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Added 1 min ago
OB
Personnel Liaison Specialist
Offices, Boards and Divisions
Washington, DC
- $102,415 to $158,322 USD / year
With minimal direction provides program planning and project management support on HR issues.
Added 1 min ago
FA
Aviation Safety Inspector
Federal Aviation Administration
Greensboro, NC
- $125,776 to $163,514 USD / year
…reviewed for adherence to FAA policy and for assurance that project requirements have been…
Added 1 min ago
FA
Program Manager (Business Analysis & Formulation)
Federal Aviation Administration
Washington, DC
- $150,392 to $228,000 USD / year
The role requires managing dependencies between projects and addressing any issues and risks that could affect the program at the project or organizational level. The Program Manager…
Added 1 min ago
AN
SUPERVISORY LOGISTICS MANAGEMENT SPECIALIST
Army National Guard Units
Carson City, NV
- $99,218 to $128,987 USD / year
…programs. Ensures compliance with excess supply and equipment program. Manages stock record account(s). Ensures compliance with the Internal Control Program for installation supply and…
Added 4 mins ago
Internal Communications, Sr. Program Manager
City of Hope
Irwindale, CA
The Senior Manager of Internal Communications is responsible for leading key internal communications strategies to inform, engage, and inspire employees while fostering a strong…
Added 4 mins ago
VH
Lead Health System Specialist (Credentialing and Privileging)
Veterans Health Administration
West Haven, CT
- $88,005 to $114,413 USD / year
…technical direction and support to the C&P Specialists, C&P Manager and to program…
Added 4 mins ago
NP
Small Craft Operator (Seasonal)
National Park Service
Bartlett Cove, AK
- $37 to $44 USD / hour
…National Park and Preserve and is supervised by the Interpretation Program Manager. Duties of the position include, but are not limited to the…
Added 4 mins ago
US
TEST ADMINISTRATOR
United States Space Force
El Segundo, CA
- $34,799 to $82,938 USD / year
The primary purpose of this position is: To function as the installation's testing program manager/Test Control Officer (TCO). Responsible for the management and administration of the Air…
Added 4 mins ago
FA
Civil Engineer
Federal Aviation Administration
FAA Nationwide-Selectee Remains in Current Duty Location
- $95,489 to $148,037 USD / year
This position serves as a regional office senior Civil Engineer and lead project engineer for the Office of Airports (ARP), New York Airports District Office in the Eastern Region, in…
Added 4 mins ago
NR
Reactor Engineer (Examiner Qualified)
Nuclear Regulatory Commission
Rockville, MD
- $143,913 to $187,093 USD / year
Respond to questions from the public or internal and external stakeholders regarding the operator licensing program.
Added 4 mins ago
FA
Program Manager
Federal Aviation Administration
El Segundo, CA
- $130,314 to $202,026 USD / year
The Operations Support Manager (OSM) position serves as first level Manager of an assigned workforce consisting of Management & Program Analysts and/or assistants, Administrative Officers,…
Added 4 mins ago
GA
Website Manager | Salary - Corporate Accounting Office
Gee Automotive Companies
Milwaukie, OR
- $65,000 to $75,000 USD / year
We're looking for an organized, detail-oriented Website Manager to oversee and optimize websites across our dealership group. This role plays a critical part in ensuring our websites remain…
Added 5 mins ago
F/A-18 & EA-18G Senior Project Manager
The Boeing Company
Berkeley, MO
The Boeing Defense, Space & Security (BDS) has an exciting opportunity for a F/A-18 & EA-18G Senior Project Manager to join the Air Dominance F/A-18 & EA-18G team in Berkeley, Missouri.
Added 6 mins ago
VH
Supervisory Medical Support Assistant
Veterans Health Administration
Columbus, OH
- $63,682 to $82,784 USD / year
Incumbent is responsible for completion of administrative functions and providing management support activities to the Administrative Support section supported project/area.
Added 9 mins ago
G
Water/Wastewater Engineer
GPAC
Raleigh, NC
- $90,000 to $150,000 USD / year
Clear Growth Path: From Engineer → Project Manager → Technical Lead → Partner – we map it out with you.
Added 11 mins ago
VH
Physician (Chief of Hematology and Oncology)
Veterans Health Administration
Salisbury, NC
- $370,000 to $400,000 USD / year
Position(s) listed under this Open Continuous Announcement MAY be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Applicants selected…
Added 14 mins ago
J
Senior GIS Project Manager
Jobgether
Remote, United States
- $93,000 to $115,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior GIS Project Manager based in the United States.
Added 14 mins ago
VH
Management and Program Analyst
Veterans Health Administration
Location Negotiable After Selection
- $89,508 to $138,370 USD / year
Develops and maintains project plans for analysis, design, testing, implementation, and maintenance of decision support, program evaluation, and strategic tracking initiatives.
Added 14 mins ago
VB
Management and Program Analyst
Veterans Benefits Administration
Salt Lake City, UT · Washington, DC · Indianapolis, IN · Philadelphia, PA · Saint Paul, MN
- $63,795 to $118,204 USD / year
Serves as project manager for major initiatives and special assignments. Monitors and tracks progress on internal and external audit findings and investigates operational issues such as…
Added 14 mins ago
VH
Supervisory Healthcare Engineer (Detail/Temporary Promotion NTE 120 Days)
Veterans Health Administration
Tuskegee, AL
- $140,025 to $182,034 USD / year
…without further competition.If applying as a competitive Detail: Manager/supervisor approval is…
Added 17 mins ago
VH
Social Worker Program Coordinator - Psychosocial Rehabilitation and Recovery Services
Veterans Health Administration
Seattle, WA
- $119,630 to $155,521 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in…
Added 17 mins ago
VH
Social Worker Program Coordinator - Psychosocial Rehabilitation and Recovery Services
Veterans Health Administration
Seattle, WA
- $119,630 to $155,521 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in…
Added 19 mins ago
CF
IT Program Manager (DataMgt)
Centers for Medicare & Medicaid Services
Farmington Hills, MI
- $117,402 to $152,625 USD / year
As an IT Program Manager (DataMgt), GS-2210-13, you will provide technical expertise in advanced data systems analysis and design to drive solutions for CMS health programs.
Added 19 mins ago
VH
Acquisition & Utilization Specialist
Veterans Health Administration
McClellan, CA
- $68,419 to $107,620 USD / year
…services, product acquisition and support services required by project managers, program managers, upper management, and stakeholders on all aspects of procurement for a wide variety of…
Added 19 mins ago
AM
GENERAL ENGINEER
Air Mobility Command
Scott AFB, IL
- $128,967 to $167,663 USD / year
The primary purpose of this position is to serve as the AMC Program Manager reporting directly to the Air Mobility Command Chief of Staff (General Officer) for renovation of facilities and…

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