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Health Care Service Corporation
Health Insurance (Payers)
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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.
NOTE: This is a WFH role. Sponsorship is not available including if you are currently on OPT.
Required Job Qualifications:
Bachelor's degree with 4 years of Information Technology experience, OR technical certification and/or college coursework with 6 years of Information Technology experience, OR 8 years of Information Technology experience.
*Experience in application architecture, solution design, or product architecture.*Experience with application development platforms and modern
programming technologies.
*Experience with cloud computing platforms and services.
*Experience with DevOps, CI/CD pipelines, and Agile delivery methodologies.
*Experience with enterprise integration technologies and API-based architecture.
*Strong analytical, problem-solving, and collaboration skills.
*Ability to communicate effectively with both technical and business
stakeholders.
Preferred Job Qualifications:
*Experience architecting solutions within Healthcare Payer, Payment Integrity, Claims Processing, Revenue Management, or related healthcare domains.
*Deep understanding of Payment Integrity functions, including pre-payment and post payment editing, coding validation, reimbursement methodologies, provider billing compliance, and claims adjudication workflows.
*Experience integrating third-party Payment Integrity solutions, including claims editing, audit recovery fraud, waste, and abuse platforms.
*Proven ability to design end- to-end enterprise solutions that span multiple systems, products, and business domains.
*Strong knowledge of healthcare data and transaction processing, including claims, provider, member, and clinical integrations.
*Experience with cloud-native architectures, microservices, APIs, event driven systems, and modern integration frameworks.
*Understanding of application security, healthcare compliance, data privacy, and secure design principles.
*Experience leading architecture governance, vendor evaluations, and strategic technology roadmap development.
*Demonstrated ability to influence technical direction and align cross-functional stakeholders around a shared architectural vision.
*Strong leadership, communication, relationship-building skills and thrive in highly collaborative environments and excel at building strong partnerships across teams.
This is an opportunity to work on high-visibility initiatives that directly impact healthcare affordability, claim accuracy, and member experience. You'll be part of a collaborative product organization focused on innovation, continuous improvement, and delivering meaningful outcomes for our customers, providers, and members.
If you're looking to make a measurable impact while advancing your career in healthcare technology and payment integrity, we'd love to hear from you.
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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.
This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
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.
Exact compensation may vary based on skills, experience, and location.
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