health
Work at Home, IL
…anywhere for our patients by providing quality and efficient service to patients. Our pharmacy technicians receive inbound calls and make outbound medication adherence calls to patients and…
Added 1 min ago
CH
Foreign Pharmacy Grad - International Pharmacy Intern
CVS Health
Little Rock, AR
- $30 to $42 USD / hour
Support your Pharmacy manager in motivating, inspiring, and developing their Pharmacy Support Staff by balancing assignments that maximize colleagues’ strengths, address development…
Added 1 min ago
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Risk Management Coordinator Full Time Days
UHS
BRADENTON, FL
- Full-time
The Risk Management Coordinator supports the daily operations of the hospital’s risk management program through the utilization of the T.E.R.M and by assisting with incident reporting,…
Added 1 min ago
Supervisor Production - 1st Shift - Fort Smith
( ) Simmons Foods
Fort Smith, AR
Supervises and coordinates the activities of workers engaged in processing and/or the development of a product or a service. Maintains inventory records. Requisitions ingredients and/or…
Added 1 min ago
General Manager
Accord Inc
Sequim, WA
Our General Manager is responsible for managing the daily operations of our restaurant, including the selection, development and performance management of employees. In addition, they…
Added 1 min ago
Program Coordinator
University of Nebraska - Omaha
NE
…These programs foster cross-cultural exchange, professional development, and academic success for participants from around the globe. The Program Coordinator plays a central role in…
Added 2 mins ago
Wine & Beverage Manager
River Oaks Country Club
Houston, TX
Reporting to the Director of Wine & Beverage, the Wine & Beverage Manager is responsible for the day-to-day leadership and execution of the Club's beverage program, including wine service,…
Added 2 mins ago
WC
Corporate Task Force Chef
Westin Chicago North Shore
Schaumburg, IL
- $120,000 USD / year
…the hotel’s food production, while maintaining profitable F&B operations and high quality products and service levels. Provide training for all staff, meet corporate quality standards,…
Added 2 mins ago
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IT Salesforce Development Manager
IDBNY
NYC, NY
- $170,000 to $190,000 USD / year
The IT Salesforce Development Manager is responsible for application strategy, architecture, development, support, governance, vendor management, project delivery, and team leadership. This…
Added 2 mins ago
Specialist, Content Operations
TPR Education, LLC
Remote, United States
As part of the Content Operations and Implementation team, the Specialist, Content Operations, owns the setup, configuration, and quality of products and content across The Princeton…
Added 2 mins ago
Corporate Paralegal
Davidson Hospitality Group
Atlanta, GA
…environment that encourages creativity, growth, and professional development. With a strong commitment to excellence in guest service, employee engagement, and financial performance,…
Added 2 mins ago
QR
Property Manager - Part Time
QUANTUM RESIDENTIAL
Vancouver, WA
- $20 to $28 USD / hour
- Part-time
Prepare and process resident service requests.
Added 2 mins ago
ESIS Claims Team Leader, AGL
ACE American Insurance Company
Dallas, TX
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health…
Added 2 mins ago
SA
Senior Manager, Accounting (R6484)
Shield AI
San Diego, CA
- $139,040 to $208,560 USD / year
Shield AI is a venture-backed defense-tech company with the mission of protecting service members and civilians with intelligent systems. Its products include Hivemind autonomy software,…
Added 2 mins ago
Branch Manager - New Build - Dothan W Main St. - Dothan, AL
JPMC page
Dothan, AL
As a Branch Manager in a Chase Branch, you will be at the forefront of delivering attentive and friendly service, creating a welcoming environment that puts employees and clients first. You…

Closed listing

HCSC

Sr Payment Integrity Consultant - Payment Integrity

Helena, MT, United States

$69,800.00 - $125,900.00

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: $69,800.00 - $125,900.00
Experience: Bachelor's degree and 3 years of business requirement experience OR 7 years of business requirements experience in health insurance operational functions or relevant experience
Posting language: English
Posted: Nov 4, 2026

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Original job description

Archived listing. The details below describe a past opening.

Flex

IL - Chicago

MT - Helena

NM - Albuquerque

OK - Tulsa

TX - Richardson

R0056193

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for driving implementation of PI-owned projects, reporting status and risks. While working with cross-functional teams, responsible for identifying new payment integrity opportunities. Responsible for tracking and reporting KPIs and impact metrics, working with the PI Program Manager to draft communications on PI project progress, impact, value, and ROI.

Required Job Qualifications:

Bachelor's degree and 3 years of business requirement experience OR 7 years of business requirements experience in health insurance operational functions or relevant experience
Knowledge of and experience in payer operations
Implementation experience
Clear and concise interpersonal, verbal and written communication skills
PC proficiency with Microsoft applications including access, excel, word and power point

Preferred Job Qualifications:

Healthcare background
Project Management experience
Experience managing vendor contracts
Advanced excel experience

This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$69,800.00 - $125,900.00

Exact compensation may vary based on skills, experience, and location.

Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.

Join our Talent Community. (https://hcsc.recsolu.com/app/collect/form/pmPA8v_eHgqFiDb2AuRTqQ)

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association