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Added 2 mins ago
The Specialist Lead, Records & Contracts
Deloitte
Kansas City, MO
…records-related risks to the Deloitte US firm. This role performs advanced data integrity processes, executes records management projects that have an impact at all levels in the…
Added 2 mins ago
The Specialist Lead, Records & Contracts
Deloitte
Saint Louis, MO
…records-related risks to the Deloitte US firm. This role performs advanced data integrity processes, executes records management projects that have an impact at all levels in the…
Added 4 mins ago
Mechanical Design Engineer – Next Generation Products
GE Aerospace
Evendale, OH
…Engineer owns the design, development, and qualification of advanced military products, specifically hot structural components. The engineer is responsible for executing technical design…
Added 5 mins ago
Manager Salesforce Applications
Advanced Drainage Systems, Inc.
Hilliard, OH
Advanced Drainage Systems is a leading manufacturer of stormwater and onsite septic wastewater solutions, committed to sustainability and innovation. With a vast manufacturing and…
Added 5 mins ago
Lab/Facility Chemist I
Republic Services
Canton, OH
Participates in the generation of SOPs and Work Instructions (WI), under the supervision of the Laboratory Manager.
Added 5 mins ago
Specialty Representative/Senior Specialty Representative -Primary Care -Cleveland Central, OH
Amgen
Cleveland, OH
…strategy and promoting Amgen products as led by the District…
Added 5 mins ago
Senior Services Operations Manager, Managed Services
Ricoh Americas Corporation
Cleveland, OH
The Senior Services Operations Manager, Managed Services functions in a leadership role as operational point of contact to assigned Global/Vertical customers, primarily in North America.
Added 5 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Evendale, OH · Cincinnati, OH · E Cleveland, OH · West Chester, OH
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 5 mins ago
S
Associate Energy Engineer
Siemens
Cincinnati, OH
- $62,290 to $106,783 USD / year
Must be 21 years of age and possess a valid driver's license with limited violations; must meet eligibility requirements to participate in Siemens' fleet vehicle program
Added 5 mins ago
Advanced Specialist, Portfolio Management (Enterprise Learning)
Pearson
Columbus, OH
…offerings at an important point in their evolution. As Portfolio Manager for Knowledge Suite and Pearson Live Training, you will help position these products at the center of enterprise…
Added 5 mins ago
Traveling Program EHS Director - MSG - Advanced Technology Group
Turner Construction Company
Columbus, OH
…position is for a full time traveling assignment supporting an Advanced Technology project, which includes our Data Center, Pharmaceutical, Industrial/Manufacturing, and…
Added 5 mins ago
Risk Governance - Commercial Solutions - Vice President
JPMorgan Chase
Columbus, OH
…CS Risk leadership (including the Risk Governance & Policy Manager, Credit Risk approval teams and managers, risk stakeholders, Operations partners, and cross-functional control groups to…
Added 5 mins ago
C
Data Analytics Program Mgr - Business Intelligence
CBRE
Columbus, OH
- $120,000 to $135,000 USD / year
DataAnalytics Program Manager - Business Intelligence
Added 6 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Columbus, OH
- $105,000 to $125,000 USD / year
Program Manager- Risk EngineeringSolutions (RES)
Added 6 mins ago
Senior ALC Developer
Maximus
Columbus, OH
Design and implement complex software components and perform advanced programming tasks across multiple technologies.
Added 6 mins ago
Manager, Enterprise Communications & Channels
Amentum
Columbus, OH
Amentum is a global leader in advanced engineering and innovative technology solutions, trusted by the United States and its allies to address their most significant and complex challenges…
Added 6 mins ago
Senior Manager, Client Excellence, Global Consulting Services
Deloitte
Dayton, OH · Cincinnati, OH · Columbus, OH · Cleveland, OH
Lead execution of the GLCP onboarding program in partnership with Industry Leaders, including welcome calls, onboarding materials, briefing packs, and targeted development sessions.
Added 6 mins ago
Data Center Facility Operations Area Director
Meta
Columbus, OH
Own org health as a measured outcome - Meta’s Pulse indicator, attrition, upward feedback, and manager effectiveness - and diagnose and resolve complex health issues spanning multiple teams…
Added 6 mins ago
Senior ALC Developer
Maximus
Columbus, OH
Design and implement complex software components and perform advanced programming tasks across multiple technologies.
Added 6 mins ago
C
Program Manager, RES (Risk Engineering Solutions)
CBRE
Columbus, OH
- $105,000 to $125,000 USD / year
Program Manager- Risk EngineeringSolutions (RES)
Added 15 mins ago
FC
HR Enterprise Strategic Initiative Program Manager
Fairfax County
Fairfax, VA
- $52.62 to $92.09 USD / hour
…leader to serve as the HR Enterprise Strategic Initiatives Program Manager. This role reports to Fairfax County’s Human Resources (HR) Director and leads high visibility, countywide human…
Added 15 mins ago
FC
Labor Relations Division Director (Human Resources Division Director)
Fairfax County
Fairfax, VA
- $57.04 to $108.38 USD / hour
…including two years of experience as a Senior HR Consultant, program/project manager, or operations supervisor. A master's degree may be substituted for one year of the…
Added 22 mins ago
PH
Certified Medical Assistant - AMB- Spine, Full-Time
Prisma Health Medical Group-Midlands
Columbia, SC
- Full-time
Performs assigned patient care and related administrative duties under the direct supervision of a licensed physician, advanced practice registered nurse (APRN) or Physician Assistant (PA).…
Added 29 mins ago
Accounts Payable Manager
Andrews Distributing, LLC
Dallas, TX
An Accounts Payable Manager is responsible for overseeing supplier master data, payment transactions and financial commitments of the company. The Accounts Payable Manager manages all…
Added 34 mins ago
National Oncology Sales Training Manager - United States Field
Amgen
Sioux Falls, SD
In this high-impact role, you will lead a team of six Oncology Sales Training Managers and shape the New Hire and Advanced Training curricula for Amgen’s U.S. Oncology Business Unit. You’ll…

Closed listing

HCSC

Sr Payment Integrity Consultant - Payment Integrity

Chicago, IL, United States

$69,800.00 - $125,900.00

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

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

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