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: Customer Advocate I Company: Health Care Service Corporation Experience: 0 to 1 years Salary: Not Provided Job Location: Danville, IL BASIC FUNCTION Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include conducting research; spends approximately 90 of the scheduled time on t... ________________________________ Job Title: Director Learning Operations Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading the management team who is responsible for effective design, delivery, infrastructure, development, innovation and ongoing continuous improvement of learning solutions across multiple businesses. Has overall responsibility for the success of the organization and impactful solutions t... ________________________________ Job Title: Divisional Vice President Enterprise Network Operations Company: Health Care Service Corporation Experience: 12 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: Internal Operations Budget/Finance Analyst II Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for gathering, analyzing, maintaining and reporting on budget/ expense data and financial performance metrics; utilizing computer assisted analytical and forecasting techniques; preparing monthly and annual reports; and updating financial models for both Internal Operations divisi... ________________________________ Job Title: Learning & Development Consultant II Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Downers Grove, 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: Process Consultant I Company: Health Care Service Corporation Experience: 3 to 4 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for assisting the Process Leaders/Process Stewards in planning, defining, developing, testing, documenting, analyzing results and/or implementing Process Improvement and Process Reengineering opportunities. Providing guidance, and support for Business Process activities and methods to the Super... ________________________________ Job Title: Systems Analyst -- PeopleSoft HCM Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Busi... ________________________________ Job Title: BA Specialist 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." Description Health Care Service Corporation, a Mutual L... ________________________________ Job Title: Director Analytics Consulting - Provider Network Solutions 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: Medical Management Accreditation & Audit Coord Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL; Albuquerque, NM BASIC FUNCTION This position is responsible for conducting audits as well as monitoring ongoing quality improvement activities within the Medical Management Program; analyzing compliance with departmental policies, regulatory and accrediting requirements, and preparing reports for management presentation to internal ancilla... ________________________________ Job Title: Member Care Coordinator -Government Programs (Chicago HQ or Downers Grove, IL) Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, 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 health plans, responding to inquiries from members, and s... ________________________________ Job Title: Sr Divisional Strategy Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL 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: 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: Application Architect -PS HCM 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: Assistant General Counsel - Care Delivery & Management Company: Health Care Service Corporation Experience: 5 to 10 years Salary: Not Provided Job Location: Chicago, IL This is a unique opportunity for a highly qualified and motivated health care lawyer to help build out the Legal Division's Care Delivery & Management team charged with advising and counseling business leaders on enterprise care management, provider network and pharmacy matters. As Assistant General Counsel, you will partne... ________________________________ 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: Clinical Pharmacy Manager Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL; Albuquerque, NM POSITION CAN BE LOCATED IN CHICAGO, IL OR ALBUQUERQUE, NM 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... ________________________________ Job Title: Divisional Vice President Provider Contracting 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: Medical Director I Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. JOB REQUIREMENTS Physician with a current and unrestricted physician license in a state or territory of the United States. Maintain Board... ________________________________ Job Title: Nurse Liaison I - Utilization Management & Quality Review 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: Quality Management Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Sr Developer-Pega Company: Health Care Service Corporation Experience: 3 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 developing,... ________________________________ Job Title: Sr Manager IT Product Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for the full li... ________________________________ Job Title: System Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Busi... ________________________________ Job Title: 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: Application Architect 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 ensuring al... ________________________________ Job Title: Director Corporate Tax Company: Health Care Service Corporation Experience: 8 to 10 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for interpreting and applying tax law to ensure HCSC and its subsidiaries are in compliance with federal, state, and local income tax laws, HIPAA, False Claims Act, and the corporate governance and accounting principles of Sarbanes Oxley; to prepare and timely file all necessary federal, state,... ________________________________ Job Title: Sr Director Design Strategy Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL We are seeking a Director / Design Strategy to join our growing Digital DesignTeam . Our team crafts compelling user experiences across a spectrum of internal and public tools, in partnership with business stakeholders and IT. Be passionate about design thinking, human centered design, user research, visual design, interact... ________________________________ 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; Richardson, TX; Albuquerque, NM 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 Manager- Portfolio Delivery 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: 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: Unit Manager Clinical Operations Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL 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: Utilization Management Coord 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 performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service req... ________________________________ Job Title: 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: Developer Specialist-Appian 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 developing,... ________________________________ Job Title: Sr Application Architect Company: Health Care Service Corporation Experience: 5 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: University Relations - Sales/Account Associate Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Chicago, IL SALES/ACCOUNT ASSOCIATE BASIC FUNCTION This position is responsible for learning specific aspects of the Sales/Marketing operations; and assisting in or supporting Sales Representatives/Account Management personnel in the prospecting, acquiring or renewing business. ESSENTIAL FUNCTIONS Support Sales/Account Management perso... ________________________________ Job Title: IT/IS GRC Consultant 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 planning, design, enforcement and audit of information technology and information security policies, standards and procedures which safeguard the integrity of and access to enterprise systems, files and data elements; analyzing, tracking and acting on information technoloyg or informatio... ________________________________ 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: Strategic Account Executive - Employer Group Health Benefits Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Chicago, IL Located in Chicago, IL this position is responsible for strategic oversight and retention for Enterprise National Accounts. Serve as the primary point of contact for customer and viewed as a trusted advisor. Develop understanding of client business strategy and identify innovative product solutions to balance costs with lon... ________________________________ Job Title: Assistant Business Solutions Lead 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 supporting one or more Business Solutions Leads within a HealthTech portfolio for business interactions / relationship management, demand consolidation and prioritization, and portfolio strategy / roadmap. Viewed as integral to the business in any decisions that may be impacte... ________________________________ Job Title: Budgets & Analysis Systems Consultant Company: Health Care Service Corporation Experience: 4 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for oversight and coordination of the use of a large complex Oracle ERP financial system, especially the General Ledger module and the Oracle EPM PBCS system. Development and delivery of training to users, leading efforts required to complete periodic system enhancements, engaging... ________________________________ Job Title: Community Health Coordinator Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; 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: Community Health Coordinator - Government Programs Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; 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: Market Research Consultant Company: Health Care Service Corporation Experience: 3 to 7 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Tulsa, OK BASIC FUNCTION This position is responsible for functioning as a project manager in a set of well defined marketing strategy, customer loyalty, internal operations, and business development initiatives; working with departmental management, project staff, and other peers to define objectives and identify key issues for each... ________________________________ Job Title: Client Commitments Implementation Lead Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for leading strategic, cross enterprise implementations for key clients that are critical to the retention of accounts, maintaining market relevancy and responding to legislative and regulatory initiatives. This role serves as the business lead on a given implementation within the Client Commitm... ________________________________ Job Title: Contract Management Solution Technology Senior Manager Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for managing a team involved in the implementation of a contract management system and ongoing governance of the Emptoris Contract Management Platform; interacting with all levels of management and staff, including senior management and is responsible for coordinating Enterprise wide system plan... ________________________________ Job Title: Director Government Programs Clinical Operations Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Not Provided Job Location: Downers Grove, IL At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" one of our core values, we are focused on improving our success measures and delivering the b... ________________________________ Job Title: Director Strategic Sourcing Company: Health Care Service Corporation Experience: 4 to 8 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 I Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for facilitating all aspects of assigned clinical quality improvement projects and reporting. This position consults with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implement, coordinate, monitor and evaluate options and servic... ________________________________ Job Title: Regulatory Compliance Administrator Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for coordinating and administering various responsibilities within the HCSC Ethics and Compliance Department, to ensure HCSC is compliant with various federal and state regulations; overseeing the updates of regulatory policies and procedures; developing and distributing regulator... ________________________________ 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 Compensation Analyst Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for coordinating/leading projects for Corporate Compensation and acting as consultant/liaison between Compensation and customers; ensuring proper job descriptions and evaluations of positions; researching/participating in development of salary administration programs including inc... ________________________________ Job Title: Senior Contract Specialist Company: Health Care Service Corporation Experience: 1 to 3 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position will be responsible for working with the team that is drafting filed documents and contracts reviewing non standard document language requests; referring issues to senior staff as required. In addition, this position will be looked to take on configuration responsibilities for teams that are usi... ________________________________ Job Title: Senior Manager Process Excellence Company: Health Care Service Corporation Experience: 6 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX; Dallas, TX This position is responsible for the SDO (Service Delivery Operations) 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 pro... ________________________________ Job Title: Sr Big Data Systems Analyst Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Busi... ________________________________ Job Title: Sr Director Government Program Clinical Operations Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Not Provided Job Location: Downers Grove, IL; 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: Campus Recruiter Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position will support the University Relations Program in all aspects including but not limited to recruiting interns, entry level hires, and internal and external event management, screening, scheduling, conducting, and documenting pre qualification interviews. This position will be critical in building... ________________________________ 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: Lead Actuarial Systems Developer Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position will support the 2Rs program (reinsurance and risk adjustment) as part of the implementation of the requirements of the Affordable Care Act overseen by the Actuarial Department. The incumbent will be responsible for the planning, development, analysis, and implementation of procedures and/or pro... ________________________________ Job Title: Java Developer - XP Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for developing, integrating, testing, and maintaining existing and new applications; knowing one or more programming languages; knowing one or more development methodologies/delivery models. Most development will be in JAVA and be focusing on working in an XP (Extreme Programming) Pairing enviro... ________________________________ Job Title: Primary Nurse Case Admin I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL Basic Function This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs concurrent re... ________________________________ Job Title: Portfolio Test Manager Company: Health Care Service Corporation Experience: 9 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for the overall test service delivery and oversight of all testing operations within the Customer Engagement and Provider Portfolios); leading the planning for the overall testing effort including impact analysis and estimation, sourcing, resource management, and automation strategy; serving as... ________________________________ Job Title: Pharmacy Operations Representative Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL POSITION IS LOCATED IN THE IL HQ (CHICAGO) OFFICE, AND NOT WORK FROM HOME BASIC FUNCTION This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. Works with internal departments and external vendors to evaluate and resolve pharmacy related issue... ________________________________ Job Title: Sr Salesforce-Developer 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: Unit Manager Clinical Operations Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL 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 II Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Not Provided Job Location: Chicago, IL BASIC FUNCTION This position is responsible for working with business partners within one business function to align technology solutions with business strategies; eliciting, documenting, and refining business requirements for Marketing Tech; serving as a liaison between the business community and the IT organization in ord... ________________________________ Job Title: Financial Data 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 performing analysis of financial data in the general ledger; completion of journal vouchers; developing ad hoc reports; and generating of monthly recap information necessary to support monthly statistical reporting.; identifying, analyzing and evaluating requirements for imple... ________________________________ Job Title: Financial Regulatory Programs Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for providing consulting, direction, guidance and support to business stakeholders to ensure documentation governance of financial regulatory programs across the enterprise. This position will ensure financial regulatory program processes, policies, and procedures are accurately documented as we... ________________________________ Job Title: Lead Business Consultant Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for driving delivery framework, contingency planning, business results and highly complex program(s) consisting of multiple projects in support of our Government Programs strategy. Develops the delivery and contingency execution strategy, overseeing vendors, and business partners while managing... ________________________________ Job Title: Senior Business Consultant 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 Government Program strategies and to ensure consistency and efficiency requiring leadership of major, complex, and strategic cross divisional and enterprise wide projects from... ________________________________ Job Title: Managing Actuary Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX 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: Senior Actuarial Analyst 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 analysis; and assisting in design of pricing, underwriting, statistical, and reserving systems for assigned lines of business. JOB REQUIREMENTS Bachelor Degree in Actuarial Science or Mathematics. Associateship in the Society of Actuaries (ASA) or completion of 6 ex... ________________________________ Job Title: Senior Managing Actuary Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for managing 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: Manager Divisional Strategy Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Not Provided Job Location: Chicago, IL This position is responsible managing all divisional short term and long term planning, executing the business plan, strategies, analytics and data needs for the division and working with divisional leadership on strategies and business plans for functional areas; working with enterprise areas to ensure there is alignment w... ________________________________ Job Title: Sustainability Engineering Consultant Company: Health Care Service Corporation Experience: 1 to 5 years Salary: Not Provided Job Location: Chicago, IL This position is responsible for managing the Enterprise wide sustainability activity for the Corporate Real Estate (CRE) Department Responsible for assisting CRE leadership with the development and management of all sustainability programs, RFP requests and responsibilities, Function as a key member of the CRE Technology T... ________________________________ Job Title: Wellbeing Health Advisor Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position will be responsible for focusing on the overall health of the member by assisting the member with the goal of increased health and overall wellbeing by developing a one to one relationship with the member. Encourage members to utilize appropriate resources and web based tools available to them to access inform... ________________________________ Job Title: Senior Managing Actuary Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Chicago, IL; Richardson, TX This position is responsible for managing 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: 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: Claim Technician Company: Health Care Service Corporation Experience: Open Salary: Not Provided Job Location: Rockford, IL Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims.Required Job Qualifications High School diploma or GED. Data entry and/or typing experience. Clear and concise written and verbal communication skills.... ________________________________ Job Title: Developmental Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Not Provided Job Location: Rockford, IL BASIC FUNCTION This position is responsible for assisting with development and support of staff by monitoring and auditing job performance; determining developmental needs; providing training and feedback; making suggestions to enhance procedural and corporate training. JOB REQUIREMENTS High School Diploma or GED. 2 years e... ________________________________ Job Title: Encounter Manager 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 a Medicaid Encounter area in Subscriber Services. JOB REQUIREMENTS Bachelor Degree and 5 years' experience in a leading position OR 6 years business experience and/or 6 years' experience in a leadership position in an MCO/MAO/ACO environment, with sound decision makin... ________________________________ Job Title: Lead Sales Delivery Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL BASIC FUNCTION This position is responsible leading staff accountable for supporting national and local accounts by preparing contracts/booklets and handling account set up and/or leading technology projects. This position is responsible for assisting with developing and facilitating training, handling escalated issues, ass... ________________________________ Job Title: Principal Technology Architect Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Not Provided Job Location: Chicago, IL This position will be leading the solution architecture definition for a multi year transformational enterprise program for the largest customer owned Health Plan in the United States. The goals of the program are to 1) increase the efficiency of our 7,500 call center agents by simplifying their desktop & information enviro... ________________________________ Job Title: SDG Implementation Analyst III Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Not Provided Job Location: Downers Grove, IL; Chicago, IL