Health Care Service Corporation - Employment Opportunities

Health Care Service Corporation - Employment Opportunities 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: Divisional Strategy Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for supporting a broad array of strategic, analytical projects and divisional planning; assisting with the development of the business plan and strategy for retail markets, as well as ad hoc analytic projects; interfacing with various business teams to achieve goals and desired outcomes, develop... Job Title: Managing Actuary Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL; Richardson, TX This position reports to the Senior Director of Data Science and provides data management, analytical, and statistical support for Enterprise Pharmacy Team related activities such as client retention, sales, clinical program evaluation, financial analysis, and benefit design. Required Job Qualifications Bachelors' degree in... Job Title: Care Coordinator UM/CM II - Future Telecommute Potential Company: Health Care Service Corporation Experience: 1 to 3 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL Telecommute potential after working onsite for approximately 9 months. APPLICANTS MUST BE WITHIN A COMMUTABLE DISTANCE FROM RICHARDSON, TX OR CHICAGO, IL (DOWNTOWN) BASIC FUNCTION This position is responsible for performing concurrent review and case management activities in accordance with approved departmental guidelines;... Job Title: Divisional Strategy Consultant, Government & Consumer Solutions Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL The Divisional Strategy Consultant is responsible for supporting a broad array of strategic projects and divisional planning for the Government and Consumer Solutions Division. She or he will assist with the development of the business plan and strategy for Medicare markets, as well as ad hoc analytics. Responsibilities wil... Job Title: Principal Divisional Strategy Consultant - Mental Health Regulatory Compliance Company: Health Care Service Corporation Experience: 6 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for assisting with leading the Mental Health Parity (MHP) Operations team with targeted short term and long term planning, assisting the Medical Policy leadership team on executing the business plan, strategies, analytics and data needs for the Medical Policy department and working with leadersh... Job Title: Quality Assessment Analyst Company: Health Care Service Corporation Experience: 1 to 2 years Employment Type: Full Time Job Location: Richardson, TX; San Angelo, TX; Abilene, TX; Wichita Falls, TX; Danville, IL; Jacksonville, IL; Chicago, IL; Quincy, IL; Marshall, TX; Rockford, IL; Naperville, IL; Mattoon, IL; Tulsa, OK; Helena,... BASIC FUNCTION This position is responsible for participating in reviews and audits regarding quality of claims, inquiry, and/or membership transactions at the employee level based on corporate criteria. Job Requirements 2 years college and 1 year experience in working and/or auditing business transactions such as claims, i... Job Title: Sr. Manager - IT Service Management Company: Health Care Service Corporation Experience: 5 to 9 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for the full lifecycle management of ITSM processes and the ITSM Suite (ServiceNow), as well as working with and supporting other ITSM Process owners with regards to aligning with industry best practices.. This includes everything from strategic planning to tactical activities, specifying requir... Job Title: Manager Program Oversight Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing and leading oversight activities related to the evaluation of delegated entities and compliance with regulatory and contractual requirements. Responsible for evaluating the potential impact of issues and recommending and evaluating solutions for business and operation... Job Title: Care Coordinator UM/CM I - Government Programs-IL Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appro... Job Title: Medical Director Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Tulsa, OK; Helena, MT; Albuquerque, NM to do everything in our power to stand by our members in sickness and in health. 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. ESSENTIAL FUNCTIONS Complete medical necessity prepaymen... Job Title: Workday HR Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time 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" as one of our core values, we are focused on improving our success measures and delivering th... Job Title: Change Management Lead Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for providing leadership to highly complex, strategic organizational effectiveness (OE) initiatives and programs for divisions and subdivisions; partnering with large divisions and/or multiple divisions on large scale organizational change management solutions of key strategic sig... Job Title: Design Strategist Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: 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. About the Position Our design practice is looking for a... Job Title: Clinical Quality Research Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for conducting data collection and abstraction of medical records for HEDIS and Quality projects including supplemental data collection. Responsible for interacting with various internal staff, internal departments, and network providers/IPAs to ensure quality performance and results for Blue Cr... Job Title: Senior UX Interaction Designer Company: Health Care Service Corporation Experience: 3 to 5 years Employment Type: 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: Lead Accountant Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; San Angelo, TX; Helena, MT BASIC FUNCTION This position is responsible for leading accountants and accounting clerks; responsible for workflow management, coaching and feedback, training, and employee development; providing input to goal setting, hiring/selection, and performance reviews. Overseeing the department's daily and weekly accounting activi... Job Title: Data Science Engineer Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL Our Enterprise Analytics team is searching for data engineers who can contribute to our mission of expanding access to high quality, cost effective health care and equipping our members with information and tools so they can make the best health care decisions for themselves and their families. Enterprise Analytics applies... Job Title: Executive Administrative Assistant II Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION Under general direction, this position is responsible for exercising considerable discretion and independent judgment while performing secretarial, administrative and office management duties for a Divisional Sr. Vice President including composing and typing correspondence, report development, meeting coordin... Job Title: Executive Director Financial Regulatory Reporting Company: Health Care Service Corporation Experience: 10 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is accountable for leading all aspects of the quarterly and annual statutory financial statement filings for HCSC and multiple subsidiary companies. Collaborates closely with the DVP, Financial Reporting & Analysis in evaluating and implementing new technical accounting guidance and overseeing the company's sy... Job Title: Executive Director Portfolio Delivery Company: Health Care Service Corporation Experience: 10 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL 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. BASIC FUNCTION This position is responsible for... Job Title: Financial Analyst II Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position in Finance is responsible for supporting Financial Planning and Analysis activities across the Service and Delivery Operations (SDO) division. This role is responsible for gathering, analyzing, maintaining and reporting on budget/ expense data and financial performance metrics; utilizing compute... Job Title: Financial Strategy & Planning Principal Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for providing business intelligence support for business segments; thought leadership to the critical analysis of models, studies and systems to drive a deep understanding of the financial outcomes of a Line of Business; anticipating the implications and consequences of situations, taking approp... Job Title: Investment Analyst II Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL Emerging member of HCSC's institutional investment management team. Responsible for performing routine functions and contributes to special initiatives related to investment portfolio management, investment strategy, security analysis, and investment analytics/risk management. Works under the direction and oversight of seni... Job Title: Lead Digital Communications Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for the development and delivery of a digital communications strategies that support the enterprise business plan; implementing the determined strategy; handling the day to day operations of the digital communications development and operation team; and ensure realization of anticipated benefits... Job Title: Manager Internal Operations Budgets & Finance Company: Health Care Service Corporation Experience: 6 to 20 years Employment Type: Full Time 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" as one of our core values, we are focused on improving our success measures and delivering th... Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL to do everything in our power to stand by our members in sickness and in health. 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 o... Job Title: Organizational Effectiveness Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for providing leadership to moderately complex, strategic organizational effectiveness (OE) initiatives and programs for divisions and subdivisions; partnering with more senior OE resources to deliver on large, complex OE initiatives; providing consultative oversight to assigned projects which r... Job Title: Principal Data Science Engineer Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for providing thought leadership as well as actively mentor and coach junior staff; ensuring data quality, creation of new data pipelines, optimization and management of existing data pipelines, ingestion and curation of data sources for analytical purposes, and transformations of structured and... Job Title: Quality Management Specialist I Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time 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: SDG Implementation Analyst III Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for managing the implementation of new or renewing accounts, new legislation, and products across the enterprise. Works with cross functional HCSC teams/internal stakeholders to lead the implementation. Responsible for communications and implementation artifacts that describe progress, issues, a... Job Title: Senior Manager- Integrated Marketing Company: Health Care Service Corporation Experience: 8 to 12 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Austin, TX This position is responsible for the oversight of staff in ideating and creating communications that support the growth and retention of our membership, as well as supporting the requirements of our sales and account management teams. Deliver strategic communications counsel, assessment, integrated planning and execution in... Job Title: Sr Accreditation Coordinator Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Albuquerque, NM Responsible for operations compliance with accreditation and regulatory requirements in assigned areas. Responsible for developing, coordinating, integrating and monitoring accreditation activities and initiatives in compliance to state and federal regulations. Responsibilities include collecting data and developing complia... Job Title: Sr Director Value Stream Owner - Definition to Transition Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL 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 the... Job Title: Sr Director Value Stream Owner - Strategy Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL 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 the... Job Title: Sr Director Value Stream Owner, Request to Fulfill and Detect to Correct Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL 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 the... Job Title: Sr Divisional Strategy Consultant, IL Network Management Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL The Senior Divisional Strategy Consultant of Illinois Network Management is responsible for supporting the development of divisional strategies by identifying tools to assess and track strategic opportunities. She or he will provide end to end report development and interface with various internal business, technical or ana... Job Title: Supplier Perf Mgmt Analyst Company: Health Care Service Corporation Experience: 2 to 4 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position provides the implementation and ongoing delivery of Supplier Performance Management processes and procedures affecting operations. This positions also supports Business Owners in ensuring that the Vendor's delegated activities are in compliance with the set requirements. It is accountable for preparing, analyz... Job Title: Unit Manager, Professional Provider Network Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Naperville, IL Health Care Management (HCM) is a division of HCSC dedicated to transforming lives by inspiring members and providers to enable a healthier population in the most effective way. Our Mission is to provide the opportunity for our members to obtain their highest level of health. BASIC FUNCTION The Unit Manager of Professional... Job Title: Unit Mgr Resource Development Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL 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 4 years Information Technology experience OR Techni... Job Title: Lead Learning & Development Specialist Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for collaboration with learning business partners, business subject matter experts (SMEs), stakeholders and others to understand business performance gaps and learning needs. Managing overall curricula project initiatives, including the creation of design strategy, detailed needs analysis, and d... Job Title: Principal Program Manager Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: 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: Product Delivery Consultant Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for partnering on 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 resource on a given implementation within... Job Title: Developer - JAVA Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: 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 developing,... Job Title: Mgr Enterprise Accred Admin Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Albuquerque, NM This position is responsible for managing accreditation efforts for the Enterprise Quality & Accreditation department. This involves managing the administration of activities that comply with accreditation standards (NCQA, URAC), federal regulations (ACA, CMS Medicare and Medicaid), and Plan state regulations. Responsible f... Job Title: Accountant III Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for preparing financial reports and statements by performing accounting and analysis at an advanced level; preparing journal entries and account reconciliations to ensure complete and accurate financial records of various general ledger transactions; analyzing and accounting for changes in finan... Job Title: Care Coordinator UM/CM I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL to do everything in our power to stand by our members in sickness and in health. This position is located in Downers Grove, this position will also work some weekends BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge plannin... Job Title: Corporate Strategy Consultant Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This is an entry level professional position in the Corporate Strategy office. This position is responsible for contributing to a broad array of corporate strategic, analytical, planning, and integration activities to ensure continued growth and profitability of the organization. Job Responsibilities Assisting with strategi... Job Title: Customer Advocate II - SSD Company: Health Care Service Corporation Experience: 0 to 1 years Employment Type: Full Time Job Location: Naperville, IL BASIC FUNCTION Under supervision this position is responsible for researching, analyzing and responding to telephone, written, membership and claim inquiries in a prompt, accurate and professional manner utilizing retail market systems and procedures. Ability to be flexible and accountable toward meeting deadlines in an env... Job Title: Digital Strategy Consultant Company: Health Care Service Corporation Experience: 5 to 7 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for driving execution of the employer and broker digital customer strategy. Work collaboratively with HCSC leaders to understand business challenges and the competitive market landscape to design the desired future state. Responsible for co creating and maintaining customer journey maps, employe... Job Title: Financial Analyst II Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for preparing and analyzing various financial reports for distribution to management and other authorized personnel; maintaining complete and accurate financial records on premium, claims and various general ledger transactions; analyzing and accounting for changes in financial data reported; co... Job Title: Primary Nurse Case Administrator I (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; 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: Senior Actuarial Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for maintaining HCSC's Medicaid and Medicare Advantage (MAPD) Fee For Value (FFV) program models. This includes compiling interim/final reconciliations, reserving for projected future FFV payments and additional analysis to ensure viability of the program models. This position requires knowledge... Job Title: Sr Digital Strategy Consultant Company: Health Care Service Corporation Experience: 7 to 9 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for driving execution of the employer and broker digital customer strategy. Work collaboratively with HCSC leaders to understand business challenges and the competitive market landscape to design the desired future state. Responsible for co creating and maintaining customer journey maps, employe... Job Title: Sr Front End Developer Company: Health Care Service Corporation Experience: 3 to 5 years Employment Type: 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 (Front end Developer Duet Team Only This pos... Job Title: Sr. Business Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for supporting the Chief of Staff Office for the Divisional Senior Vice President of Applications with delivery initiatives, delivery strategy, data analysis, process design and governance, and special projects. Industry or consulting experience related to project management, strategy, process d... Job Title: Systems Analyst Company: Health Care Service Corporation Experience: 4 to 6 years Employment Type: Full Time Job Location: Chicago, IL This Systems Analyst will be working with the business, the AMS support team and the development team to keep the Billing applications running as efficiently as possible. The applications in this area need a strong systems analyst that can research issues, determine root cause analysis and provide detailed design specificat... Job Title: Clinical Pharmacist Company: Health Care Service Corporation Experience: Open Employment Type: Full Time Job Location: Downers Grove, IL; Oklahoma City, OK; Richardson, TX; Chicago, IL; Tulsa, OK; Austin, TX POSITION CAN BE LOCATED IN THE FOLLOWING HCSC OFFICES CHICAGO, IL; DOWNERS GROVE, IL; RICHARDSON, TX; AUSTIN, TX; TULSA OR OKLAHOMA CITY, OK. BASIC FUNCTION This position is responsible for performing pharmacy program quality improvement activities including but not limited to reviewing and supporting formulary (drug list)... Job Title: Contract Specialist Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Tulsa, OK; Helena, MT; Albuquerque, NM 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: Cybersecurity Solutions Engineer - EndPoint Security Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for developing and implementing enterprise information cyber security solutions to address the current & emerging security challenges; serving as a cybersecurity solutions engineer. The individual would be responsible for developing and operationalizing wide array of cyber security & defense cap... Job Title: Marketing Service Representative Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: 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" as one of our core values, we are focused on improving our success measures and delivering th... Job Title: Pharmacy Operations Rep Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL; Oklahoma City, OK; Richardson, TX; Chicago, IL; Tulsa, OK POSITION CAN BE LOCATED IN THE FOLLOWING HCSC OFFICES CHICAGO, IL; DOWNERS GROVE, IL; RICHARDSON, TX; TULSA OR OKLAHOMA CITY, OK. Must be a Certified Pharmacy Technician. BASIC FUNCTION This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. Wo... Job Title: Senior Business Consultant, Government Programs Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL The Senior Business Consultant 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. She or he will develop the delivery and contingency execution strategy, and oversee vendors and bu... Job Title: Senior Contract Specialist Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Tulsa, OK; Helena, MT; Albuquerque, NM This position is responsible for drafting and filing 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 managers.... Job Title: Sr Developer - Java Development Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: 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 developing,... Job Title: Senior Managing Actuary Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: 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: Assistant Marketing Service Representative Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL BASIC FUNCTION This position is responsible for supporting Account Management personnel in the renewing of group business including handling plan changes, handling agent/broker changes, conducting research, servicing customers and problem resolution, and participating in group enrollment sessions. JOB REQUIREMENTS Bachelor'... Job Title: Care Coordinator UM/CM I (RN) Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL; Richardson, TX to do everything in our power to stand by our members in sickness and in health. BASIC FUNCTION This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs, consulting and collaborating with prov... Job Title: Customer Advocate I Company: Health Care Service Corporation Experience: 0 to 1 years Employment Type: Full Time 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 Government Programs Compliance Company: Health Care Service Corporation Experience: 8 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for monitoring and overseeing the Corporation's, its subsidiaries, and its subcontractors compliance with Federal, state and local regulatory and contractual obligations applicable to government programs with particular emphasis on assisting the HISC Compliance Officer with fulfilling regulatory... Job Title: Innovation Scientist Consultant (R&D) Company: Health Care Service Corporation Experience: 8 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position will support the identification, setup and management of exploring and experimenting with exponential technologies. Additional responsibilities include understanding and aligning technology scouting and experiments with the goals of our internal strategy, architecture and innovation teams. Required Job Qualifi... Job Title: Learning & Development Specialist - Sales and Marketing Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for collaboration with departmental and business resources to understand business performance gaps and learning needs. Accountable for managing overall curricula project initiatives, including the creation of design strategy, detailed needs analysis, and designing and developing relevant adult l... Job Title: Sr Director Portfolio Delivery - Employer Solutions Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for end to end delivery of Employer Portfolio RFI/RFP programs and responses to ensure successful Health Tech management, engagement, timely responses, execution and alignment with business needs. In addition to being accountable for identifying changes on RFI/RFP responses vs Final Contracts Re... Job Title: Communications Consultant II - Pharmacy Programs Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL; Albuquerque, NM POSITION CAN BE LOCATED IN THE CHICAGO, IL. OFFICE, OR THE ALBUQUERQUE, NM. OFFICE Experience with regulatory processes and guidelines governing health insurance products PREFERRED. Development and execution of communications to meet the needs of multiple audiences is key, and knowledge of CMS compliance is essential. BASI... Job Title: Senior Analytics Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: 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. Supports analytics adoption and execution across b... Job Title: Sr Business Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for leading the design and development of functional and non functional business requirements and business processes; working closely with business and IT stakeholders including business SMEs, business architects, solution architects, systems analysts. Additional Job Purpose Represent business/s... Job Title: Wellbeing Health Advisor Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL to do everything in our power to stand by our members in sickness and in health. Job Purpose 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 me... Job Title: Sr IT Process Design & Gov Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for developing, enhancing and optimizing PMO standards, tools, and methods; creating department and enterprise level reports to manage and drive project performance and quality management; coordinating individual department initiatives that support quality and improvement efforts (e.g. training,... Job Title: Principal IT Strategy & Planning Consultant Company: Health Care Service Corporation Experience: 7 to 10 years Employment Type: Full Time Job Location: Chicago, IL; Richardson, TX This position is responsible for working closely with Business and Technology leaders to influence the articulation of business strategies to clearly identify business capabilities, and related gaps, that need to be planned, prioritized, and sequenced to deliver the best value from project investments; applying best practic... Job Title: BA Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for leading the development of functional and non functional business requirements; working with the Business Solutions Lead to understand business strategy and translate into product requirement. Required Job Qualifications Bachelor Degree and 2 years Information Technology experience OR Techni... Job Title: Business Analyst Specialist Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: 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 leading the... Job Title: Business Technical Consultant, Release Management Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL also include collaborating to provide program design details for stakeholder and operations go live. Leading the execution of operations release management and multi year planning for operations priorities. Working cross functionally to build an understanding of Enterprise Network Solutions' strategic roadmap and project de... Job Title: Managing Actuary Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for managing the implementation, maintenance and critical review and analysis of models, studies and systems which use actuarial principles for the purposes of pricing, underwriting, statistics, reserving, forecasting and other actuarial functions; developing complicated models and teaching othe... Job Title: Managing Actuary Company: Health Care Service Corporation Experience: 4 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position will be on the Individual ACA (Affordable Care Act) pricing and forecasting team. 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, reser... Job Title: Provider Network Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. JOB R... Job Title: Sr Design Strategist Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for contributing to the strategic, systemic thinking and action for the innovation explore design phases of planning, research, prototype and pilot processes. We are looking for individuals who are practiced or formally trained in Human Centered / Design Thinking and a passion for thinking about... Job Title: Sr Manager Resource Development Company: Health Care Service Corporation Experience: 3 to 9 years Employment Type: Full Time Job Location: Chicago, IL 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: Treasury Operations Solutions Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for providing project support of treasury management, cash management, forecasting, corporate finance and investment initiatives, as well as serving as a liaison for non treasury related initiatives requiring treasury representation. Help identify, design, develop and implement solutions which e... Job Title: Business Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: 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 leading the... Job Title: Principal Analytics Consultant Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL BASIC FUNCTION This position reports to the Employer Solutions Division (ESD) Director of Divisional Data and is responsible for developing data strategy for the various investments across ESD and constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specif... Job Title: Product Solutions Manager -Portfolio Management Company: Health Care Service Corporation Experience: 6 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for managing the product portfolio roadmap and funding, 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. This position will be responsible for managing the alignment of... Job Title: Sr Analytics & Reporting Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Naperville, IL; Chicago, IL This exciting position within our growing healthcare analytics team is being made available for the candidate who possesses a combination of business acumen and strong data analysis skills required to create programs designed to measure and improve the quality of care. Individual should be self starter motivated to correctl... Job Title: Assistant Informatics Consult Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for gathering and assessing business information needs and results for Value Base Care programs. Performs analyses, development and evaluation of data mining in a data warehouse environment as well as other healthcare systems which includes data design, database architecture, meta... Job Title: Senior Hospital Strategy Consultant Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL The Senior Hospital Strategy Consultant is responsible for supporting, managing and coordinating provider recruitment, credentialing, education and servicing activities. She or he will also negotiate agreements and monitor reimbursement arrangements. The Consultant will support the development of divisional strategies, iden... Job Title: Manager of Hospital Contract & Reimbursement Systems Company: Health Care Service Corporation Experience: 2 to 3 years Employment Type: Full Time 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" as one of our core values, we are focused on improving our success measures and delivering th... Job Title: Accountant II Company: Health Care Service Corporation Experience: 1 to 5 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for preparing financial reports and statements by performing accounting and analysis at an advanced level, preparing journal entries and account reconciliations. Researching and troubleshooting challenging questions and unusual cases; responding to complex or escalated questions o... Job Title: Consultant - Internal Consulting Group Company: Health Care Service Corporation Experience: 1 to 3 years Employment Type: 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 Employment Type: 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: Information Architecture - Data Modeler Company: Health Care Service Corporation Experience: 8 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. BASIC FUNCTION As part of an enterprise focused organiza... Job Title: Platform Business Product Consultant - Reporting and Analytics Company: Health Care Service Corporation Experience: 3 to 7 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL 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... For more options, visit https://groups.google.com/d/optout.