Health Care Service Corporation - Employment Opportunities

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: 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: 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: Director Analytics Consulting - Enterprise Pharmacy Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM This position is responsible for planning, managing and controlling the activities of the department that provides business intelligence support for business segments; leading initiatives to analyze complex business problems and issues using data from internal and external sources; bringing expertise or identifying subject... ________________________________ Job Title: Infra Exec Support Anl Company: Health Care Service Corporation Experience: 3 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for bringing ad... ________________________________ Job Title: Infrastructure Executive Support Analyst Company: Health Care Service Corporation Experience: 3 to 6 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 dedicated to the advanced p... ________________________________ Job Title: Infrastructure Service Delivery Analyst - DataPower Company: Health Care Service Corporation Experience: 5 to 6 years Salary: Not Provided Job Location: Waukegan, IL; Chicago, IL; Richardson, TX This position's primary responsibility includes supporting IBM DataPower Infrastructure in a high volume, 24x7 environment. The right candidate should possess the skills to perform configuration, management, and monitoring tasks. In addition, this position requires the ability to interact with middle tier developers who are... ________________________________ Job Title: Principal Program Manager Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for providing a... ________________________________ Job Title: Senior Business Consultant - Medicaid Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for providing business analysis and leadership to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency requiring leadership of major, complex, and strategic cross divisional and enterprise wide projects from incepti... ________________________________ Job Title: Senior 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: 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: Sr Manager - Front End Development Company: Health Care Service Corporation Experience: 4 to 6 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 We are seeking a sr manager front end develo... ________________________________ Job Title: Sr Manager Government Programs Clinical Ops Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for developing and implementing Managed Care programs and strategies for Government Programs Clinical Operations; establishing cost containment goals and objectives for the department along with policies, practices and procedures needed to meet those objectives; and for representi... ________________________________ Job Title: Sr Mgr IT Product 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 This position is responsible for the full li... ________________________________ Job Title: Sr Program Manager Company: Health Care Service Corporation Experience: 6 to 7 years Salary: Not Provided Job Location: Chicago, IL 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 Solutions Engineer Consultant Company: Health Care Service Corporation Experience: 10 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 end... ________________________________ Job Title: Test Manager Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting in the overall testing effort planning and effort estimation; overseeing the execution of tests according to approved test plans and deployment schedule; leading, guiding and monitoring the analysis, design, implementation and execution of the test cases, test procedures and test s... ________________________________ 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: Workforce Management Specialist - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for ensuring accurate and timely work performed in the department, work across the department with management and employees; prepare and analyze reports, assist with projects and initiatives. JOB REQUIREMENTS 2 years reporting experience including developing reports and analyzing... ________________________________ Job Title: Vendor Supplier Analyst III Company: Health Care Service Corporation Experience: 4 years Salary: Not Provided Job Location: Chicago, IL (Role specific, should be modified by hiring manager for specific needs) 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 issues for a... ________________________________ 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: 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 Knowledge of system architecture and application portfolio. Business pr... ________________________________ Job Title: Primary Nurse Case Admin I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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: Sr Manager Business Resiliency Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading overall Business Continuity and Disaster Recovery Strategy and Governance; ensuring Business Continuity (BC) Plans are developed and exercised based on business requirements; ensuring BC plans are implemented in compliance with HCSC security requirements; ensuring Disaster Recovery P... ________________________________ Job Title: Accountant II - AP Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION (Accounts Payable)This position is responsible for handling all AP month end close related journal entries. Reviewing unclaimed property REO3 supporting documentation for completion and accuracy. Reviewing and verifying vendor, invoice, and allocation setup for new and complex invoices, including XML uploads... ________________________________ Job Title: Clinical Pharmacy Manager Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL POISTION IS LOCATED IN 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... ________________________________ Job Title: Financial Analyst II Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for analyzing, resolving, and responding to concerns of a financial nature that originate from incentives that utilizes information from Claims/Membership data downloads and MSA contractual agreements; identifying and resolving claims expense, membership and contract anomalies with IPA s, drafti... ________________________________ 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: BA 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 requirement. Required Job Qualifications Bachelor Degree and 5 years Information Technology, business analysis s... ________________________________ Job Title: Infrastructure Executive Support Analyst Company: Health Care Service Corporation Experience: 3 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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 executives... ________________________________ Job Title: SDO Supplier Operation Analyst Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for monitoring business partner performance and ensuring adherence to contractual commitments. This includes gathering and analyzing data around service levels, identifying potential risks, and communicating with suppliers in order to execute on quality improvements. Required Job Qualifications... ________________________________ 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 financial management oversight of Illinois contracts. This position oversees the related reporting and analysis functions, such as calculating hospital discount accruals, reviewing financial settlement calculations, performing audits, and creating monthly and ad hoc reporting... ________________________________ 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: Sr Test Manager Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK This position is responsible for driving the overall testing effort including the test strategy, planning and estimations; overseeing the execution of tests according to approved test plans and deployment schedule; leading, guiding and monitoring the analysis, design, implementation and execution of the test cases, test pro... ________________________________ Job Title: Sr Test Manager Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK This position is responsible for driving the overall testing effort including the test strategy, planning and estimations ; overseeing the execution of tests according to approved test plans and deployment schedule; leading, guiding and monitoring the analysis, design, implementation and execution of the test cases, test pr... ________________________________ Job Title: Strategy Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for supporting a broad array of strategic, analytical projects and divisional planning; assisting with the development of the business plan and strategy for the division, as well as ad hoc analytic projects; interfacing with various business teams to achieve goals and desired outcomes, developin... ________________________________ Job Title: 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: Associate Data Scientist Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for using advanced mathematical and statistical concepts and theories to analyze and collect data and construct solutions to business problems. Performs complex statistical analysis on experimental or business data to validate and quantify trends or patterns identified by business analysts. Cons... ________________________________ Job Title: Business Analyst III Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for analyzing/coordinating requirements; defining project scope and requirements, translating business requirements into use cases, activity or flow diagrams, and participating in project management activities; performing business research to identify gaps between current state an... ________________________________ Job Title: Technology Architect 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: 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: Senior Divisional Strategy Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL Our team is looking for a self motivated, dynamic individual to support the Illinois Division. The role will lead complex cross divisional and enterprise wide initiatives, interfacing with senior management across the company including tracking and reporting progress for executive review. You will be executing and overseein... ________________________________ Job Title: Senior Privacy Office Administrator Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for working with high risk privacy issues including investigating and managing privacy and security incidents, supporting the management of breaches, responding to privacy complaints, analyzing privacy risks, and interacting with various business areas across the enterprise to ens... ________________________________ Job Title: Community Health Coord 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: Mgr Quality Assess & Improvemt Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; San Angelo, TX; Quincy, IL; Rockford, IL; Naperville, IL; Danville, IL; Jacksonville, IL; Wichita Falls, TX; Helena, MT; Springfield, IL; Albuquerque, NM; Marion, IL; Tuls... BASIC FUNCTION This position is responsible for developing, implementing, and managing multiple quality improvement programs and ensuring that quality improvement activities are integrated in all functions of the enterprise to promote improved performance. (i.e., Full Service Units, HR Learning & Development, Benefit Coding... ________________________________ Job Title: Product Solutions Development Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for planning, development, integration, and execution of basic 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 company... ________________________________ 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: Behavioral Health Care Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: 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, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ 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: 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: Quality Management Specialist II Company: Health Care Service Corporation Experience: 2 to 3 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: Quality Management Specialist III Company: Health Care Service Corporation Experience: 3 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: Scrum Master I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL 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: Scrum Master II 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 guiding the... ________________________________ 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 retail product opportunities for on and off exchange (Marketplace). Leads the strategic development process from inception to product launch for new and renewing products. Works to ensure that new produc... ________________________________ Job Title: Senior Provider 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: 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 Portfolio Delivery Consultant Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is a senior IT delivery role responsible for 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 troubleshootin... ________________________________ Job Title: Sr Project Manager- IL Company: Health Care Service Corporation Experience: 5 to 7 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: Technology Architect 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. BASIC FUNCTION The Information Architecture Technology A... ________________________________ 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: Behavioral Health Care Coordinator 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 ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ Job Title: Behavioral Health Care Coordinator 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 ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ Job Title: Behavioral Health Care Coordinator 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 ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ Job Title: Behavioral Health Care Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: 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, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ Job Title: Behavioral Health Care Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: 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, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ Job Title: Behavioral Health Care Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: 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, reviewing medical records, reviewing cases which involve contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necess... ________________________________ 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 Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Bloomington, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... ________________________________ Job Title: Member Care Coordinator- Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Danville, IL; Litchfield, IL Positions located in Danville, IL and Litchfield, IL BASIC FUNCTION 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 heal... ________________________________ Job Title: NA Strategic Account Manager 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 managing, planning and implementing block of existing national accounts to meet specified targets and service accounts to meet corporate and divisional sales/renewal objectives. This position works closely with the assigned Strategic Account Executive as the primary project ma... ________________________________ Job Title: Senior Strategic Account Executive, National Accounts Company: Health Care Service Corporation Experience: 6 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: Test Engineer Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for developing frameworks for test scripting, automation and troubleshooting. Required Job Qualifications Bachelor Degree and 2 years Information Technology experience OR Technical Certification and/or College Courses and 4 year Information Technology experience OR 6 years Information Technology... ________________________________ Job Title: Unit Manager BH Case Management 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 supervising staff involved in behavioral health case management activities and support for case management programs, assisting in developing and implementing behavioral health care policies and procedures related to Case Management, and monitor and assist department in achievi... ________________________________ 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: Senior Analytics Consultant - Health Economics Team 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: Behavioral Health Care Coord Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: 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 behavioral health diagnoses, and utilizing knowledge... ________________________________ Job Title: Coding Compliance Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK; Albuquerque, NM BASIC FUNCTION Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding pro... ________________________________ Job Title: DevOps Engineer Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting in serving as a bridge between the development and operations functions; identifying the interdependencies and productivity barriers between these functions as they collaborate for continuous solutions delivery; accelerating development operations collaboration by developing automa... ________________________________ Job Title: Enterprise Architect Company: Health Care Service Corporation Experience: 12 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 Enterprise Architects are responsible for... ________________________________ Job Title: Medical Managment Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Mattoon, IL; Peoria, IL; Charleston, IL; Champaign, 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 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 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 initiate and/or respond to correspondence from providers or members concerning medical deter... ________________________________ Job Title: Network Reporting Administrator Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for performing Illinois network related auditing and reporting activities related to provider contracts, including Commercial, Government, and Value Based Care (VBC) Models. Required Job Qualifications Bachelors Degree in Accounting, Finance, or equivalent with 4 years Accounting experience. Kno... ________________________________ Job Title: Tooling 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 the administration of all Software Development Lifecycle (SDLC) tooling, the integration of tools to support developers and DevOps teams, and Tooling Lifecycle Management (TLM) processes for all tools in his/her scope. Required Job Qualifications Bachelor Degree and 4 years Information Techn... ________________________________ Job Title: Admin Assist III Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION Under supervision, this position is responsible for performing secretarial/administrative duties to support the work of the appropriate Director, Sr. Director, Executive Director, or Division VP including composing and typing correspondence, report development, meeting coordination, maintenance of confidentia... ________________________________ Job Title: Case Management Coordinator II 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 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 ot... ________________________________ Job Title: Delegation Oversight Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This role can be filled in either Richardson, Texas OR Chicago, IL. BASIC FUNCTION This position is accountable for creating, managing and reporting processes designed to monitor and evaluate activities and functions delegated statewide to contracted groups, Independent Physician Associations (IPAs) and vendors for all prod... ________________________________ 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: Project Delivery Specialist Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for collaborating with business partners to align business solutions. Serving as functional liaison between the Intake team, and operations teams. Reviewing project scope, supporting business needs across delivery cycle and production and/or system change requests to deliver on enterprise initia... ________________________________ Job Title: Senior Communications Consultant Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing and executing a variety of communications to meet the needs of multiple audiences through interaction with clients and management at all levels of the corporations; drafts, edits and supervises the production of communications (print, web, etc.) to be distributed to a variety of a... ________________________________ Job Title: Senior Informatics Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for gathering and assessing business information needs and preparing system requirements. Performs analyses, development and evaluation of data mining in a data warehouse environment which includes data design, database architecture, metadata and repository creation. Uses data min... ________________________________ Job Title: Sr Business Analyst Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position can be filled in either Richardson, Texas or Chicago, IL. BASIC FUNCTION This position is responsible for the development, validation, documentation for process or system design and changes. Performs operational analysis, research activities, records data, gathers and documents requirements and provides status... ________________________________ Job Title: Sr Business Architect- Customer Engagement Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Jacksonville, 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. Required Job Qualifications Bachelor Degree and 5 years Infor... ________________________________ Job Title: Account Executive II Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. JOB REQUIREMENTS Life, Health, and HMO license or obtain within required time frame per state r... ________________________________ Job Title: Sr Director IT Product - Finance Company: Health Care Service Corporation Experience: 5 to 7 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 Senior Director, IT Product is accounta... ________________________________ Job Title: Financial Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for analyzing, resolving, and responding to concerns of a financial nature that originate from Provider Settlements/Incentives that utilizes information from Actuarial Reserving, Forecasting and Reporting departments; identifying and resolving claims expense, membership and contract anomalies wi... ________________________________ Job Title: Database Specialist Company: Health Care Service Corporation Experience: 3 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. BASIC FUNCTION This position is responsible for designin... ________________________________ Job Title: Financial Operations Project Specialist II Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Helena, MT BASIC FUNCTION This position is responsible for serving as a key resource in providing project support and analytics for various initiatives within the Financial Operations Area; to coordinate implementation and project management activities; coordinating assigned aspects of major process improvement efforts; and ensuring R... ________________________________ Job Title: Health Coordinator Government Programs Company: Health Care Service Corporation Experience: 1 to 2 years Salary: Not Provided Job Location: Downers Grove, 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: Manager Supplier Operations (Service & Delivery Operations) Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing teams of resources that engage with suppliers on a daily basis to monitor service levels, ensure contract compliance, and facilitate end to end issue resolution. Responsible for managing flows of information relating to service levels and adherence to contracts, and is responsible f... ________________________________ Job Title: Sr Business Solutions Owner Company: Health Care Service Corporation Experience: 7 to 9 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for researching emerging technologies and aligning business technology strategy, developing capability and maturity roadmaps, and managing stakeholders, while ensuring that the customer/user goals and visions are implemented and the value of the technology is maximized. Collaborate with internal... ________________________________ 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: Instructional Designer I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating course level design strategy documents, and designing effective and efficient learning deliverables for the Internal Operations divisions. Performing instructional design for Instructor Led, Web Based, and blended solutio... ________________________________ Job Title: Instructional Designer II Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Naperville, IL; Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating program or curricula level design strategy documents, and designing effective and efficient learning deliverables for the Internal Operations divisions. The scope includes instructional design for Instructor Led, Web Base... ________________________________ Job Title: Senior Product Development 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 functioning as an internal product development consultant and project manager, to lead products from ideation through development, commercialization, growth and maturity to retirement; assisting Sales and Retention Business Units in developing more complex products that addres... ________________________________ 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... ________________________________ Job Title: Director Ancillary Provider Network Company: Health Care Service Corporation Experience: 7 to 10 years Salary: Not Provided Job Location: Chicago, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Analytics and Reporting Consultants - Enterprise Pharmacy. Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL POSITION IS LOCATED IN 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 leading cross functional teams to address the division... ________________________________ 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: Director Project Delivery - Health Care Management Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for working with business partners to align solutions with business strategies; serving as a liaison between the business community and the key stakeholders in order to provide quality technical solutions to meet user needs. Responsible for supporting business needs across delivery cycle and pro... ________________________________ Job Title: Lead Systems Analyst - Actuarial 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: 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 Chicago, IL headquarters. What Are Your Responsibilities? Support the Enterprise IT Portfolio Product Manager with the following tasks Successful project delivery for major Enterp...