Remote Rn Chart Auditor Jobs in Conroe, TX (NOW HIRING)

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 REQUIREMENTS:

• Registered Nurse (RN) or Registered Dietician or Licensed Master Social worker (LMSW) or Licensed Professional Counselor (LPC) with current, unrestricted, valid license in the state of operations.
• 4 years' experience in a position which requires understanding/applications of managed care products, e.g. PPO, HMO, and CDHP.
• 3 years clinical or behavioral counseling experience.
• Project management experience including development, implementation and follow-up.
• Knowledge of URAC, NCQA, State Department of Insurance and/or standards and accreditation processes of comparable regulatory bodies, i.e. JCAHO.
• Organizational skills for maintaining a library of presentations.
• Verbal and written communication skills for crafting presentation including developing corporate communications/ presentations.
• Business writing skills with ability to build customer relations.
• Ability to interact with numerous internal departments and keep abreast of products and service deliverables.
• PC proficiency to include Microsoft Applications with emphasis on developing PowerPoint presentations and other presentation formats.
• Ability to travel, including overnight stays.
  

PREFERRED JOB REQUIREMENTS:

• Registered Nurse (RN) or Registered Dietician
• Knowledge of HCSC internal product implementation processes and national account delivery model.
• Bachelor's degree.
• Client-facing experience.
• Knowledge of Business Acumen.
• Experience in role as strategic clinical consultant or clinical account executive.
• Strategic project management experience including development, implementation, evaluation and follow-up.
• Knowledge of the Health and Wellness Marketplace and Programming.
• Strong organizational skills and the ability to interact with numerous internal departments and keep abreast of products and service deliverables.
• Prior experience participating in and supporting RFPs for clients.
• 3+ years' experience as a Strategic Clinical Account Consultant/Executive in the Health and Wellness industry.
• 3+ years' experience working with large, complex national clients.
• 3+ years' experience analyzing and presenting clinical information and program performance data and recommended course corrections.
• Experience in presenting and working with major consulting firms

REQUIRED:
*Business, data and analytical (Microsoft 365) background.
*Travel (including overnight stays) 2 (two) times weekly. Mileage paid according to the IRS Mileage Guidelines.
*In-office presence for meetings and client briefing (in the Houston or Richardson office - depending on candidate's city of residence).
*Site visits to Providers.
*Candidates will need to be based not more than 1 (one) hour from the Houston or the Richardson office.
*Interview is in-person/in-office (in the Houston or Richardson office - depending on candidate's city of residence).

#LI-FW1

#LI-Remote
This is a Remote/Work-From-Home role for Houston, TX and Richardson, TX.

Due to business needs, candidates will need to be based not more than 1 (one) hour from the Houston or the Richardson office to qualify.

Sponsorship is not available

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 plansubject to the terms and the conditions of the plan.

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.

Exact compensation may vary based on skills, experience, and location.