Health Care Service Corporation - Employment Opportunities - Nationwide

Subject: [Non-DoD Source] 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: Reimbursement Analyst Claim Chk/Claim Audit Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for programing and implementing Enterprise claims auditing logic under the direction of the Manager Professional Reimbursement Programs. Assists in the implementation, updates and maintenance of code auditing software. JOB REQUIREMENTS Associate degree. 2 years experience in the h... ________________________________ Job Title: Business Architect Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK This position is responsible for developing a view of business capabilities (organization, process, tools, and technologies) required to deliver against the business requirements; creating future state enterprise business capability models and value chain models. Required Job Qualifications Bachelor Degree and/or 4 years In... ________________________________ Job Title: Sr Solutions Architect - Digital 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 Responsible for translating the client's... ________________________________ Job Title: Pharmacy Resident Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL NOTE This position is a full time position for one year in our Chicago headquarters with a 1 month rotation in our Albuquerque, NM office. BASIC FUNCTION This position as part of post graduate year one of pharmacy residency training is responsible for assisting pharmacists, other clinicians and pharmacy management with acti... ________________________________ Job Title: Medical Director Behavioral Health Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is a board certified psychiatrist responsible for medical necessity determinations with respect to behavioral health disorders at all levels of care which includes telephonic peer to peer (physician to physician) reviews and telephone reviews with facility UR personnel. Additional duties include... ________________________________ Job Title: Technical Accounting Specialist III 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 of financial data in the general ledger; developing ad hoc reports; and generating of monthly recap information necessary to support monthly statistical and financial reporting.; identifying, analyzing and evaluating requirements for implementation for cont... ________________________________ Job Title: Internal Operations Budget/Finance Consultant Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for providing support to all levels of Internal Operations and Enterprise Portfolio management and customers in the development and monitoring of divisional budgets and corporate projects; building complex financial models; and determining impact of potential mergers and acquisiti... ________________________________ Job Title: Medical Mgmt Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Provider Network Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Rockford, 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: Provider Network Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Danville, 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 Contact Management Center Analyst 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 serving as a liaison between contact center customers and the Contact Management Center (CMC); serving as a subject matter expert on CMC available technologies, services and processes; collecting customer business requirements; coordinating new customer implementation activiti... ________________________________ Job Title: Sr Director Business Solutions - Claims Company: Health Care Service Corporation Experience: 7 to 10 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 supporting... ________________________________ Job Title: Sr Director Portfolio Delivery - Data Company: Health Care Service Corporation Experience: 7 to 20 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 Key activities for the Enterprise Service Portfolio team... ________________________________ Job Title: Sr Systems Analyst Company: Health Care Service Corporation Experience: 6 to 8 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 designing e... ________________________________ 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: Technology Application Architect Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for ensuring alignment of project specific designs with application architecture roadmap; supporting project and/or product teams on functional and technical design activities; defining the interaction between application packages, databases, and middleware systems to optimize product functional... ________________________________ Job Title: Care Management Specialist II (RN) Company: Health Care Service Corporation Experience: 1 to 2 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for discharge care coordination, episodic case management and pre admission/post discharge counseling for an acute condition. This position is responsible for handling duties in an independent manner and may assist other staff. Establish relationship with the member through the im... ________________________________ Job Title: Medical Management Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Medical Management Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL Note This is a field based position that will require making visits to members homes. BASIC FUNCTION This position is responsible for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL Note This is a field based position that will require making visits to members homes. BASIC FUNCTION This position is responsible for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health... ________________________________ Job Title: University Relations - Data Science Analyst Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for using advanced mathematical and statistical concepts and theories to analyze and collect data and construct solutions to business problems. Performing statistical analysis on experimental or business data to validate and quantify trends or patterns identified by business analysts. Constructi... ________________________________ Job Title: University Relations - Data Science Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL What Are We Looking For? Passionate about working with data Keeps up with the latest technologies Has a strong learning mindset An interest in improving the healthcare system An ability to communicate complex technical concepts to non technical audiences What Do We Prefer? GPA of 3.5 or greater Progress towards a masters l... ________________________________ Job Title: Sr Systems Analyst - Salesforce Adminstration Company: Health Care Service Corporation Experience: 6 to 8 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 designing... ________________________________ Job Title: Lead Financial 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: Community Health Coordinator Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Danville, IL This position is responsible for contacting members and community partners in assigned areas and is responsible for performing ongoing functions to support the Social Service department. Responsible for contacting identified members to inform and educate them on health care programs, responding to inquiries from members, an... ________________________________ Job Title: Care Coordinator UM/CM III (RN) Company: Health Care Service Corporation Experience: 3 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for performing concurrent review and case management activities in accordance with approved departmental guidelines. Performs discharge planning and identifies alternate treatment programs for chronic or catastrophic cases while providing medically necessary cost effective service... ________________________________ Job Title: Compensation Manager Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for day to day and project support to assigned Human Resources Business Partner and their teams. Required Job Qualifications Bachelors Degree 5 years experience in the analysis, design, and/or administration of compensation programs Experience with leading others and managing projects Strong tec... ________________________________ 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: Pharmacy Data Coordinator Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for development and maintenance of reporting, data analysis, and assisting with projects. Monitor clinical pharmacy claims data focusing on quality, utilization, trends and cost analysis. Develop presentations and may facilitate presentations JOB REQUIREMENTS High school graduate.... ________________________________ 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 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: Quality Management Specialist II - BCBS Company: Health Care Service Corporation Experience: 2 to 3 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM Knowledge of NCQA and/or URAC standards and guidelines is preferred POSITION CAN BE FILLED IN ANY OF THE HQs OF THE 5 BCBS PLANS (TX, OK, NM, MT, IL) BASIC FUNCTION This position is responsible for facilitating FEP clinical quality improvement projects and evaluation of provider compliance with HCSC clinical practice guide... ________________________________ 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: Sr Director Financial Strategy & Planning Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM This position is responsible for advising senior business leaders by setting financial plans across the Medicaid business for multiple states. Ensures that performance goals are defined and met, identifying and reporting systematic business performance imperatives such as revenue growth and cost savings. This role will inte... ________________________________ 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 Systems Analyst - JAVA 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: University Relations - Treasury Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL University Relations Treasury Intern Why Intern at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United States and fourth largest overall, o... ________________________________ Job Title: Director Provider Contracting Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Springfield, IL BASIC FUNCTION This position is responsible for contract negotiations, network development activities, and strategy development/implementation for designated health care providers. Objectives of this position includes improving or maintaining network competitive discounts, converting percent of charge pricing to fixed prici... ________________________________ Job Title: Information Reporting Specialist Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM 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: Senior Manager, Internal Consulting Group 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: Sr Application Architect 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 This position is responsible for ensuring... ________________________________ Job Title: Unit Manager Quality & Accreditation Company: Health Care Service Corporation Experience: 3 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing staff accountable for designing, implementing and maintaining quality improvement programs and accreditation. This position is responsible for implementing strategies, developing and ensuring completion of projects, identifying areas for improvement, developing busine... ________________________________ Job Title: Manager Service Delivery Organization Process Excellence Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for the SDO process improvements in any of the following areas eligibility, enrollment & billing, claims administration and member/provider services across one or more lines of business. Partnering with operational process owners to establish strategic goals and process measures. Modifying,... ________________________________ Job Title: Process Excellence Consultant Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX Job Purpose The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; documenting the detailed end to end process including its technological underpinnings; supporting operational process owners to modify, monitor, continually improve, and standa... ________________________________ Job Title: University Relations - IT Developer Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL What Are Your Responsibilities? The HCSC IT Intern program is a highly customized internship which integrates you directly into HCSC's everyday life and will give you an idea of what it is like to be a full time employee. Depending on your role, you may use languages such as Java, enabling programming tools such as Jira and... ________________________________ Job Title: Systems 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 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: Executive Admin Assistant I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION Under supervision, this position is responsible for performing secretarial/administrative duties of a complex/confidential nature for a Vice President including composing and typing correspondence, report development, meeting coordination, maintenance of confidential documents, and screening phone calls/visit... ________________________________ Job Title: Medical Director I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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: Sr. XP Programmer Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies / delivery models. Required Job Qualifications Bachelor Degree and 4 years Information Technology experience OR Technical... ________________________________ Job Title: Unit Manager Member Care - Government Programs Company: Health Care Service Corporation Experience: 2 to 3 years Salary: Not Provided Job Location: Rockford, IL BASIC FUNCTION This position is responsible for implementing, coordinating, and maintaining Member Care Coordination strategies and programs to support government programs and enhancing health care outcomes for members; achieving cost containment goals and objectives for the department; managing teams involved in member car... ________________________________ Job Title: Analytics and Reporting Consultant / Informatics Consultant Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for gathering and assessing business information needs, gathering and preparing requirements, and creating easily consumable data visualizations for various levels of business leadership. Generates ad hoc reports, regular datasets, or automated dashboards for end users using syste... ________________________________ Job Title: Associate Division Strategy Consultant Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for supporting a broad array of strategic and analytical projects and initiatives and divisional planning; assisting with the development of the business plan and strategy for the division, as well as ad hoc analytic projects; achieving goals and desired outcomes, developing an understanding of... ________________________________ Job Title: Care Management Specialist II Company: Health Care Service Corporation Experience: 1 to 2 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for discharge care coordination, episodic case management and pre admission/post discharge counseling for an acute condition. This position is responsible for handling duties in an independent manner and may assist other staff. Establish relationship with the member through the im... ________________________________ Job Title: Cyber Event Incident Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX The position is responsible for enterprise security incident response (CIRT), incident triage and handling, leveraging security data from internal sensors (IDS, routers, SIMS, firewalls, hosts) and external sources (Industry portals, the DoD, US CERT, partners, etc) to implement effective mitigations through the review of s... ________________________________ Job Title: Finance Manager Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL This position in Finance is responsible for coordinating budgeting, forecasting and analysis activities across Health Care Management (HCM) and Pharmacy divisions. HCM exists to serve members, providers and internal partners across three Lines of Business (Group, Government and Retail). This role supports a Senior Director... ________________________________ Job Title: Medical Management Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Quality & Accreditation Regulatory Consultant 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 This position is responsible for oversight and guidance to manage and lead the legislative and regulatory reviews of HCSC Plans and operational business areas for all products supported by assigned lines of business from preliminary regulatory and legislative research leading to modeling/scenario planning and through implem... ________________________________ Job Title: Senior Analytics Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position will be responsible for the client facing data and analytics engagements for some of BCBSIL's largest clients. The candidate will preferably have Executive Level presentation experience or a proven track record of conveying complex ideas to a diverse audience. Will lead research in analyzing fin... ________________________________ Job Title: Senior Manager IT Product Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for the full lifecycle management of an IT product (application family), from strategic planning to tactical activities, specifying requirements for current and future products; leading ideation, technical development, and launch of new IT products; establishing a shared vision with business uni... ________________________________ Job Title: Senior Manager Product Portfolio Management Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION The Product Portfolio Management Team serves as the internal consulting group for Product Solutions in the areas of product messaging, analytics, pricing and other go to market areas, and collaborates closely with key stakeholders such as Underwriting, Actuarial, Client Analytics, Sales and Marcom, among othe... ________________________________ Job Title: Sr Manager Clinical Business Solutions Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing staff and project management coordination for divisional/enterprise Medical Management programs which includes developing, monitoring and evaluating medical management programs, care management strategies, and account management functions from the clinical perspective... ________________________________ Job Title: Systems 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 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. Java Developer - XP Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies/delivery models. Required Job Qualifications Bachelor's Degree and 4 years Information Technology experience OR Technical... ________________________________ Job Title: Java Developer - XP Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies/delivery models. Most development will be in JAVA and be focusing on working in an XP (Extreme Programming) Pairing enviro... ________________________________ Job Title: Senior Accreditation Coordinator Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX Responsible for operations compliance with accreditation and regulatory requirements in assigned areas. Responsible for developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance to state and federal regulations. Responsibilities include collecting data and developing complia... ________________________________ Job Title: Manager Vendor Management Strategy Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the vendor relationship and overall governance of the vendors and their performance. Serves as a relationship manager for internal clients and escalation point for Supplier Managers in client divisions regarding vendor performance. Ensures adherence to SLAs, enforcement of penalties... ________________________________ Job Title: Senior Vendor Management Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is a subject matter expert on vendor management services for assigned client(s), contractual terms, SLA(s), KPIs, guarantees and penalties. This position monitors / analyzes vendor performance, measures performance against SLAs, KPIs, anticipated ROI, identifies supplier improvement opportunitie... ________________________________ 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: University Relations - Project Coordinator Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for providing technical and operational support to departments, divisions or enterprise areas. Perform tasks include developing and managing projects; develop and facilitate training; writing system functionality; testing new development; and maintaining project plans, issue logs,... ________________________________ Job Title: Health Coordinator Government Programs 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, clinical staff, community partners and physicians on case and/or care management. Contact members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquiries from members, assist with th... ________________________________ Job Title: Senior Cybersecurity Vulnerability Specialist Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL The position is responsible for identifying technical security vulnerabilities by conducting application analysis, network analysis, and scanning; reporting security vulnerabilities and the risks those vulnerabilities present to Vice Presidents, Managers, and other technical individuals; recommending mitigating solutions to... ________________________________ Job Title: Sr Manager IT Product Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for the full lifecycle management of an IT product (application family), from strategic planning to tactical activities, specifying requirements for current and future products; leading ideation, technical development, and launch of new IT products; establishing a shared vision with business uni... ________________________________ Job Title: University Relations - Tax Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL University Relations Tax Intern (1 year Tax intern rotation) Why Intern at Blue Cross Blue Shield? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United States and fourth lar... ________________________________ Job Title: Business Analyst Company: Health Care Service Corporation Experience: 2 to 20 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 leading the... ________________________________ Job Title: Delivery Assurance Consultant Company: Health Care Service Corporation Experience: 1 to 4 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 assessing t... ________________________________ Job Title: Digital Marketing Consultant Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for assisting in the development of an e commerce strategy for one customer facing portal (member, provider, employer, broker, or employee) which supports the enterprise business plan; implementing the determined strategy; handling the day to day operations of the portal and e com... ________________________________ Job Title: Infrastructure Engineer Cloud Auto &Tools Consultant Company: Health Care Service Corporation Experience: 7 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for providing technical leadership in the formulation and execution of cloud architecture; participating in key architecture and Cloud based infrastructure decisions across the organization; developing processes, procedures, policies, and standards for Cloud and Automation services; designing an... ________________________________ Job Title: Infrastructure Service Delivery Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Waukegan, 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 handling 24... ________________________________ Job Title: Regulatory Analyst Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL; Richardson, TX; Oklahoma City, OK; Helena, MT; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for review and implementation of legislative and regulatory changes. Accountable for monitoring, analyzing and determining legislative and regulatory changes which impact the field of work. Coordinate implementation of changes including drafting of communications and training. Wor... ________________________________ Job Title: Sr Infrastructure Engineer - Cloud Automation & Tools Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for providing technical leadership in the formulation and execution of cloud architecture; participating in key architecture and Cloud based infrastructure decisions across the organization; developing processes, procedures, policies, and standards for Cloud and Automation services; designing an... ________________________________ Job Title: Sr Infrastructure Engineer Cloud Automation & Tools - Pivotal Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for providing technical leadership in the formulation and execution of cloud architecture; participating in key architecture and Cloud based infrastructure decisions across the organization; developing processes, procedures, policies, and standards for Cloud and Automation services; designing an... ________________________________ Job Title: Systems Specialist Company: Health Care Service Corporation Experience: 6 to 8 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: Unit Manager Clinical Operations (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Abilene, TX; Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals... ________________________________ Job Title: Project Manager Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTIONS This position is responsible for creating and managing project plans, including schedule, scope, for large, complex projects with minimal oversight; and managing internal resources across the clinical program departments for delivery of a products or services to internal and external entities, i.e. employer... ________________________________ Job Title: Data 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 designing operational and client reports for Utilization and Medical Quality Management division; coordinating data transmission processes; conducting tests on data extracts and reports; performing data analysis; and making recommendations for process improvements. JOB REQUIRE... ________________________________ Job Title: Quality Management Specialist II Company: Health Care Service Corporation Experience: 2 to 3 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for facilitating BCBS clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBS clinical practice guidelines; consults with MG/IPAs, physicians, providers, members, and other resources to assess, plan, facilitate implement, coordinate, monitor and eva... ________________________________ Job Title: Business Analyst Company: Health Care Service Corporation Experience: 2 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 This position is responsible for leading th... ________________________________ Job Title: Business Analyst Company: Health Care Service Corporation Experience: 2 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 This position is responsible for leading th... ________________________________ Job Title: Business Consulting Manager Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL This position is responsible for providing consulting, direction, guidance and support to help drive federal (retail, group, technical and corporate related) regulatory implementations across the enterprise. Assist executives, and their teams, in federal regulatory implementations, to include the translation of applicable r... ________________________________ Job Title: Care Coordinator UM/CM II Company: Health Care Service Corporation Experience: 1 to 3 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for performing concurrent review and case management activities in accordance with approved departmental guidelines; discharge planning and identifying alternate treatment programs for chronic or catastrophic cases while providing medically necessary cost effective services within... ________________________________ 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: Manager Reconciliation & Reporting Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the Illinois Medicaid Alternative Payment Program payment and reconciliation process. Responsible for leading the team that calculates alternative payments, prepares and delivers provider settlements, reconciles payments and claims. Responsible for the supervision of staff in the ha... ________________________________ 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: 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: Product Architect Consultant-Voice& Data Network Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for leading ideation, technical development, and launch of new Infrastructure products for their assigned products; developing infrastructure architecture roadmap and alignment with enterprise architecture; assisting in the development of preliminary product business case(s) aligned to required... ________________________________ Job Title: Senior Manager Analytics and Reporting Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing the analytical and reporting tools and data sets to produce valuable insights from our data that help improve the quality of the divisions business; gaining a deeper understanding of the division data in order to plan, manage and control the activities of a team of an... ________________________________ Job Title: Manager Client Consulting Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX As manager of the Health Advocacy Solutions (HAS) client support pod, your team will be on point for the communication of the performance of the product to our most sophisticated, custom national accounts. You will also engage leaders of the HAS Product Performance Group, Client Analytics, Product Development, Health Care M... ________________________________ 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: 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. Manager - QAT Governance Company: Health Care Service Corporation Experience: 9 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL; Richardson, TX This dynamic and exciting position is responsible for engaging and delivery industry best practices to the Testing and QA function at HCSC. This includes extending on current agile testing practices to better practices that deliver value, velocity, and quality to our Members. Championing the state of the art testing tools a... ________________________________ Job Title: University Relations - Enterprise IT Portfolio Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL; Richardson, TX Why Intern at Health Care Service Corporation? University Relations Enterprise IT Portfolio Intern This 10 week internship will be located in the Richardson, TX and Chicago, IL headquarters. What Are Your Responsibilities? Support the Enterprise IT Portfolio Product Manager with the following tasks Successful project delive... ________________________________