Health Care Service Corporation - Employment Opportunities Nationwide

Health Care Service Corporation - Employment Opportunities Emily_Garrity@bcbsil.com 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: Learning & Talent Consultant II - IL, NM, TX Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM BASIC FUNCTION This position is responsible for analyzing performance gaps and learning needs; creating support proposals, creating design strategy documents, and designing effective and efficient performance solutions for the Internal Operations Divisions. The scope includes instructional design for Instructor Led, Web Bas... Job Title: Senior Manager Divisional Strategy & Planning Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX Located in Richardson, TX or Chicago, IL this position is responsible for 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 with the divisi... Job Title: Budget Analyst II Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for monitoring operating expenses for one or more divisions with some complexity, reviewing to make sure that cost center charges are correct and answering questions about charges. Analyzing the charges to identify and research variances and communicates results as appropriate. Re... Job Title: Delivery Assurance Consultant- Sr BA-Agile Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for assessing the overall health of candidate programs and projects as part of a Delivery Assurance service. The position entails engaging program/project teams to identify key risks and issues in areas of business impact related to implementation of IT solutions. This position will also be resp... Job Title: Infrastructure Asset Management Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for executing IT hardware and software asset management processes and activities for IT; providing necessary reports or data to teams that require Asset data such as PSS, Tax, and Finance; tracking and maintain all lifecycles of an asset in appropriate technology; maintaining accurate record kee... Job Title: Medical Director I - Pharmacy Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX; Helena, MT; 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: Senior Data Engineer Company: Health Care Service Corporation Experience: 8 to 12 years Salary: Full Time 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 acting as a... Job Title: Senior Managing Actuary Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time 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 Regulatory Analyst Company: Health Care Service Corporation Experience: 1 to 2 years Salary: Full Time Job Location: Chicago, IL This position is responsible for the receipt and coordination of documentation revision requests, maintaining the internal tracking tool, working with other areas of the organization on the testing and implementation of RSAM modules, and assisting the Financial Regulatory Program Consultant with revisions and/or additions t... Job Title: Product Development Principal Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL The Development and Integration (D&I) team works closely with Product Managers and Product Implementation resources within the Product Solutions space to offer new and innovative solutions to HCSC's large group clients. Generally, the D&I team provides holistic and detailed product needs and features definition, leads the f... Job Title: Contract Administrative Operations Manager Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for managing the unit responsible for the production of customer specific documents for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements. Manages the performance, overall quality and resource all... Job Title: Primary Nurse Case Administrator I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Product Implementation Analyst III Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for leading moderately complex cross enterprise implementations of new products or product enhancements 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 implemen... Job Title: Sr Application Architect Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for the full lifecycle management of an IT product (application family), from strategic planning to tactical activities and production support in support of our Government Programs division. This IT portfolio has a very limited number of discrete IT assets and as such, this role will rely heavil... Job Title: Business Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Danville, IL; Chicago, IL; Jacksonville, IL; Richardson, TX This position is responsible for leading the analysis and development of functional and non functional business requirements for applications within the Customer Engagement Portfolio. Business Analysts work closely with the Customer Engagement Business Solutions Lead and Business and IT stakeholders to understand business s... Job Title: Behavioral Hlth Case Mgt Coordinator Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for performing behavioral health case management in accordance with accepted department criteria; consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individual s and... Job Title: Lead Marketing Communications Consultant Company: Health Care Service Corporation Experience: 4 to 7 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for creating and overseeing the implementation of promotional plans and pre and post sales literature and other materials for Marketing and Sales; managing high level departmental or division projects and representing the manager and/or the department on committees and special tas... Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time 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 data 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: Full Time Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... Job Title: Medical Mgmt Social Worker II Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, transportation and/or helping with locating support groups, as appli... Job Title: Sr Infrastructure Service Delivery Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Downers Grove, IL; Naperville, IL; Waukegan, IL; Chicago, IL; Richardson, TX This position is responsible for providing operations infrastructure support services of all non production and production environments for Middleware; the use of analytics to improve service and application availability; lead Middleware outsourcing vendors in customer interactions with application support and release teams... Job Title: Sr Manager Business Solutions Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Full Time 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." Description Health Care Service Corporation, a Mutual L... Job Title: Sr Manager Data Quality & Enablement Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for overseeing the Data Quality and Enablement Team to enable data stewardship, define quality standards, maintain & promote data lineage, and track aggregated data quality issues. Required Job Qualifications Bachelor's Degree and 5 years of data and analytics experience OR 9 years of data and a... Job Title: Sr Platform Business Product Consultant - Big Data Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is accountable for the strategy, delivery, and operations of multiple platform technologies. It will work with Health Analytics users to understand, predict & manage platform demand and perform run oversight to ensure platforms are being used as intended. It will oversee and coordinate platform updates and new... Job Title: Sr Platform Business Product Consultant - Teradata Company: Health Care Service Corporation Experience: 5 to 9 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is accountable for the strategy, delivery, and operations of multiple platform technologies. It will work with Health Analytics users to understand, predict & manage platform demand and perform run oversight to ensure platforms are being used as intended. It will oversee and coordinate platform updates and new... Job Title: Sr Project Coordinator - Government Programs Company: Health Care Service Corporation Experience: 3 to 7 years Salary: Full Time Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for managing large, complex projects with high risk, including developing and maintaining project plans, issues logs, and status reports. Manage projects from inception through life cycle. Also lead and/or participate in project meetings and workgroups; managing multiple projects... Job Title: Sr Systems Analyst - Data Quality and Enablement Company: Health Care Service Corporation Experience: 6 to 8 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for designing e... Job Title: Unit Manager Clinical Operations - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Downers Grove, 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: Unit Manager Clinical Operations - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Downers Grove, 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: Enterprise Data Analyst Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for leading the development of functional and non functional business requirements . Required Job Qualifications Bachelors degree and 5 years of data and analytics experience OR Technical Certification and/or college courses and 7 years of data and analytics experience OR 9 years of data and ana... Job Title: Manager Community Relations Office Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for executing strategic plan for the Community Affairs Center; directing associated activities; managing internal and external communications programs; managing staff in execution of assessing and addressing patrons' needs and oversee all day to day operations. Required Job Qualifications Bachel... Job Title: Manager Health Educator Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for managing health education programs offered by Health Educators that help individuals, families, and their communities maximize and maintain healthy lifestyles. In addition to training and managing a staff of Health Educators, this individual will be responsible for collecting and analyzing d... Job Title: Internal Auditor I Company: Health Care Service Corporation Experience: 1 to 4 years Salary: Full Time Job Location: Chicago, IL This position is responsible for conducting audits of financial and operational controls of various departments to ensure compliance with prescribed procedures and policies. Required Job Qualifications Bachelor degree and 1 year auditing experience OR 4 years financial or operational experience. Knowledge of accounting, fin... Job Title: Principal Program Manager Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time 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: Project Coordinator Company: Health Care Service Corporation Experience: 2 to 6 years Salary: Full Time Job Location: Downers Grove, IL; Chicago, IL This position is responsible for providing technical and operational support to departments, divisions or enterprise areas. Perform tasks include developing and managing projects; develop and facilitate training; writing system functionality; testing new development; and maintaining project plans, issue logs, and status rep... Job Title: Senior Manager Quality Improvement Company: Health Care Service Corporation Experience: 2 years Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for providing leadership in implementing quality improvement program for HCSC government programs, including successfully achieving at least 4 Star Medicare results on HEDIS and achieving performance goals for our Medicare/Medicaid plan (MMP). Related activities include the follow... Job Title: Senior UX Interaction Designer Company: Health Care Service Corporation Experience: 3 to 5 years Salary: Full Time Job Location: Chicago, IL This position is responsible for their role in the growing Digital User Experience Team (DUET). DUET crafts compelling user experiences across a spectrum of internal and public tools, in partnership with business stakeholders and IT. Passionate about design thinking, human centered design, usability, accessibility, mobile f... Job Title: Sr Director Project Delivery - Keystone Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Full Time Job Location: Chicago, IL Project Keystone is a multiyear strategic effort to modernize business capabilities and underlying technology of our claims platform. You'll be joining a global workforce with over 500 individuals dedicated to the effort. This position is responsible for planning and executing the operational readiness strategy for Project... Job Title: Sr Infrastructure Engineer- Elasticsearch Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time 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 Collaborati... Job Title: University Relations - HR Communications Intern Company: Health Care Service Corporation Experience: Open Salary: Full Time Job Location: Chicago, IL University Relations HR Communications Intern Why Intern at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United States and fourth largest o... Job Title: Community Affairs Center Concierge Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for being a compassionate and dedicated advocate for the member to demonstrate a concierge attitude when assisting members with maximizing their benefits, navigating the healthcare system and reaching their optimal health. Responsible for providing guidance and answering questions from members a... Job Title: Claim Technician Company: Health Care Service Corporation Experience: Open Salary: Full Time 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: Principal Business Information Security Consultant Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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 a given port... Job Title: Senior Supervisor Marketing Operations Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for supervising staff accountable for providing support functions and servicing of new and existing accounts; assisting in the request for proposal process, assisting in enrollment process, researching and resolving account issues, organizing and managing computer network in the m... Job Title: Analytics Consultant Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. May provide consultation to users and lead cross f... Job Title: Application Architect Company: Health Care Service Corporation Experience: Open Salary: Full Time 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: Data Architect - Hadoop Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time 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: Front End Developer Company: Health Care Service Corporation Experience: 2 to 3 years Salary: Full Time Job Location: Chicago, IL This position is responsible for their role in the Digital User Experience Team (DUET). DUET crafts compelling user experiences across a spectrum of internal and public tools, in partnership with business stakeholders and IT. Passionate about design thinking, human centered design, mobile first and responsive design. Job Re... Job Title: Primary Nurse Case Administrator I (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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 Mgr Resource Development Company: Health Care Service Corporation Experience: 3 to 9 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for managing the central pool of resources across technologies and platforms, processing resource requests, and coordinating schedule of resources (employee and contractor) to meet business needs. Required Job Qualifications Bachelor Degree and 5 years Information Technology OR 9 years Informati... Job Title: Supplier Performance Management Analyst Company: Health Care Service Corporation Experience: 2 to 4 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position provides the implementation and ongoing delivery of Supplier Performance Management processes and procedures affecting operations. It is also accountable for preparing, analyzing, reporting and making recommendations on Supplier Performance aspects and for preparing and delivering the Supplier specific reports... Job Title: University New Grad - HR Rotational Program Company: Health Care Service Corporation Experience: 18 to 20 years Salary: Full Time Job Location: Chicago, IL University New Grad HR Rotational Program Why Intern at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United States and fourth largest overa... Job Title: Assistant Analytics Consultant Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for constructing forecasts, recommendations and strategic / tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. May provide consultation to users and lead cross... Job Title: Contract Specialist Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for drafting of standard and customized account specific documents for new and renewing accounts with redrafts of up to ten paragraphs. This position is responsible for drafting non standard contract language and coordinating the production of documents working with account manage... Job Title: Medical Reviewer LPN Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position is responsible for pre authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. JOB REQUIREMENTS LPN with valid, current, unrestricted clinical license in the state of operations. 3 years of clinical experience in p... Job Title: Nurse Liaison I - Registered Nurse (RN) - Utilization Management (UM) & Quality Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL This is an on site position based at our Chicago Headquarters office with some field based travel to the metropolitan area of Chicago and the Suburbs . This is not a patient/member facing role. Join us and grow your career as we do everything in our power to stand with our members in sickness and in health! BASIC FUNCTION T... Job Title: University Relations - IT Infrastructure Intern Company: Health Care Service Corporation Experience: Open Salary: Full Time Job Location: Chicago, IL Why Intern at Health Care Service Corporation? Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer owned health insurer in the United States and fourth largest overall, operating through our Blue Cross and B... Job Title: Portfolio Manager-Government/Retail Strategic Initiatives Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time Job Location: Chicago, IL The portfolio management role leading, strategizing, developing and managing a multimillion dollar portfolio of government and consumer solutions initiatives while partnering with key stakeholders across the enterprise. This position is responsible managing short term and long term planning, executing the business plan, str... Job Title: Senior Data Consultant w/ Teradata Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time 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: Divisional Vice President Government Programs Oversight Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for leading and directing cross functional activities that provide effective oversight of HCSC's Government Programs Division (GPD) including, but not limited to, the Medicare and Medicaid programs; serves as the primary representative for all audit activity including internal audits, compliance... Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Downers Grove, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... Job Title: Senior Market Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for supporting marketing strategy and execution by gathering, organizing, analyzing, and interpreting marketing, financial, and operating data; assisting in report preparation and presentation of research findings, creation and maintenance of project management documentation and s... Job Title: Business Solutions Consultant Company: Health Care Service Corporation Experience: Open Salary: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for analyzing the complex business problems being addressed by product, member, provider, regulatory and enterprise strategies, and new business cases and developing solutions for clients. Analyzes complex business problems and issues using data from internal and external sources... Job Title: Business Technical Consultant Company: Health Care Service Corporation Experience: 8 to 20 years Salary: Full Time Job Location: Downers Grove, IL; Chicago, IL; Richardson, TX; Houston, TX BASIC FUNCTION This position is responsible for managing multiple development projects, development groups, and/or business processes support functions for a major business segment; overseeing multiple technical and/or business processes and analysis projects which include development, installation, and maintenance of busin... Job Title: Director Quality Improvement FEP Operations Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX; Tulsa, OK 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: Financial Consultant - IT Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL Analyze and research trends to determine applicable intervention activities. Gather and analyze key divisional and portfolio performance metrics and communicate these metrics from detail to summary level. Make presentations to all levels of management within the organization. Identify risks/issues and assist in making recom... Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Full Time Job Location: Downers Grove, IL Note This position will require making visits to members homes. 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 pe... Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Salary: Full Time Job Location: Downers Grove, 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: Portfolio Delivery Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of de... Job Title: Senior Communications Consultant Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time 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 manages the production of communications to be distributed to a variety of audiences. Required Job... Job Title: Senior Portfolio Release Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for detailing the release execution plan for each product in the portfolio; orchestrating deployment and promoting code to production; and coordinating communications regarding implementation including downtime impacts to business. Job Responsibilities Serve as the point of contact for the port... Job Title: Unit Manager Clinical Operations (UM) - Government Programs Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Downers Grove, 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: Associate Medicaid Ops Specialist (Chicago) Company: Health Care Service Corporation Experience: 1 to 5 years Salary: Full Time Job Location: Chicago, IL This position is responsible for providing assistance to the Medicaid Operations Specialist on operational services, works with Medicaid Operational Specialist with program implementation and coordination for one or more of the day to day Medicaid operation functions (e.g. billing, claims enrollment, encounter submissions a... Job Title: Director Government Programs Clinical Operations Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Full Time 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: Product Engineer- Collaboration Technologies Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for Collaborating with Solutions Engineering, Infrastructure Operations, and Infrastructure Service Management teams in the design and build of infrastructure solutions/blueprints for HCSC's enterprise collaboration platforms; participating in the design and build of repeatable patterns (build k... Job Title: Director Analytics Consulting Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time Job Location: Chicago, IL 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: Sr Director Resource Development Company: Health Care Service Corporation Experience: 5 to 10 years Salary: Full Time Job Location: Chicago, IL This position is responsible for managing the central pool of project management resources, staff development, and intake and utilization of resources (employee and contractor) to meet business needs. Additionally, the Sr Director of Resource Development will identify and lead continuous improvement and process transformati... Job Title: Divisional Vice President Group Medicare Business Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for a highly visible line of business and ownership of Group Medicare's business performance and growth. The enterprise role will be responsible for building out an operating structure to better align and integrate Group Commercial and Medicare capabilities to offer market leading solutions and... Job Title: Dvisional Vice President Duals Programs Company: Health Care Service Corporation Experience: 10 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for leading their team to be the single point of accountability for all the rules and regulations of integrated Duals program such as Medicare Medicaid Plans (MMPs) in each of HCSC states. This position will ensure the end to end business strategies and operations are in compliance with each sta... Job Title: Mgr Medicaid Vendor Compliance Management Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL This position is responsible for defining the divisional strategy and process to efficiently and effectively select, contract with, and monitor key Medicaid vendors / external business partners. Specific functions include establishing framework for Medicaid vendor alignment across Medicaid plans, streamlining vendor partner... Job Title: Vice President Pharmacy Sales Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for directing the sales of pharmacy products across the enterprise and overseeing staff supporting the sales to existing or new business. Responsible for growth of pharmacy sales in ASO segment, overall go to market strategy of pharmacy product line, and integration of strategies across the plan... Job Title: Admin Assistant III Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Manager Financial Operations Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL Responsible for managing the Billing and Financial Account team and ensuring appropriate processes are established, including effective controls. Manages offshore teams by monitoring service levels, ensures contract compliance, and facilitates end to end issue resolution. Manages flows of information relating to service lev... Job Title: Regulatory Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Downers Grove, IL; Chicago, IL; Richardson, TX; Helena, MT; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for managing and leading the legislative and regulatory review efforts from preliminary regulatory and legislative research leading to modeling/scenario planning through implementation assigned programs and products. Responsible for recommending solutions for the business , creati... Job Title: Sr Director Data Quality & Enablement Company: Health Care Service Corporation Experience: 8 to 12 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX To do everything in our power to stand with our members in sickness and in health. Our HealthTech 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 ove... Job Title: Utilization Management Coordinator Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time 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: Advanced Client Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position will be responsible for communicating the performance of the Health Advocacy Solutions (HAS) product to our most sophisticated accounts. You will also engage with leaders of the HAS Product Performance Group, Client Analytics, Product Development, Health Care Management, Sales and Account Manage... Job Title: Client Consultant Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position will be responsible for communicating the performance of the Health Advocacy Solutions (HAS) product to our most sophisticated accounts. You will also engage with leaders of the HAS Product Performance Group, Client Analytics, Product Development, Health Care Management, Sales and Account Manage... Job Title: Clinical Value Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for supporting HCSC's value based care models and relationships through participation in model/program development, clinical readiness assessments of entity and Network Management led joint operating committees. Role is also responsible for creating and maintaining strong working relationships w... Job Title: Primary Nurse Case Admin I (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Primary Nurse Case Admin I (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Primary Nurse Case Administrator I Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Sr Analytics Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX BASIC FUNCTION This position will become a subject matter expert on Health Management & Advocacy program components, operational procedures, reporting and value methodologies. You will document and communicate for new sales and account retention, including crafting RFP responses and developing market/client facing materials... Job Title: Sr Developer - Mulesoft Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time 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. Required Job Qualifications Bachelor Degree and 4 years... Job Title: Sr Developer - Pivotal Cloud Foundary Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time 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 Manager, Government Programs Clinical Operations Company: Health Care Service Corporation Experience: 1 to 3 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX; Albuquerque, NM This position is responsible for supervising staff involved in a variety of medical management operations. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, e... Job Title: Sr Supervisor Subscriber Services Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Naperville, IL BASIC FUNCTION This position is responsible for supervising a project delivery team operational unit in Subscriber Services. JOB REQUIREMENTS Bachelor Degree in Business and 3 years experience in a leading position OR 4 years business experience and 4 years experience in a leadership position with sound decision making skil... Job Title: Systems Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Salary: Full Time 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 Systems Analyst will be working with th... Job Title: Wellbeing Health Advisor Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Advanced Analytics Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX; Tulsa, OK; Albuquerque, NM BASIC FUNCTION This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. May provide consultation to users and lead cross f... Job Title: Condition Management Coordinator II Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX WORK FROM HOME/TELECOMMUTE NOT AVAILABLE. POSITION CAN BE IN THE RICHARDSON, HQ. OR CHICAGO, HQ. BASIC FUNCTION This position is responsible in a clinical care advisory role to assess members for wellness education and disease management; introduce members to utilize the Personal Health Manager Website as a tool for members... Job Title: Divisional Strategy Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Salary: Full Time Job Location: Downers Grove, IL; Chicago, IL; Richardson, TX; Albuquerque, NM 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 retail markets, as well as ad hoc analytic projects; interfacing with various business teams to achieve goals and desired outcomes, develop... Job Title: Sr. Divisional Strategy Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time Job Location: Downers Grove, IL; Chicago, IL; Richardson, TX; Albuquerque, NM 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: Sr Developer - Mulesoft with Data management exp Company: Health Care Service Corporation Experience: 4 to 20 years Salary: Full Time 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: Assistant IT Product Manager - SalesForce Company: Health Care Service Corporation Experience: 4 to 8 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for assisting the IT Product Manager with lifecycle management of an IT product (application family); triaging inbound requests for the product manager (i.e. bug fixes or new projects); acting as a proxy for the IT Product Manager to interact with project teams and assisting the IT Product Manag... Job Title: Business Consultant Lead - Employer Solutions Delivery Company: Health Care Service Corporation Experience: 4 to 5 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX 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: Consultant - Internal Consulting Group Company: Health Care Service Corporation Experience: 1 to 3 years Salary: Full Time Job Location: Chicago, IL This position is responsible for leading and/or supporting a broad array of ad hoc consulting engagements across HCSC to drive strategic, operational, and organizational improvements. Project responsibilities include targeted strategic assessments, solution implementations, and process design and improvement efforts. Respon... Job Title: Developer - Aptitude Company: Health Care Service Corporation Experience: 2 to 20 years Salary: Full Time 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: Learning & Development Consultant II Company: Health Care Service Corporation Experience: 7 to 20 years Salary: Full Time Job Location: Naperville, 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: Platform Business Product Consultant - Reporting and Analytics Company: Health Care Service Corporation Experience: 3 to 7 years Salary: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for the strategy, delivery, and operations as a business product owner for an assigned platform technology. Required Job Qualifications Bachelor's Degree and 3 years of data and analytics experience OR 7 years of data and analytics experience Knowledge of platform areas Knowledge of IT infrastru... Job Title: Sr Application Architect - Data Quality and Enablement Company: Health Care Service Corporation Experience: 5 to 20 years Salary: Full Time 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: Sr Mgr. Project Portfolio Management - Estimation Company: Health Care Service Corporation Experience: 9 to 20 years Salary: Full Time 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 creating an... -- Forwarded as information: These post-military and spouse employment opportunities are made available as a service prescribed under Public Law 101-510, and US Code Title 10, Section 1784 and 1144. The Department of Defense and Service Branches do no endorse any company, sponsor or their products and services. Additional transition assistance: www.DoDtap.mil https://www.employerpartnership.org/, http://www.msepjobs.com/ http://jobs.navair.navy.mil/sm2wm/Default.aspx, http://www.dllr.state.md.us/mil2fedjobs/mil_search.aspx, http://www.mynextmove.org/vets/ --- You received this message because you are subscribed to the Google Groups "Veteran & Spouse Job Opportunities from FFSC Great Lakes" group. 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