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: Care Coordinator UM/CM II Company: Health Care Service Corporation Experience: 1 to 3 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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: Client Implementation Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for leading client facing implementation initiatives and accountable for national/key account operational deliverables. Responsible for leading multi disciplinary teams representing various internal operational areas and for account installation management. In collaboration with S... ________________________________ Job Title: Enterprise Supplier Management Advisor Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL (Role specific, should be modified by hiring manager for specific needs) Critical member of a high performing team, responsible for executing on supplier governance solutions for suppliers in support of the HCSC business needs. Responsible for fostering relationships (internal and external), and managing performance and iss... ________________________________ 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 (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 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: SDG Implementation Analyst II Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for implementing new or renewing accounts, new legislation, and products across the enterprise. Works with cross functional HCSC teams/internal stakeholders to coordinate the implementation. Responsible for communications and implementation artifacts that describe progress, issues, and risks sur... ________________________________ Job Title: Ancillary Business Analyst 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 ancillary strategy around such products as dental, vision, life, etc. Key responsibilities include assisting product development, developing sales channels, managing marketing campaigns, evaluating and reporting on product and channel performance. The analyst will inter... ________________________________ Job Title: Enterprise Supplier Management, Manager Company: Health Care Service Corporation Experience: 5 to 8 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading a high performing team of resources within PSS, and the management of a team within Enterprise Supplier Management. Responsible for providing leadership around the execution of supplier management for all suppliers within scope. This position will also manage complex, enterprise and... ________________________________ Job Title: Senior Strategy Program Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing programs and projects that support Enterprise Network Strategy goals and objectives; partnering with stakeholders in developing and managing to budgetary estimates, developing funding requests, monitoring performance against goals and objectives and developing communications or othe... ________________________________ Job Title: Sr Application Architect - Datastage 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 a... ________________________________ Job Title: Sr Application Architect - Datastage 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: Sr Application Architect - Java 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 a... ________________________________ Job Title: Sr Application Architect - Mainframe 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: Sr 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: Clinical Quality Review Specialist (RN) 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 facilitating Member and Provider Appeals; working closely with Full Service Unit (FSU), Provider Telecommunication Center (PTC), and Medical Management Department (MMD) to ensure appeal process meets established guidelines; adhering to accreditation and regulatory requirements... ________________________________ Job Title: Sr Portfolio Delivery 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 assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of de... ________________________________ Job Title: Analytics & Reporting Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and... ________________________________ Job Title: Sr Business Analyst Company: Health Care Service Corporation Experience: 4 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 Resposibilities Leads... ________________________________ Job Title: Sr 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: Sr Manager Threat & Vulnerabilty Management Company: Health Care Service Corporation Experience: 5 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 Information... ________________________________ Job Title: 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 Coordinator UM/CM I - Downers Grove (Sept) Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appro... ________________________________ 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: Clinical Pharmacy Manager (Medicaid Operations) Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL POSITION IS LOCATED IN THE CHICAGO IL. HQ'S OFFICE, DOWNTOWN Knowledge of Medicaid, Medicare Health Plan and PBM operations is preferred BASIC FUNCTION This Clinical Pharmacy Manager Utilization Management position is responsible for coordinating, analyzing, reviewing and optimizing the operational metrics for the Coverage... ________________________________ Job Title: Health Coordinator Government Programs Company: Health Care Service Corporation Experience: 1 to 2 years Salary: Not Provided Job Location: Waukegan, 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: Medical Management Specialist I - Transition of Care Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Rockford, IL BASIC FUNCTION 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 REQUIREMENTS Register... ________________________________ Job Title: Provider Network 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 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: Senior Informatics Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL As part of our Enterprise Network Solutions & Provider Partnerships Department, you'll support Value Based Care Modeling development, including ACOs and Episodes of Care. You will also support the HCSC Network teams by conducting impact analysis of new models. The work you do has a direct impact on our providers, members an... ________________________________ Job Title: Sr Manager Medicaid Operations Company: Health Care Service Corporation Experience: 4 to 10 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position will be responsible for setting the strategy and managing operational oversight of one or more HCSC Medicaid core operation functions (e.g. billing, claims, enrollment, customer service), delegated vendors and key business partners. The incumbent will serve as a liaison supporting key functional... ________________________________ Job Title: University Relations - Sales/Account Associate Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for learning specific aspects of the Sales/Marketing operations; and assisting in or supporting Sales Representatives/Account Management personnel in the prospecting, acquiring or renewing business. ESSENTIAL FUNCTIONS Support Sales/Account Management personnel to assist in prospe... ________________________________ 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: 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." Job Purpose and Responsibilities This Gateway and Inte... ________________________________ 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: 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: Associate Medicaid Ops Specialist Company: Health Care Service Corporation Experience: 1 to 5 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for providing assistance to the Medicaid Operations Specialist on operational services, works with Medicaid Operational Specialist with program implementation and coordination for one or more of the day to day Medicaid operation functions (e.g. billing, claims enrollment, encounter submissions a... ________________________________ Job Title: Manager Medicaid Operations Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for the management oversight of Medicaid core operation functions (e.g. claims, enrollment, customer service, benefits, appeals/grievances, encounters, revenue reconciliation) in collaboration with HCSC Enterprise Medicaid and in accordance with contractual and regulatory requirem... ________________________________ Job Title: Accounting Policy Manager Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed; conducting research; preparing documentation of findings and consulting w... ________________________________ 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: 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: BA 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: 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: Manager Product Development - Emerging Products Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL This role is a leadership position within Product Solutions, and is an exciting opportunity to work in a fast paced environment, which will manage a highly motivated team that leads Emerging Product efforts. The role will provide leadership to a team with a focus on evaluating emerging market trends, addressing strategic pr... ________________________________ Job Title: Senior Manager Product Development - Emerging Products Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL This role is a leadership position within Product Solutions, and is an exciting opportunity to work in a fast paced environment, which will manage a highly motivated team that leads Emerging Product efforts. The role will provide leadership to a team with a focus on evaluating emerging market trends, addressing strategic pr... ________________________________ Job Title: Senior Manager Product Development -Pharmacy Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL This role is a leadership position within Product Solutions, leading the team which manages a portfolio of Pharmacy products. This is an exciting opportunity to work in a fast paced environment, leading a highly motivated team, to manage existing products and contribute to the strategy for both current and next generation p... ________________________________ Job Title: Sr Internal IT Auditor I Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for reviewing and evaluating all aspects (or any portion) of automated information processing systems, which includes non automated processes, and the interface between them; and assisting Lead Systems Auditor in providing team leadership to Information Systems Audit efforts, ensuring Informatio... ________________________________ 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. Cloud Security 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." Job Purpose This position is responsible for helping de... ________________________________ Job Title: Provider Affairs Project Consultant Company: Health Care Service Corporation Experience: 5 to 7 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for functioning in a lead role in developing and implementing strategic goals of the department; working as the liaison between department and all areas of HCSC; providing leadership to the team that supplies project management expertise. JOB REQUIREMENTS Bachelor Degree with 5 ye... ________________________________ 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: Business Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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 requirement. Required Job Qualifications Bachelor Degree and 2 years Information Technology experience OR Techni... ________________________________ Job Title: Sr. Program Manager Company: Health Care Service Corporation Experience: 6 to 7 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible managing one or more highly complex or enterprise wide program(s) consisting of multiple projects; being accountable for end to end delivery of a complex program (could include multiple projects), including managing the cost / budget, schedule & dependencies, resources, scope, quality, and risk;... ________________________________ Job Title: Sr IT Metrics & Reporting Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for designing and developing end to end Infrastructure metrics and KPI reporting to support Infrastructure Product Management, Engineering and Operations functions; developing performance metrics and reporting to continuously improve managing the business of IT; act ingas the primary liaison bet... ________________________________ 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: Financial Business Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This role is focused on gathering customer needs and translating those needs into requirements used by IT to transform them into a quality product. Knowledge of the SDLC, SDM, Waterfall, and Agile methodologieds are necessary to be successful in this role. This role calls for data analytics, a deep understanding of relation... ________________________________ Job Title: Accountant II Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for all daily and monthly balancing, journal entries, and account reconciliation for all Blue Card activity, both Host and Home enterprise. Monthly account balancing for Away from Home Care HMO activity. Supports Marketing in setting up accounts with members subject to NY Health C... ________________________________ Job Title: IT Financial Analyst IV Company: Health Care Service Corporation Experience: 5 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 Management Specialist I - Transition of Care Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Waukegan, IL BASIC FUNCTION 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 REQUIREMENTS Register... ________________________________ Job Title: Medical Management Specialist I - Transition of Care Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Peoria, IL BASIC FUNCTION 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 REQUIREMENTS Register... ________________________________ Job Title: Medical Management Specialist I - Transition of Care Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Danville, IL BASIC FUNCTION 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 REQUIREMENTS Register... ________________________________ Job Title: Analytics Strategy Principle Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for being the ultimate organizational change agent, enabling HCSC to incorporate applied AI best practices and leap frog ahead of the competition by leveraging innovative machine learning and applied AI solutions to establish and maintain a robust competitive posturing in the healthcare services... ________________________________ Job Title: Behavioral Health Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Rockford, IL One position available in Rockford, IL or Rock Island County and one position available in Chicago, IL BASIC FUNCTION This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, reviewi... ________________________________ Job Title: Business Analyst - Claims Company: Health Care Service Corporation Experience: 2 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 requirement. Job Responsibilities Leads the analysis, development, documentation, and communication of functiona... ________________________________ Job Title: Business Analyst -Retail Markets Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for providing business analysis to ensure alignment and integration of HCSC's individual line of business (LOB) in support of the individual line of business strategy and to ensure consistency and efficiency. The resource may support teams responsible for implementation of initiat... ________________________________ Job Title: Executive Director, Talent Analytics Company: Health Care Service Corporation Experience: 8 to 10 years Salary: Not Provided Job Location: Chicago, IL The Director of Talent Analytics will manage the development and growth of the People Analytics team, transitioning its focus from metrics reporting to people insights while also building a culture of data driven decision making throughout Human Resources and Health Care Service Corporation. The Director of People Analytics... ________________________________ Job Title: Medical Management Accreditation & Audit Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM THIS IS A WFH (WORK FROM HOME) POSITION CAN BE FILLED IN ANY OF THE 5 HQS WITHIN HCSC (TX; OK; NM; IL AND MT) NCQA AND/OR URAC ACCREDITATION EXPERIENCE STRONGLY PREFERRED BASIC FUNCTION This position is responsible for conducting audits as well as monitoring ongoing quality improvement activities within the Medical Manage... ________________________________ Job Title: Mid Market Account Executive Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Downers Grove, 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: Sr. Project Manager Company: Health Care Service Corporation Experience: 4 to 5 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 This position is responsible for leading... ________________________________ Job Title: Systems Analyst-Customer Relationship Management systems{salesforce.com, MS Dyna Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL 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: 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 Some... ________________________________ Job Title: Sr Infrastructure Service Delivery 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 handling 24x7 operations infrastructure support services of all non production and production environments within the Network infrastructure domain; handling the use of analytics to improve service, availability, and customer interactions; handling incident resolution and issues escalated by... ________________________________ 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: Process Consultant II - BCBS Company: Health Care Service Corporation Experience: 4 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Oklahoma City, OK; Helena, MT; Tulsa, OK; Albuquerque, NM THIS POSITION CAN BE LOCATED AT ANY OF THE BCBS OFFICES IN IL/MT/NM/OK/TX BASIC FUNCTION This position is responsible for supporting the Process Leaders/Process Stewards in planning, defining, developing, testing, documenting, analyzing results and/or implementing Process Improvement and Process Reengineering opportunities.... ________________________________ 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: 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: 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: 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: Associate Revenue Analyst Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM This position is responsible for data management, submission and reconciliation of discrepancies as well as analysis and reporting for the Medicare and/or Medicaid member premium received from CMS or the State Medicaid Office which will be used by the Member Reconciliation Manager as well as within all levels in the organiz... ________________________________ Job Title: Risk Management Analyst Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for contributing to several key enterprise risk functions, including facilitation of risk process owner interviews, documentation of risk results, performing risk analysis, regularly updating risk management templates, contribute to development of management and sub committee reporting and provi... ________________________________ Job Title: Risk Management Consultant Company: Health Care Service Corporation Experience: 9 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for several key enterprise risk functions, including management of roll out of enterprise risk program initiatives, facilitation of risk process owner interviews, documentation of risk results, performing risk analysis, regularly updating risk management templates, development of management repo... ________________________________ Job Title: Unit Manager Member Revenue Reconciliation Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM This position is responsible for project and staff leadership and coordination of the Member Revenue Reconciliation processes across Medicare and Medicaid programs in accordance with contractual and regulatory requirements, implementing program changes and working with other areas of the organization on the development, tes... ________________________________ Job Title: Advanced Analytics Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL Based in Chicago, this position is responsible for analysis of complex business problems and issues using data from internal and external (member data from hospitals) sources to provide insights (writes own SQL to get to data). Identifies and interprets trends and patterns in datasets to locate influences. Provides consulta... ________________________________ Job Title: Care Coordinator UM/CM I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Peoria, IL BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appro... ________________________________ Job Title: Clinical Programs Manager Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for Medical Management Project Management design, project plan development, implementation and follow through related to program effectiveness; maximization of divisional or enterprise efficiencies; developing requirements to meet Corporate and Divisional goals and driving/monitor... ________________________________ Job Title: Customer Advocate I Company: Health Care Service Corporation Experience: 0 to 1 years Salary: Not Provided Job Location: Danville, IL Eligible SDO employees must currently work in the Member Services vertical. BASIC FUNCTION Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties inc... ________________________________ Job Title: Managing Actuary Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the implementation, maintenance and critical review and analysis of models, studies and systems which use actuarial principles for the purposes of pricing, underwriting, statistics, reserving, forecasting and other actuarial functions; developing complicated models and teaching othe... ________________________________ Job Title: Sr Business Architect- Product Catalog Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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. Additional Job Purpose This position will be an integral memb... ________________________________ Job Title: Sr Systems Analyst Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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 Business... ________________________________ Job Title: Strategy Consultant - Provider Network Implementation 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: Application Architect Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL 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: Scrum Master I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Tulsa, OK This position is responsible for guiding the team in developing the solution using Agile practices; being accountable for software build activities. Job Responsibilities Coach the scrum team to become a self organized, cross functional and highly efficient team that delivers high quality products. Facilitate Scrum events su... ________________________________ 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 - Actuarial Analyst Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for participating in implementation, maintenance and basic analysis of models, studies and systems which use actuarial principles for the purposes of pricing, underwriting, statistics, reserving, forecasting and other actuarial functions; and participating in preparation of analyt... ________________________________ 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: 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 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: 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: 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: 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: 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: Business Architect Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL 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 4 years Infor... ________________________________ Job Title: Care Coordinator UM/CM I (Saturday shift) Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Downers Grove, IL Care Coordinator UM This position is located in Downers Grove, IL BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and c... ________________________________ Job Title: Care Coordinator UM/CM II (RN) Company: Health Care Service Corporation Experience: 1 to 3 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; discharge planning and identifying alternate treatment programs for cases including complex, chronic or catastrophic cases, while providing medically necessary cost effective services within the... ________________________________ 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: 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: 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: Sr. Program Manager Company: Health Care Service Corporation Experience: 6 to 7 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible managing one or more highly complex or enterprise wide program(s) consisting of multiple projects; being accountable for end to end delivery of a complex program (could include multiple projects), including managing the cost / budget, schedule & dependencies, resources, scope, quality, and risk;... ________________________________ 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: Clinical Programs Manager Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for Medical Management Project Management design, project plan development, implementation and follow through related to program effectiveness; maximization of divisional or enterprise efficiencies; developing requirements to meet Corporate and Divisional goals and driving/monitor... ________________________________ 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: Recovery Support Assistant Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Waukegan, IL BASIC FUNCTION Under supervision, this position is responsible for promoting a culture in which the voices representing people with lived mental health and substance use experiences and recovery become part of the institution; promoting a recovery oriented system of care; serving as a member advocate; providing support for... ________________________________ Job Title: Solutions Architect - Application Development Company: Health Care Service Corporation Experience: 5 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 OVERVIEW Responsible for translating the client's b... ________________________________ Job Title: Sr Application 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 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: Sr Cybersecurity IAM Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position will assist with the implementation and integration of SailPoint IdentityIQ product with various internal IT systems. This position will support IT responsibilities of Access Management Team for access certifications, account provisioning and de provisioning activities. Position requires interactions with loca... ________________________________ Job Title: Sr Solutions 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." HCSC is committed to diversity in the workplace and to... ________________________________ Job Title: Assistant General Counsel - Government Programs Company: Health Care Service Corporation Experience: 7 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: 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: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Danville, 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: Sr Divisional Portfolio 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 deciding product strategy, developing the capability and maturity roadmaps, and managing stakeholders while ensuring that the customer/user goals and visions for products are implemented and the value of the product is maximized. Collaborate with stakeholders to understand market demand to g... ________________________________ 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: 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. 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: 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: Account Executive III Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Downers Grove, 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: Medical Mgmt Specialist I - Transition of Care Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION 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 REQUIREMENTS Register... ________________________________ Job Title: Sales Delivery Support Specialist 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 supporting national and local accounts by preparing contracts/booklets and handling account set up. Duties include partnering with Account Management/Sales to create the account structure, reviewing paperwork review for accuracy and completeness, handle input set up process, a... ________________________________ Job Title: SDG Implementation Analyst II Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for implementing new or renewing accounts, new legislation, and products across the enterprise. Works with cross functional HCSC teams/internal stakeholders to coordinate the implementation. Responsible for communications and implementation artifacts that describe progress, issues, and risks sur... ________________________________ Job Title: Senior Associate Human Resources Business Partner Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL to do everything in our power to stand by our members in sickness and in health. At HCSC, HR business partners aren't just here to support our business. They're here to reinvent it through innovative organization and talent solutions that build on our company's legacy and fuel our company's future. Reporting to the Senior D... ________________________________ Job Title: Senior Market Analyst - Medicaid Marketing Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for supporting marketing strategy and execution by gathering, organizing, analyzing, and interpreting marketing, financial, and operating data; assisting in report preparation and presentation of research findings, creation and maintenance of project management documentation and s... ________________________________ 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: Systems Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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 Business... ________________________________ Job Title: Advanced Contract Specialist Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for developing master document and/or account specific financial agreements, including phases of research drafting, coordination of internal approvals, filing of language with the local Department of Insurance, programming and implementation; and providing consultative services to... ________________________________ Job Title: Primary Nurse Case Admin I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Downers Grove, 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: Project Manager Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM 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 Accreditation Governance departments for delivery of products or services to internal and external stakeholders (i.e.... ________________________________ Job Title: Senior Contract Specialist Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for drafting account specific documents; reviewing non standard document language requests; referring issues to senior staff as required; coordinating and overseeing training of staff; conducting random audits to endure accuracy and consistency; leading day to day operations of te... ________________________________ Job Title: Senior Analytics & Reporting Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the division's issues; producing datasets an... ________________________________ Job Title: Assistant Digital IT Product Manager Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX HCSC is looking for Product Managers that embrace lean and agile practices. Product Managers will work on small, cross functional, and co located teams. Product Managers collaborate with marketing, customer engagement and other areas of responsibility to define, deliver, and manage the lifecycle of one or more cloud native... ________________________________ Job Title: Contract Administrate Operations Manager Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the team charged with development and delivery of member specific insurance documents (SBCs) for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements. Responsibilities include Team performance Quality... ________________________________ Job Title: Senior Manager Digital IT Product Manager 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. Job Purpose HCSC is looking for Product Managers that em... ________________________________ Job Title: Developer Specialist - XP Company: Health Care Service Corporation Experience: 5 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 Degree and 5 years Information Technology experience OR Technical... ________________________________ Job Title: Director Program Oversight Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for directing efforts ensuring compliance with federal, state and local regulatory and contractual obligations. Responsible for the strategic development and the implementation of the system of controls to monitor and oversee the performance of operations, business units and delegated entities i... ________________________________ 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: Privacy Office Manager Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for the day to day management of business area compliance with legislation, regulations and mandates for federal and state privacy and security laws and regulations this includes the management and investigation of privacy and security incidents, the development of appropriate mit... ________________________________ 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: 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: 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: 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: 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: Associate Project Delivery Specialist Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Marshall, TX; Abilene, TX; Chicago, IL; Richardson, TX; San Angelo, TX; Quincy, IL; Rockford, IL; Mattoon, IL; Naperville, IL; Danville, IL; Jacksonville, IL; Wichita Falls, TX; Helena, MT; Springfiel... 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: Medical Reviewer II Company: Health Care Service Corporation Experience: 0 to 3 years Salary: Not Provided Job Location: Danville, IL; Richardson, TX; Marion, IL; Springfield, IL Eligible SDO employees must currently work within the Brenda Bailey Provider Services BASIC FUNCTION This position is responsible for performing accurate and timely medical review of Regular Business, State of Texas and National Accounts claims suspended for medical necessity, contract interpretation, pricing; and to initia... ________________________________ Job Title: Developer - Aptitude 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. Responsibilities Why do we come to work every day? We come to work to unleash the power of HCSC's purpo... ________________________________ 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... ________________________________ Job Title: Senior Diversity & Inclusion Consultant Company: Health Care Service Corporation Experience: 4 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for supporting enterprise and divisional diversity and inclusion programs, initiatives and strategies, providing advice and internal consulting services to management to influence development of diversity and inclusion strategies aligned with business plans and goals, as assigned,... ________________________________