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Added 1 min ago
DM
Payroll Systems and Financial Operations Specialist
Defense Microelectronics Activity
McClellan, CA
- $99,218 to $153,382 USD / year
Lead payroll audit-readiness and internal-control activities, including development and validation of reconciliations, audit trails, supporting documentation, and corrective action plans.
Added 1 min ago
VH
Electronic Industrial Controls Mechanic Supervisor
Veterans Health Administration
Albuquerque, NM
- $42 to $50 USD / hour
Will work closely with the Infection Control Manager to ensure constant oversight of clean room environments throughout the facility.
Added 1 min ago
VH
Maintenance Mechanic
Veterans Health Administration
Charleston, SC
- $32 to $37 USD / hour
Added 1 min ago
VH
Electronics Mechanic
Veterans Health Administration
Loma Linda, CA
- $36 to $42 USD / hour
…after the announcement closes and refer applicants for hiring manager…
Added 1 min ago
Geospatial Area Business Class Leader
HDR
Pittsburgh, PA · Philadelphia, PA · Mechanicsburg, PA · Plymouth Meeting, PA
- Lead workforce planning, staffing, recruiting, utilization management, and professional development to build a high-performing geospatial team.
Added 3 mins ago
VH
Education Program Specialist
Veterans Health Administration
Coatesville, PA
- $82,289 to $106,982 USD / year
Provides leadership and direction in aligning health professions training, staff education, and workforce development programs across the organization.
Added 3 mins ago
VH
Social Services Assistant
Veterans Health Administration
San Diego, CA
- $57,641 to $74,935 USD / year
Instructor in a training program for the development of job skills.
Added 3 mins ago
VH
Program Specialist
Veterans Health Administration
Hines, IL
- $68,999 to $89,703 USD / year
…and evaluation and serves as the point of contact for routine development and one-on-one training matters. He/she incorporates training material and guidance prepared at the national level…
Added 3 mins ago
VH
Equal Employment Manager
Veterans Health Administration
Albuquerque, NM
- $107,592 to $139,871 USD / year
The VA New Mexico Healthcare System is recruiting for an Equal Employment Manager (EEO) under the Office of the Executive Director. The incumbent manages the EEO program for the VA and is…
Added 3 mins ago
VH
Supervisory Interior Designer
Veterans Health Administration
Houston, TX
- $103,225 to $134,195 USD / year
…serious unresolved complaints to a higher-level supervisor or manager; effects minor disciplinary measures such as warnings and reprimands and recommends action in more serious…
Added 5 mins ago
OO
TELECOMMUNICATIONS SPECIALIST
Organization of the Joint Chiefs of Staff
Pentagon, Arlington, VA
- $143,913 to $187,093 USD / year
…Publications (ACPs) Working Group and is responsible for the development, ratification and implementation of ACPs within the Combatant Commands, Services, and Agencies…
Added 5 mins ago
OO
Cloud Solutions Engineer
Office of the Director of National Intelligence
McLean, VA
- $143,913 to $187,093 USD / year
…reliable, and comparable analytics related to budget, contracts, workforce, information technology, and…
Added 5 mins ago
VH
Administrative Officer
Veterans Health Administration
Kansas City, MO
- $51,283 to $81,553 USD / year
Added 7 mins ago
Clinical Administrative Manager
East Carolina University
NC
The university supports its workforce through a wide range of professional development opportunities designed to foster career growth and skill advancement. Eligible employees also benefit…
Added 8 mins ago
VH
Histopathology Technician (Advanced)
Veterans Health Administration
Charleston, SC
- $55,404 to $72,027 USD / year
Assists in the development, review, and/or update of technical procedures in the Anatomic Pathology section of the laboratory in accordance with regulatory agency and VA…
Added 8 mins ago
VH
Administrative Officer
Veterans Health Administration
Durham, NC
- $77,983 to $101,383 USD / year
Serves as principal AO and operations manager for Surgical Care Service, providing comprehensive administrative oversight for a large, complex service line consisting of 11 surgical…
Added 8 mins ago
VH
Deputy Director, Sterile Processing Policy and Operations
Veterans Health Administration
Location Negotiable After Selection
- $126,384 to $197,200 USD / year
Conducting workforce and succession planning and identifying present and projected staffing requirements supporting recruitment and retention strategies.
Added 10 mins ago
VH
Transportation Assistant
Veterans Health Administration
Murfreesboro, TN
- $45,409 to $59,031 USD / year
…the Veteran Transportation Service (VTS) Supervisory Mobility Manager for transportation workload forecasting, scheduling design, procedure development, and quality improvement…
Added 10 mins ago
VH
Rehabilitation Technician
Veterans Health Administration
White City, OR
- $40,736 to $65,599 USD / year
…interacts with interdisciplinary treatment teams on treatment plan development, implementation and progress review. He/she provides pertinent information during treatment team planning…
Added 10 mins ago
TS
Transportation Security Manager
Transportation Security Administration
Portland, ME
- $120,548 to $156,715 USD / year
This Transportation Security Manager position is located at Portland International Jetport (PWM), Transportation Security Administration, Department of Homeland Security (DHS). If selected…
Added 12 mins ago
Recruiter: Intermediate 1
Cook Systems
San Antonio, TX
Collaborate with cross-functional partners, including Background Investigations, Onboarding, Compensation, Workforce Management, and Learning & Development, to ensure successful class…
Added 13 mins ago
BO
Training Instructor (Vocational Training Instructor - Culinary)
Bureau of Prisons/Federal Prison System
Salters, SC
- $74,678 to $97,087 USD / year
…competency-based training, food safety standards, and hands-on skills development aligned with workforce…
Added 13 mins ago
VH
Materials Handler
Veterans Health Administration
Shreveport, LA
- $22 to $25 USD / hour
Added 15 mins ago
VH
Dentist - Oral and Maxillofacial Surgeon
Veterans Health Administration
Albany, NY
- $225,000 to $350,000 USD / year
Added 15 mins ago
VH
Peer Specialist
Veterans Health Administration
Fort Worth, TX
- $49,365 to $87,235 USD / year

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