Health Care Service Corporation - Employment Opportunities - Nationwide

Health Care Service Corporation - Employment Opportunities [Health Care Service Corporation] Request to Provide Candidates We are a Federal Contractor and Affirmative Action Employer. Below you will find the positions for which we are currently seeking qualified candidates. Please consider this as a request to provide candidates for the following positions: Job Title: Assistant IT Product Manager Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting the IT Product Manager with lifecycle management of an IT product (application family); triaging inbound requests for the product manager (i.e. bug fixes or new projects); acting as a proxy for the IT Product Manager to interact with project teams and assisting the IT Product Manag... ________________________________ Job Title: Director Vendor Management Strategy Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for the oversight and management of suppliers and contracts that are utilized to support healthcare management, analytics, utilization management and other critical functions of HCSC's commercial and government business divisions. The successful leader will Be recognized as the au... ________________________________ Job Title: Infrastructure Service Delivery Analyst - TelCo Provisioning Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for handling 24... ________________________________ Job Title: Instructional Designer I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating course level design strategy documents, and designing effective and efficient learning deliverables for the Internal Operations divisions. Performing instructional design for Instructor Led, Web Based, and blended solutio... ________________________________ Job Title: Medical Management Trainer - Central IL Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Danville, IL; Quincy, IL; Champaign, IL; Springfield, IL The position can be located in Champaign, Danville, Springfield, or Quincy IL BASIC FUNCTION This position is responsible for developing and performing the clinical, non clinical, and systems training; new employee orientation; and integration of identified Quality Improvement activities into the training curriculum for the... ________________________________ Job Title: Medical Management Trainer - Chicago HQ Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for developing and performing the clinical, non clinical, and systems training; new employee orientation; and integration of identified Quality Improvement activities into the training curriculum for the Medical Management department. JOB REQUIREMENTS Current, unrestricted license... ________________________________ Job Title: Network Operations Coordinator Company: Health Care Service Corporation Experience: 2 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for the Contracting, Credentialing, and maintenance of Professional Provider Data to support Marketing, Membership and Network Contracting across all lines of business. Provides accurate and timely administration of provider contracts, rosters and requests to support quality initiatives to ensur... ________________________________ Job Title: Senior Associate Financial Strategy & Planning Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading the identification and reporting of systematic business performance imperatives such as revenue growth and cost savings. This position is also responsible for leading in the preparation of models, presentation materials, studies and systems for the purposes of presenting to senior le... ________________________________ Job Title: Executive Director Business Solutions - Product / Group Support Company: Health Care Service Corporation Experience: 10 to 14 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for supporting... ________________________________ Job Title: Claim Technician Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Danville, IL Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims. Required Job Qualifications High School diploma or GED. Data entry and/or typing experience. Clear and concise written and verbal communication skills... ________________________________ Job Title: Clinical Pharmacy Manager Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for directing the development, maintenance and on going oversight for clinical and operational programs and processes for enterprise pharmacy Government programs of Medicare and Medicaid. This includes but is not limited to CMS stars and Medicaid quality withhold programs, Medicar... ________________________________ Job Title: Division Strategy Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for supporting a broad array of strategic, analytical projects and divisional planning; assisting with the development of the business plan and strategy for the division, as well as ad hoc analytic projects; interfacing with various business teams to achieve goals and desired outcomes, developin... ________________________________ Job Title: Intake & Demand Associate Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Marshall, TX; Abilene, TX; Chicago, IL; Great Falls, MT; Richardson, TX; San Angelo, TX; Quincy, IL; Rockford, IL; Mattoon, IL; Naperville, IL; Danville, IL; Jacksonville, IL; Wichita Falls, TX; Sprin... This position is responsible for managing intake of all project demand impacting assigned systems and processes. Leading business case initiation, writing, reviewing, assessment and impact analysis including financial and operational aspects. Leading the enterprise and business demand across portfolios, understanding custom... ________________________________ Job Title: Medical Director I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. JOB REQUIREMENTS Physician with a current and unrestricted physician license in a state or territory of the United States. Maintain Board... ________________________________ Job Title: RN Sr Manager Quality Measurements HEDIS/NCQA Company: Health Care Service Corporation Experience: 3 to 5 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for directing a team of clinical and non clinical staff in quality management and quality improvement activities including HEDIS, QRS reporting, NCQA accreditation and regulatory compliance and submissions. Ensures successful HMO and PPO NCQA HEDIS and QRS Measure Set data collect... ________________________________ Job Title: Provider Network Implementation Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Analytics Strategy Principal Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for leading the two way function of expressing business strategy in analytics terms to key counterparts across lines of business and functional areas, and in turn helping translate line of business strategic and operational execution into a cohesive sum of parts for HCSC to achieve our business... ________________________________ Job Title: Clinical Auditor Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for the day to day management of medical issues involving Medical Group/Individual Physician Associations (IPAs), members, providers, and vendors; assisting medical groups in following the Mental Health and clinical guidelines; assisting members in accessing mental health care; as... ________________________________ Job Title: Risk Adjustment Program Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTIONS This position is responsible for regulatory management and leadership of complex and evolving regulatory activities to support GPD Revenue Management operational needs and deliverables; serves as subject matter expert in cross functional teams; facilitate and participate in evaluation, development and implem... ________________________________ Job Title: Senior Manager, Product Development Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing product direct reports and cross functional teams in identifying product opportunities in new and complex emerging markets. Leads the development process from inception to product launch for new products. Works to ensure that new products to ensure regulatory complian... ________________________________ Job Title: Sr Manager Resource Development Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." J ob Purpose This position is responsible for managing... ________________________________ Job Title: Sr Systems Analyst Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Busi... ________________________________ Job Title: Sr Technology Architect Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." BASIC FUNCTION As a member of the Enterprise Architectu... ________________________________ Job Title: Primary Nurse Case Admin I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for performing a variety of clinical functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator may... ________________________________ Job Title: Program Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for managing and delivering multiple divisional strategic, enterprise and account initiatives across people, process and technology. This role will be leading and collaborating with Business Operations with scope decisions based on business knowledge, organizing and conducting regular progress m... ________________________________ Job Title: Sr Environment Analyst Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing environment configuration, environment governance, and continuous improvements; maintaining environment maps as they relate to the Release Plan; owning capacity and performance management as it relates to the environments; configuring and automating dev and test environment, deploym... ________________________________ Job Title: Sr Manager Project Delivery Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for collaborating with business partners to align business solutions; serving as a liaison between the business community and the key stakeholders in order to provide quality technical solutions to meet user needs; supporting business needs across delivery cycle and production and/or system chan... ________________________________ Job Title: Sr Mgr Project Delivery Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for collaborating with business partners to align business solutions; serving as a liaison between the business community and the key stakeholders in order to provide quality business solutions to meet user needs; supporting business needs across delivery cycle and production and/or system chang... ________________________________ Job Title: Sr Project Delivery Specialist Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for collaborating with business partners to align business solutions. Serving as functional liaison between the Intake team, and operations teams. Reviewing project scope, supporting business needs across delivery cycle and production and/or system change requests to deliver on enterprise initia... ________________________________ Job Title: University Relations - Accountant I Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for supporting the preparation of financial reports and statements by collecting and preparing journal entries and account reconciliations according to provided standards. Evaluating data for reasonableness and researching questions or troubleshooting errors that may involve sever... ________________________________ Job Title: Utilization Management Coord Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service req... ________________________________ Job Title: Market Strategy - Business Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX Develop market, competitive and internal analytics in support of strategy development. Serve as internal consultants to leadership on key initiatives and strategies. Facilitate and participate in strategy development workshops. Formulate action plans to develop and implement projects. Coordinate development of initiatives a... ________________________________ Job Title: Strategy Analyst - Divisional Planning Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL Located in Chicago, IL this position is responsible for supporting a broad array of strategic and analytical projects and initiatives and divisional planning. The role will assist with the development of the business plan and strategy for the division, as well as ad hoc analytic projects. Required Job Qualifications Bachelo... ________________________________ Job Title: Care Coordinator UM/CM I (RN) Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and impl... ________________________________ Job Title: Application Architect - Mulesoft AnyPoint Platform or Elastic Stack Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." HCSC is committed to diversity in the workplace and to... ________________________________ Job Title: Assistant Analytics Consultant Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION The Assistant Analytics Consultant Health Economics Team is part of our Client Analytics division and supports our largest National Accounts. Responsible for constructing forecasts, recommendations and strategic / tactical plans based on business data and market knowledge. Creates specifications for reports a... ________________________________ Job Title: Associate Internal IT Auditor Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for participating in sub audits or small audits of IT security, financial and operational controls of various departments to assure compliance with prescribed procedures and policies. Required Job Qualifications Bachelor degree in a business related field OR have completed an HCSC internship OR... ________________________________ Job Title: Cost Accountant I Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for gathering and reviewing cost data needed for proper allocation to corporate product lines and inter company agreements; and preparing internal and external administrative cost reports. JOB REQUIREMENTS Bachelor Degree in Accounting or Finance. 1 year experience in a Corporate... ________________________________ Job Title: Holistic Health Specialist (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate optio... ________________________________ Job Title: Infrastructure Asset Management Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for executing IT hardware and software asset management processes and activities for IT; providing necessary reports or data to teams that require Asset data such as PSS, Tax, and Finance; tracking and maintain all lifecycles of an asset in appropriate technology; maintaining accurate record kee... ________________________________ Job Title: Internal IT Auditor I Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for assisting in conducting independent audits of Information Systems Operations and applications; and performing information systems audits of existing application systems, systems under development, and general control reviews JOB REQUIREMENTS Bachelor Degree in Information Syst... ________________________________ Job Title: Lead Actuarial Systems Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for the planning, development, analysis, and implementation of procedures and/or processes to design a sequence of steps for processing data by a computer; knowledge of programming techniques and computer systems to evaluate requests for new or modified programs, systems, or datab... ________________________________ Job Title: Product Development Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for functioning as an internal product development consultant and project manager, to lead products from ideation through development, commercialization, growth and maturity to retirement; assisting Sales and Retention Business Units in developing basic products that address their... ________________________________ Job Title: Project Management Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for project management and leadership of major, complex, and strategic cross divisional and enterprise wide projects from inception to completion; oversight, coordination, and ability to implement projects according to dynamic and critical timelines; oversight of project teams, re... ________________________________ Job Title: Sr Infrastructure Service Delivery Analyst Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Not Provided Job Location: Waukegan, IL; Chicago, IL; Richardson, TX This position is responsible for handling 24x7 operations infrastructure support services of all non production and production environments in the area of responsibility; handling the use of analytics to improve service, availability, and customer interactions; handling incident resolution and issues escalated by vendors; t... ________________________________ Job Title: Sr Manager Project Delivery- CCSP Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Oakbrook Terrace, IL; Helena, MT; Tulsa, OK; Albuquerque, NM The CCSP Program is a large multi year initiative aimed at modernizing and redesigning HCSC's claim and customer service processes and underlying technology platform. As a Senior Manager on the CCSP Program you will direct a team of subject matter experts to dive deep into understanding our as is business process and repres... ________________________________ Job Title: Sr. Manager IT Product - Mobile Apps Company: Health Care Service Corporation Experience: 2 to 5 years Salary: Not Provided Job Location: Chicago, IL This role is responsible for the development of our overall mobile approach and strategy, considering user preference, device functionality, marketplace insights, innovation in user experience design and business objectives and key results desired. The role will also lead the design, development and product management of mo... ________________________________ Job Title: University Relations - Fellowship Program - Emerging Markets Strategy & Enterpri Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL The Fellowship Program Emerging Markets Strategy & Enterprise Network is a 12 month development program focused on building the foundation for strategic thinking and transformational change in the health care payer space, an area that is dynamic, rapidly evolving, and a key focus of national discussions on the future of hea... ________________________________ Job Title: University Relations-Service Delivery Operations Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL include, but are not limited to Supporting analysis to assist in making strategic program decision Assisting in ongoing maintenance of the project schedule and development of weekly status reports Developing and maintaining relationships with project team members to obtain project objectives Updating project documentation W... ________________________________ Job Title: Senior Data Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL BASIC FUNCTION This position is responsible for enterprise quality and analytics support and functioning as subject matter expert in creating reports, insights and analytics related to Healthcare Employer Data Information Set (HEDIS) reporting, Quality Star Rating (QRS), state specific reporting and other tasks associated w... ________________________________ Job Title: Manager Government Program Compliance Debarment Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing HCSC's enterprise debarment and sanction screening program in support of HCSC's compliance program; will oversee processes for screening members, employees, providers and contractors against state and federal exclusion lists; interface with all levels of HCSC management to implement... ________________________________ Job Title: Health Coordinator Company: Health Care Service Corporation Experience: 1 to 2 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities. JOB... ________________________________ Job Title: Senior Clinical Program Designer Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for supporting clinical program development in collaboration with Health Services business partners and cross functional work groups. The Clinical Program Designer assists in the development and implementation of efficient and effective standards, policy and procedures, and decision support syst... ________________________________ Job Title: Tax Accountant I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for compiling corporate tax records, prepares sections of assigned federal and state tax returns, performs assigned tax accounting, providing tax research and planning analysis and support as required, including interpretation of tax laws and regulations where applicable. Job Responsibilities Pr... ________________________________ Job Title: Business Development Analyst -Retail Partnership Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for supporting the retail strategy and exploring partnerships with retailers. Executes partnerships with retailers that will lead to the acquisition of new retail members for HCSC. Assess and evaluate partnerships with retailers, contributing to the development of RFPs and negotiation of potenti... ________________________________ Job Title: Financial Strategy & Planning Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading in critical analysis of models, studies and systems for the purposes of driving a deep understanding of the financial outcomes of a Line of Business; and facilitating preparation of analytical reports and presentation materials. Develops financial and operational insight with respect... ________________________________ Job Title: Financial Strategy & Planning Specialist Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for participating in critical analysis of models, studies and systems for the purposes of driving a deep understanding of the financial outcomes of a Line of Business; and participating in preparation of analytical reports and presentation materials. Assists development of financial and operatio... ________________________________ Job Title: Manager Product Implementation Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for bringing seniority and experience to the managing of multiple strategic, cross enterprise end to end implementations of varying complexity and strategic importance; managing the product implementation team as they serve as business leads during an implementation, executing the... ________________________________ Job Title: Medical Management Trainer Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for developing and performing the clinical, non clinical, and systems training; new employee orientation; and integration of identified Quality Improvement activities into the training curriculum for the Medical Management department. JOB REQUIREMENTS Current, unrestricted license... ________________________________ Job Title: Senior Actuarial Associate- IL Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for performing analysis; and assisting in design of pricing, underwriting, statistical, and reserving systems for assigned lines of business. JOB REQUIREMENTS Bachelor Degree in Actuarial Science or Mathematics. Associateship in the Society of Actuaries (ASA) or completion of 6 ex... ________________________________ Job Title: Sr. Compensation Analyst Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM BASIC FUNCTION This position is responsible for coordinating/leading projects for Corporate Compensation and acting as consultant/liaison between Compensation and customers; ensuring proper job descriptions and evaluations of positions; researching/participating in development of salary administration programs including inc... ________________________________ Job Title: Senior Manager Identity & Access Management Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose Leads a team responsible for managing the te... ________________________________ Job Title: Customer Advocate I Company: Health Care Service Corporation Experience: 1 to 9 years Salary: Not Provided Job Location: Marshall, TX; Abilene, TX; Great Falls, MT; Richardson, TX; San Angelo, TX; Quincy, IL; Rockford, IL; Mattoon, IL; Danville, IL; Jacksonville, IL; Wichita Falls, TX; Helena, MT; Springfield, IL; Albuq... BASIC FUNCTION Under supervision, this position is responsible for working on the phone all day in a call center to assist other Blues Plans by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include conducting research; spends approximately 90% of the scheduled time on the p... ________________________________ Job Title: Financial Analyst Network Development Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for all functions in the HMO medical group/Independent Practice Association (IPA) payment process. This includes support for creating basic HMO contract agreements, negotiating terms, generating contract amendments, payments, reconciliation processes, and medical group and IPA specific reporting... ________________________________ Job Title: Senior Manager IT Product Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for the full li... ________________________________ Job Title: Senior Manager, Government Operations Capability Strategy Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for functioning as an enterprise consultant, working within HCSC to provide strategic advisory and lead engagements to resolve complex business issues and implement solutions; playing a critical leadership role on enterprise level engagements responsible for direct management, but... ________________________________ Job Title: Cost Accountant II (Financial Systems Support) Company: Health Care Service Corporation Experience: 1 to 4 years Salary: Not Provided Job Location: Chicago, IL Our industry is growing! HCSC is proud to be a leader in the health insurance industry with multiple growth opportunities in our finance team and across the company. At HCSC, we have a responsibility to play an active role in keeping health care costs manageable for our members and a commitment that guides us in fostering g... ________________________________ Job Title: IT Finance Manager Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL The IT Finance Manager will be responsible for the financial and business partner support for the Technology Office, focusing on Infrastructure and Architecture. This position will be part of the overall IT Finance leadership team, responsible for coordinating Financial Planning and Analysis activities across the Informatio... ________________________________ Job Title: Associate Proposal Writer Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Houston, TX; Danville, IL; Oklahoma City, OK; Bozeman, MT; Abilene, TX; Richardson, TX; Quincy, IL; Downers Grove, IL; Great Falls, MT; Rockford, IL; Waco, TX; Amarillo, TX; El Paso, TX; Waukegan, IL;... BASIC FUNCTION This position is responsible for initiating the writing and coordinating of the activities associated with the Request for Proposal (RFPs) process ensuring the highest quality of service is provided while remaining consistent with the Companys policies, procedures and philosophies. Participate in the activiti... ________________________________ Job Title: Primary Nurse Case Administrator I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL Basic Function This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs concurrent re... ________________________________ Job Title: Assistant Actuary Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position supports our Medicare Part D products, part of our Government Programs line of business. The right candidate for this role must be a self starter who likes to create processes and procedures. This role requires a critical thinker who can work independently and has strong analytic capability. JOB... ________________________________ Job Title: Business Analyst Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading the development of functional and non functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirements; supporting the Business Solutions Lead in key project intake activities. Job Responsibilities Part... ________________________________ Job Title: Compensation Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM BASIC FUNCTION This position is responsible for developing job descriptions and conducting job analysis and evaluations for assigned business areas; conducting market analyses and recommendations; participating in salary surveys; and assisting in the annual salary compensation review. Support the administration of compensat... ________________________________ Job Title: Contract Specialist Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for drafting of standard and customized account specific documents for new and renewing accounts with redrafts of up to ten paragraphs. This position is responsible for drafting non standard contract language and coordinating the production of documents working with account manage... ________________________________ Job Title: Intake and Demand Associate Company: Health Care Service Corporation Experience: 2 to 7 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for support on intake of all project demand impacting assigned systems and processes. Responsible for business case initiation, review, assessment and impact analysis. Serves as a liaison for the enterprise and business demand, to understand customer needs, project estimation, and provide a seam... ________________________________ Job Title: Investment Accounting Coordinator Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION (Investment Accounting) This position is responsible for participation in general administrative duties (scanning, faxing, filing and copying). This position is responsible for working with the internal investment team, external investment managers, and all HCSC custodians to ensure the processing of accurate... ________________________________ Job Title: Principal Informatics Consultant Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for gathering and assessing business information needs and preparing system requirements. Performs analyses, development and evaluation of data mining in a data warehouse environment which includes data design, database architecture, metadata and repository creation. Uses data min... ________________________________ Job Title: Registered Nurse- Holistic Health Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate optio... ________________________________ Job Title: Sr Informatics Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for gathering and assessing business information needs and preparing system requirements. Performs analyses, development and evaluation of data mining in a data warehouse environment which includes data design, database architecture, metadata and repository creation. Uses data min... ________________________________ Job Title: Sr Manager Infrastructure Service Delivery Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading 24x7 operations infrastructure support services of all non production and production environments in the area of responsibility; driving the use of analytics to improve service, availability, and customer interactions; driving incident resolution and issues escalated by vendors; tran... ________________________________ Job Title: Sr Manager Financial Strategy & Planning Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading a team providing business intelligence support for business segments; thought leadership to the critical analysis of models, studies and systems to drive a deep understanding of the financial outcomes of a Line of Business; anticipating the implications and consequences of situations... ________________________________ Job Title: Associate Business Consultant - Market Strategy Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for providing business analysis to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency. The resource may support teams responsible for implementation of initiatives with basic to moderate complexity that affect mul... ________________________________ Job Title: Clinical Account Executive Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for providing consultative and strategic oversight for assigned Health Care Management account(s) to meet the needs of the customer. In collaboration with the Sales and Account Management teams, cultivates relationships, liaise with vendors and service accounts to support custom c... ________________________________ Job Title: Provider Network Associate Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Mattoon, IL; Danville, IL; Chicago, IL; Jacksonville, IL; Quincy, IL; Rockford, IL; Belleville, IL; Marion, IL; Springfield, IL BASIC FUNCTION This position is responsible for supporting Medicare and Medicaid provider services, provider operations and contracting of individual Medicare and Medicaid providers. This position is accountable for researching and resolving provider inquiries arising from contract operations, system, data entry claims paym... ________________________________ Job Title: Provider Network Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Mattoon, IL; Danville, IL; Chicago, IL; Jacksonville, IL; Quincy, IL; Rockford, IL; Belleville, IL; Marion, IL; Springfield, IL BASIC FUNCTION This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. JOB R... ________________________________ Job Title: Sr. Director Digital User Experience, Creative Lead Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL With the nationwide focus on improving healthcare has led to a spur of innovation, with that comes the opportunity for Health Care Service Corporation (HCSC) and this team to make a difference. Solve challenging problems and make decisions. Every day is different and you can make a tangible impact, day one.HCSC is dedicated... ________________________________ Job Title: Technical Accounting Specialist II Company: Health Care Service Corporation Experience: 2 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for identifying, analyzing and evaluating requirements for implementation; developing written test plans from requirements document; developing and executing test cases; reporting and communicating issues/ discrepancies and recommending solutions; assist in project support impacti... ________________________________ Job Title: Manager Medicaid Provider Network Company: Health Care Service Corporation Experience: 6 to 10 years Salary: Not Provided Job Location: Mattoon, IL; Danville, IL; Chicago, IL; Jacksonville, IL; Quincy, IL; Rockford, IL; Belleville, IL; Marion, IL; Springfield, IL JOB REQUIREMENTS Bachelor Degree and 6 years of health care network management experience OR 10 years of health care network management experience. 3 years management experience. Experience and skilled in developing working relationships with providers, provider groups and facility representatives. Knowledge of provider/net... ________________________________ Job Title: Care Coordinator UM/CM I (RN) Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and impl... ________________________________ Job Title: Sr. Manager - QAT Governance Company: Health Care Service Corporation Experience: 3 to 9 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members." Job Purpose This position is responsible for developing...