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: Enterprise Supplier Management Analyst II Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for participating and supporting vendor management processes for assigned supplier(s) or team members (i.e. contractual terms, SLA(s), KPIs, guarantees and penalties, invoicing). This position monitors / analyzes vendor performance, measures performance against SLAs, KPIs, identifies supplier im... ________________________________ 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 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: 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: Nurse Liaison I - UM & QR Company: Health Care Service Corporation Experience: 2 to 3 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks of BCBSIL's HMOs. Evaluates the need for, designs, and implements educational seminars for Medical Groups/IPA staff, assi... ________________________________ Job Title: Sales Delivery Support Specialist I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; 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: Senior Cybersecurity Strategy Analyst 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 This position is responsible for conducting... ________________________________ 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 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: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Rockford, IL; Peoria, IL; Moline, 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: Director Enterprise Quality & Accreditation Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing and directing activities involved in enterprise project management and accountable for developing and implementing accreditation strategies, activities and programs that comply with accreditation standards (NCQA, URAC, AAAHC), federal regulations (ACA, CMS / Medicare and Medicaid),... ________________________________ Job Title: Manager, Medicaid Business Development Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for leading the business development growth of our Medicaid, Dual Demonstration and other related Medicaid programs (i.e. SNPs, etc.), the identification of new business opportunities; development of a Medicaid solution and approach for RFI/RFP responses; oversight of implementati... ________________________________ Job Title: Senior eSolutions Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for implementing the development and delivery of a digital communications strategy for one or more customer facing portals (member, provider, employer, broker, or employee) which supports the enterprise business plan; implementing the determined strategy; handling the day to day o... ________________________________ 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: University Relations - Finance Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL 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, operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexi... ________________________________ Job Title: Quality Management Specialist II - Behavioral Health Company: Health Care Service Corporation Experience: 2 to 3 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM BASIC FUNCTION This position is responsible for facilitating all aspects of assigned clinical quality improvement projects, quality auditing, quality reporting; consults with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implement, coordinate, monitor and evaluate options a... ________________________________ 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: Sr Infrastructure Executive Support Analyst Company: Health Care Service Corporation Experience: 5 to 8 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for bringing advanced problem solving in order to craft solutions for the executive leadership team white glove ; supporting troubleshooting hardware, software and network relates issues; diagnosing equipment and address configuration issues; performing a broad range of ITG support for executive... ________________________________ Job Title: Sr IT Process Design & Governance Anlyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for driving setup, incubation, and ongoing support of Centers of Excellence (CoE) & Communities of Practice (CoP); providing an architectural perspective to process design through interaction with process stakeholders; driving perspective around metrics needed to measure process success; partner... ________________________________ Job Title: Behavioral Health Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Moline, IL Position is Work from Home and located in Rock Island, 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, reviewing cases which involves contract interpretati... ________________________________ 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: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Peoria, IL; Moline, 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, Product Development Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL BASIC FUNCTION This position is responsible for managing product direct reports and cross functional teams in identifying product opportunities in new and complex emerging markets. Leads the development process from inception to product launch for new products. Works to ensure that new products are clearly defined and that... ________________________________ Job Title: Sr. Project Manager Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK; Albuquerque, NM 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: University Relations - Innovation Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL University Relations Innovation Intern This 10 week internship will be located in Chicago, Illinois. What Are Your Responsibilities? Interns will meet business leaders from all levels and have a chance to learn about the culture and values of the organization. Interns will network across lines of business and functions. Cl... ________________________________ Job Title: Financial Analyst Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position in Finance is responsible for supporting Financial Planning and Analysis activities across the Service Delivery Organization (SDO). The SDO exists to serve members, providers and internal partners across three Lines of Business (Group, Government and Retail). The SDO is a shared services organization that supp... ________________________________ 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: Senior Market Solutions Development Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for planning, development, integration, and execution of complex Market Solutions initiatives within the constructs of HCSC's business architecture including proofs of concept, pilots, product solutions, and marketing solutions. Responsible for liaising with key stakeholders throughout the compa... ________________________________ 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 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: Care Coordinator UM/CM I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appro... ________________________________ Job Title: Case Management Coordinator I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs that provide medically necessary, potentially cost effective services; consulting with physicians, providers, members, and o... ________________________________ 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: Business Analyst 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. Required Job Qualifications Knowledge of system architecture and application portfolio. Business pr... ________________________________ 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: 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: Senior Product 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 supporting the product lifecycle 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 serving as a... ________________________________ Job Title: Sr Delivery Assurance Consultant - Program Manager Company: Health Care Service Corporation Experience: 1 to 5 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: Sr Director Business Solutions - Government Programs Company: Health Care Service Corporation Experience: 7 to 10 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM 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 Systems Analyst - IBM Websphere Portal Company: Health Care Service Corporation Experience: 8 to 20 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: Supplier Relationship Manager Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the supplier relationship and operational performance of multiple Information Technology Strategic Partners in a multi year managed services contract; coordinating with the Vendor Management Office (VMO) for ongoing performance improvement of vendors and to update contracts as requi... ________________________________ Job Title: University Relations - Product Solutions Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL University Relations Product Solutions 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... ________________________________ Job Title: Assistant IT Product Manager Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL 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: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION (HOME ASSESSMENT)This position is responsible for conducting home health assessment, 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 plans, responding to inquiries fr... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION (HOME ASSESSMENT)This position is responsible for conducting home health assessment, 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 plans, responding to inquiries fr... ________________________________ 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: Sr Enterprise Security Architect Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for helping develop, maintain, and evolve the enterprise security architecture framework and will deliver enterprise security architecture services and solutions that address current and emerging security and compliance needs of the business; serving as the a senior level advisor and contributor... ________________________________ Job Title: Senior Strategic Sourcing Advisor-IT Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for identifying, developing and executing sourcing strategies for the most cost effective pricing and best service; developing strategic sourcing processes by partnering with users to define specifications and requirements; managing the strategic sourcing strategy for a specific group; analyzing... ________________________________ 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: Community Health Coordinator - Chicago Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, 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: Community Health Coordinator - Downers Grove Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Downers Grove, 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: Lead Oracle Cloud Financials Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), 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, operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mex... ________________________________ Job Title: Product Architect Consultant-Analytics Company: Health Care Service Corporation Experience: 8 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 leading all... ________________________________ Job Title: GPD Strategist 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 managing strategic divisional projects, enterprise liaison and support, and enterprise work force strategy to ensure the continued successful fulfillment of GPD division objectives. This work drives the divisions strategic agenda, including developing corporate and business un... ________________________________ Job Title: Medical Management Specialist I - Government Programs 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 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. BASIC FUNCTION (TOC)This position is res... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION (HOME ASSESSMENT)This position is responsible for conducting home health assessment, 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 plans, responding to inquiries fr... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION (HOME ASSESSMENT)This position is responsible for conducting home health assessment, 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 plans, responding to inquiries fr... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION (HOME ASSESSMENT)This position is responsible for conducting home health assessment, 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 plans, responding to inquiries fr... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL 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 plans, responding to inquires from members, and supporting the clinicians in the Medi... ________________________________ Job Title: Proposal Writer Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Houston, TX; Danville, IL; Oklahoma City, OK; Bozeman, MT; Abilene, TX; Richardson, TX; Quincy, IL; Downers Grove, IL; Great Falls, MT; Rockford, IL; Waco, TX; Amarillo, TX; El Paso, TX; Waukegan, IL;... BASIC FUNCTION This position is responsible for initiating the writing and coordinating of the activities associated with the Request for Proposal (RFPs) process ensuring the highest quality of service is provided while remaining consistent with the Companys policies, procedures and philosophies. Participate in the activiti... ________________________________ Job Title: 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 Business Analyst - Product Catalog Company: Health Care Service Corporation Experience: 4 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 4 years Information Technology, business analysis... ________________________________ Job Title: Senior Contract Negotiator 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: 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 REQUIREMENTS Registered Nurse (RN) o... ________________________________ Job Title: Mgr Subscriber Services 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 one or more areas in Subscriber Services. JOB REQUIREMENTS Bachelor Degree and 5 years' experience in a leading position OR 6 years business experience and 6 years' experience in a leadership position with sound decision making skills. Experience in developing/leading... ________________________________ 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: Senior Division Strategy 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 supporting the development of divisional strategies; identifying tools to assess and track strategic opportunities; providing end to end report development; interfacing between various internal business and technical or analytical teams to achieve goals and desired outcomes supporting a gove... ________________________________ 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: BA 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. Required Job Qualifications Knowledge of system architecture and application portfolio. Business pr... ________________________________ 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 This position is located in located 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, reviewing cases which involves contract interpretation of b... ________________________________ 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: Enterprise Supplier Management Advisor-(Information Technology) 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: 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 - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Peoria, 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 Developer-Aptitude Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL Why do we come to work every day? We come to work to unleash the power of HCSC's purpose; to stand by our members in sickness and in health. We come to work every day to challenge the status quo and deliver the highest quality and best solutions to our members. Through collaboration, we are delivering products that adapt to... ________________________________ 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. 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: 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: Analytics & Rptg Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX (SDO) This position is part of the Strategic Analytics team within SDO and is responsible for acting as the liaison between business and the SDO Data Science team; communicating healthcare payer based business concepts to the analytics team; communicating and marketing the value of analytics outputs to business users. The c... ________________________________ Job Title: Developer Specialist- Salesforce Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK 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 developin... ________________________________ Job Title: Sr Developer - Salesforce Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK 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 developin... ________________________________ Job Title: Senior Business Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION Our current team is looking for self motivated, dynamic individuals to support a new business strategy execution function within the government programs division. The role will coordinate design, development and implementation of complex, cross divisional initiatives from inception to completion, including th... ________________________________ 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: Analytics Consultant Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for Support and functioning as subject matter expert in developing state of the art databases and reporting systems for use in determining the overall quality of provider care, health care management activity accreditation, appeals, HEDIS etc, and regulatory and customer reporting... ________________________________ 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: 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: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL Member Care Coordinator Downers Grove, IL Posting Description 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, eng... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL Memeber Care Coordinator Posting Description 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... ________________________________ Job Title: Member Care Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL Posting Description 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 adherenc... ________________________________ 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: 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: Provider Network Consultant - Chicago 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: Provider Network Consultant - Rockford, IL 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- Danville, IL 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: Reporting Analyst Company: Health Care Service Corporation Experience: 3 to 4 years Salary: Not Provided Job Location: Downers Grove, IL; Naperville, IL; Chicago, IL; Richardson, TX; Oklahoma City, OK; Austin, TX; Helena, MT; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for designing, developing, and implementing timely and accurate data/reports using mainframe/PC systems to support the department or division and perform additional program activities. JOB REQUIREMENTS Bachelor Degree OR 4 years business reporting experience. 3 years utilizing dat... ________________________________ Job Title: Senior Financial Analyst 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: Senior Manager Medicare Operations Company: Health Care Service Corporation Experience: 6 to 10 years Salary: Not Provided Job Location: Abilene, TX; Chicago, IL; Richardson, TX; San Angelo, TX; Quincy, IL; Rockford, IL; Naperville, IL; Danville, IL; Jacksonville, IL; Wichita Falls, TX; Springfield, IL; Albuquerque, NM; Marion, IL; Tul... BASIC FUNCTION This position will be responsible for setting the strategy and managing operational oversight of one or more HCSC Medicare core operation functions (e.g. billing, claims, enrollment, and customer service), delegated vendors and key business partners. The incumbent will serve as a liaison supporting key functi... ________________________________ Job Title: Intake & Demand Associate Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Marshall, TX; Abilene, TX; Chicago, IL; Great Falls, MT; Richardson, TX; San Angelo, TX; Quincy, IL; Rockford, IL; Naperville, IL; Danville, IL; Waukegan, IL; Jacksonville, IL; Wichita Falls, TX; Spri... This position is responsible for managing intake of all project demand impacting assigned systems and processes. Leading business case initiation, writing, reviewing, assessment and impact analysis including financial and operational aspects. Leading the enterprise and business demand across portfolios, understanding custom... ________________________________ Job Title: Medical Reviewer II Company: Health Care Service Corporation Experience: 0 to 3 years Salary: Not Provided Job Location: Danville, IL; Great Falls, MT; Richardson, TX; San Angelo, TX; Marion, IL; Helena, MT; 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: Senior Provider Engagement Strategy 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 supporting the development of network strategies and/or provider engagement models that reflect innovative ways to buy care across lines of business and geographies; identifying tools to assess and track strategic opportunities, including alternate reimbursement arrangements,... ________________________________ Job Title: University Relations - Clinical Operations Intern Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL This 10 week internship will be located in Chicago, Illinois. What Are Your Responsibilities? This Internship is focused on integrating interns directly into HCSC's everyday life with a focus in Healthcare Management and Technology. During this internship, the intern will contribute to the goals and objectives of HCSC by pr... ________________________________ 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 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 assisting... ________________________________ 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... ________________________________