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The Design Researcher is responsible for conducting and synthesizing human-centered design research to support client engagements and stakeholder projects. This role involves leading research activities, translating insights into solutions, and addressing user needs with a focus on design and innovation.

The role involves leading a team focused on Dental Network Development and retention, analyzing dental network data to identify growth opportunities, ensuring departmental metrics are met, and implementing strategies for achieving network expansion.

The Utilization Management Coordinator is responsible for initial and concurrent review activities, discharge care coordination, and data collection to assess the efficiency and quality of medical services. They act as a liaison among providers, assisting with eligibility verification and benefit determination while preparing quality care reports and advising on utilization management operations.

The Account Coordinator at HCSC is responsible for supporting clients and internal teams with inquiries related to claims, billing, and memberships. The role emphasizes building strong client relationships and ensuring high levels of customer satisfaction through effective communication and resource utilization.

The Manager of Billing & Commissions oversees the Billing Team, manages daily workflows, evaluates risks, and ensures quality. The role involves supervisory responsibilities for client service and premium reconciliation staff.

The Financial Analyst at HCSC will focus on sales and financial analysis, planning, and economic modeling to drive understanding of financial outcomes. The role involves preparing analytical reports and providing operational insights to support business decisions aimed at revenue growth and cost savings.

The Independent Dispute Resolution Representative is responsible for processing and coordinating all materials related to independent disputes and negotiations in accordance with federal and state regulations. This includes intake, database entry of new requests, and effective communication with providers based on thorough knowledge of guidelines.