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Self-Checkout Attendant
Festival Foods
De Pere, WI
Two-Week Advanced Scheduling: Better Planning. Better Balance. We provide our associates with their schedules two weeks in advance, offering greater predictability & flexibility.
Added 8 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
BRENTWOOD, TN
- $17 to $23.25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 8 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
MEMPHIS, TN
- $17 to $23.25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 9 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
RAYMOND, NH
- $17 to $23.25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 9 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
RAYMOND, NH
- $17 to $23.25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 9 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
ROCKFORD, IL
- $17 to $23.25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 9 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
CHICAGO, IL
- $18.25 to $25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 9 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
SUGAR HILL, GA
- $17 to $23.25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 9 mins ago
W
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
TUCSON, AZ
- $18.25 to $25 USD / hour
…resources provided to you in our pharmacy technician training program are designed to give you foundational and advanced knowledge, skills, and on-the-job experiences you need to prepare to…
Added 10 mins ago
PN
Employee Relations Consultant
Pacific Northwest National Laboratory
Richland, WA
- $117,900 USD / year
Partner with the Employee Concerns Program Manager and Senior Investigator to analyze and improve people programs, policies, and practices in support of a positive work environment.
Added 11 mins ago
Self-Checkout Attendant
Festival Foods
De Pere, WI
Two-Week Advanced Scheduling: Better Planning. Better Balance. We provide our associates with their schedules two weeks in advance, offering greater predictability & flexibility.
Added 11 mins ago
Branch Manager
QXO
Denver, CO
…mission is to modernize the building products industry through advanced technology and a best-in-class customer experience. QXO is North America’s largest distributor and installer of…
Added 11 mins ago
Branch Manager
QXO
Denver, CO
…mission is to modernize the building products industry through advanced technology and a best-in-class customer experience. QXO is North America’s largest distributor and installer of…
Added 11 mins ago
Manager, Enterprise Application Security & Controls
QXO
Seattle, WA
The Manager, Enterprise Application Security and Controls is responsible for the day-to-day leadership, design, implementation, and operational effectiveness of security and control…
Added 15 mins ago
CO
Tree Inspector
City of Portland
Portland, OR
- $40.91 to $52.21 USD / hour
The City of Portland is seeking skilled and dedicated Tree Inspector(s). This advanced professional role involves the systematic inspection of public trees to evaluate tree health,…
Added 20 mins ago
MI
Engineering Manager
Moog Inc
Salt Lake City, UT
- $145,000 to $180,000 USD / year
Moog, Inc. is a global leader in motion control across land, sea air and space, pioneering advanced solutions to drive cutting edge innovation for our valued customers.
Added 22 mins ago
PRN RN Case Manager
Cleveland Clinic
United States
Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside…
Added 25 mins ago
CO
Economic Development Director (Unclassified) (Mayor’s Office)
City of San Jose
San Jose, CA
- $170,000 to $215,000 USD / year
…under the City Charter, is responsible for recommending policy, program, and budget priorities for the City. The Mayor and Council are responsible for representing the residents of San…
Added 26 mins ago
T
Lead Java Practice Architect
TEKsystems
Hanover, MD
- $160,000 to $225,000 USD / year
Advanced DevOps practices including CI/CD strategy, IaC, release safety, environment strategy, and scalable automation
Added 35 mins ago
Assistant Manager(02548) - 5999 Crawfordsville Rd Suite B
Domino's
Speedway, IN
The Assistant Manager is one of the most important positions in our stores. They are responsible for running great shifts, taking great care of customers, working towards store’s goals,…
Added 41 mins ago
Senior Compliance Manager
Kastel Staffing
Los Angeles, CA
…training rollout, and stand up the subcontractor/vendor monitoring program (background check attestations, disclosure sheets, spot-check…
Added 41 mins ago
TS
Speech Language Pathologist - Outpatient
Therapy SPOT - Bellaire
Bellaire, TX
- $35 to $50 USD / hour
Assist the clinic manager with day-to-day operations
Added 42 mins ago
KC
Capital Project Manager III
King County
Seattle, WA
- $121,042.27 to $153,428.08 USD / year
…your community and King County partners. The Capital Project Manager III works with internal and external teams to prepare, manage and review a variety of high-visibility…
Added 42 mins ago
KC
Lead Mechanic
King County
Renton, WA · Maple Valley, WA
- $47.01 to $59.59 USD / hour
…managing workflow and monitoring productivity through Shop Floor Manager in Faster to ensure work is completed efficiently and on…
Added 42 mins ago
KC
Medical Assistant - Sexual and Reproductive Health Program (TLT/SDA)
King County
Bellevue, WA · Kent, WA · Auburn, WA · Federal Way, WA
- $28.57 to $36.21 USD / hour
Working under the clinical direction of an Advanced Registered Nurse Practitioner (ARNP) and the supervision of a Personal Health Services Supervisor (PHSS) or site manager, the Medical…

Closed listing

HCSC

Sr Payment Integrity Consultant - Payment Integrity

Albuquerque, NM, 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