Health Care Service Corporation - Employment Opportunities

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: 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: Coding Compliance Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Oklahoma City, OK; Richardson, TX; Chicago, IL; Tulsa, OK; Helena, MT; Albuquerque, NM BASIC FUNCTION Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding pro... Job Title: Data Science Engineer Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL The engineer is responsible for 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 unstructured data into formats suitable for machine learning and advanced analyt... Job Title: Data Scientist Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for employing advanced analytical techniques to create and drive adoption of data based products and processes to add business value for internal and external customers. They will use data analysis, machine learning, predictive modeling, statistics, visualization, and other data science techniqu... Job Title: Director Medicare Solutions Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL Responsible for working with the Medicare team and being accountability for all the rules and regulations related to Medicare. This position will ensure the end to end business operations are in compliance with each state and CMS regulations. This individual is accountable to work to drive Medicare initiatives by working wi... 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: Sr Manager Project Delivery Company: Health Care Service Corporation Experience: 4 to 8 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for collaborating with business partners to align business solutions; serving as a liaison between the business community and the key stakeholders in order to provide quality technical solutions to meet user needs; supporting business needs across delivery cycle and production and/or system chan... Job Title: Strategic Sourcing Advisor Company: Health Care Service Corporation Experience: 6 to 20 years Employment Type: Full Time Job Location: Chicago, IL Critical member of a high performing team, responsible for executing on strategic supplier solutions for potential categories such as BPO, Call Centers, Care Management and/or other Professional Services across all HCSC divisions and business units. Responsible for fostering business critical relationships with internal bus... Job Title: Manager Group Medicare Implementation & Medicare Experience Team Company: Health Care Service Corporation Experience: 6 to 8 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for managing a dedicated implementation team modifying existing products, legislation, or accounts and managing the account renewal process; Consulting with customers on business strategies related to assigned implementations; serving as subject matter expert on account, product, or legislative... Job Title: Medicare Group Sales & Account Executive III - Employer Group Medicare Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL Located in Chicago, IL this position is responsible for continued and increased growth by selling GROUP Medicare products including Medicare Advantage, Medicare Prescription Drug Plan (PDP) and Medicare Supplement products to new customers and ensuring renewal business of existing customers by understanding customer needs a... Job Title: Analytics & Reporting Consultant -Teradata DB Company: Health Care Service Corporation Experience: 6 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 This position is responsible for supporti... Job Title: Analytics Consultant Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Downers Grove, 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: Coding Compliance Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding pro... Job Title: Coding Compliance Specialist Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Oklahoma City, OK; Richardson, TX; Chicago, IL; Tulsa, OK; Helena, MT; Albuquerque, NM BASIC FUNCTION Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding pro... Job Title: Cost Accountant I 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 reviewing cost data needed for proper allocation to corporate product lines and inter company agreements; and preparing internal and external administrative cost reports. JOB REQUIREMENTS Bachelor Degree in Accounting or Finance. 1 year experience in a Corporate... Job Title: Developer Specialist - Talend Company: Health Care Service Corporation Experience: 5 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 alongside the Domain expertise in Healthcare. This position requires extensive data and integration expe... Job Title: Product Manager -Portfolio Management Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for managing the product portfolio roadmap and funding, contributing to the execution of the business plan, strategies, analytics and data needs for the division and working with divisional leadership on strategies and business plans for functional areas. Plays a significant role in supporting p... Job Title: Sr Data Scientist Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for providing advanced mathematical and statistical concepts and theories to analyze and collect data and construct solutions to business problems; performing complex statistical analysis on experimental or business data to validate and quantify trends or patterns identified by business analysts... Job Title: Sr Technology Architect Company: Health Care Service Corporation Experience: 10 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL BASIC FUNCTION As a member of the Enterprise Architecture Services Information Architecture team, you will be responsible to drive optimal data architecture that efficiently and effectively presents an integrated view of enterprise data for both operational and analytical business processes. Also serve as a leader guiding o... Job Title: Strategic Product Manager -Portfolio Management 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 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. Supports prioritization of product ideas, balancing strategic m... Job Title: Supervisor Risk Adjustment Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Albuquerque, NM BASIC FUNCTION This position is responsible for supervising the staff assigned to performing accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding. Oversee staff performing specialty audits, monitoring/tracking/trending the accuracy of functions perf... 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: 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: 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: IT Process Design & Goverance 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 leading new process design and enhancement initiatives leveraging DMADV/DMAIC; supporting inventory of current processes and operations; aiding delivery teams to coach project teams on change control governance; aligning with key stakeholders to ensure end to end process continuity and gover... Job Title: Pipeline - Sr Project Manager Company: Health Care Service Corporation Experience: 5 to 7 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL This position is responsible for leading large complex projects or a program with a number of sub projects; being accountable for end to end delivery of a project or program, including managing the cost / budget, schedule & dependencies; ensuring the project scope is aligned with the stated business objectives; providing a... Job Title: Assistant IT Product Manager Company: Health Care Service Corporation Experience: 4 to 8 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for assisting the IT Product Manager with lifecycle management of an IT product (application family); triaging inbound requests for the product manager (i.e. bug fixes or new projects); acting as a proxy for the IT Product Manager to interact with project teams and assisting the IT Product Manag... Job Title: Financial BI Technical Specialist - Oracle ERP 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 assisting in the design and implementation of financial and management reporting and analytics portfolio(s) used to drive strategic and operational decision making. Additionally, this role oversees the team s alignment of business intelligence strategy and framework, consisting of a standard... 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: Sr Analytics & Reporting Analyst Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Naperville, IL BASIC FUNCTION This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and... Job Title: Sr Medicare Regulatory Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL; Danville, IL; Jacksonville, IL; Waukegan, IL; Chicago, IL; Quincy, IL; Rockford, IL; Naperville, IL; Mattoon, IL; Springfield, IL; Marion, IL BASIC FUNCTION This position is responsible for receipt and coordination of CMS MA PD and PDP escalated complaints; submission of member and marketing materials to CMS for HCSCs Medicare Advantage and Prescription Drug Plans; applying CMS regulations pertaining to Medicare Advantage and Prescription Drug Plans to the review... 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: 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: 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: 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: 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: Care Coordinator UM/CM I - Utilization Management Company: Health Care Service Corporation Experience: 3 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. 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: 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: CMC Data Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Waukegan, IL; San Angelo, TX; Abilene, TX; Wichita Falls, TX; Downers Grove, IL; Danville, IL; Jacksonville, IL; Great Falls, MT; Chicago, IL; Quincy, IL; Marshall, TX; Rockford, IL... This position is responsible for providing analysis and problem solving to SDO using data analytics and related tools, data mining, its concepts, techniques and implementation, to meet business objectives, including strategic and immediate services goals; interacting with technology vendors, HealthTech and contact center ma... Job Title: Principal Data Scientist - Chicago, IL Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for planning, managing and controlling the activities of the department that provides advanced mathematical and statistical concepts and theories to analyze and collect data and construct solutions to business problems. Performs complex statistical analysis on experimental or business data to va... Job Title: Senior Compensation Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for coordinating/leading projects for Corporate Compensation and acting as consultant/liaison between Compensation and customers; ensuring proper job descriptions and evaluations of positions; researching/participating in development of salary administration programs including incentive/reward p... Job Title: Contract Admin Consultant 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 acting as a lead individual contributor within the Contract Administration department, working to establish and maintain relationships with HCSC's premier and high end growth account management and customers. This position is responsible for driving key initiatives that materially advance th... Job Title: Principal Business Solutions Consultant Company: Health Care Service Corporation Experience: 8 to 20 years Employment Type: 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: Project Specialist II - Supplier Management Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL OVERVIEW This position will provide support for the divisional privacy office in tracking FBC privacy incidents and supplier privacy information. This role will also support supplier management activities such as supplier oversight, issue management and service level agreements. In addition, the role will act as a liaison b... Job Title: Senior Business Solutions Consultant Company: Health Care Service Corporation Experience: 6 to 20 years Employment Type: 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: Sr. Systems Analyst - Clarity Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible CA PPM configuration and for ensuring alignment of CA PPM SaaS project specific designs with application architecture roadmap; supporting project and product teams on functional and technical design activities; defining the interaction between application packages, databases, and middleware syst... 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: Health Coordinator Company: Health Care Service Corporation Experience: 1 to 2 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities. JOB... Job Title: Provider Network Consultant Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Naperville, 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: Regulatory Consultant 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 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 Developer 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. Required Job Qualifications Bachelor's Degree and 4 year... 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: Behavioral Health Case Management Coordinator Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: 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 and f... 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: Primary Nurse Case Administrator (RN) 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. 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 entitie... Job Title: Primary Nurse Case Administrator I Company: Health Care Service Corporation Experience: 2 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 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 entitie... 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: Senior IT Process Design and Governance Analyst Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION Requiring an unusual blend of marketing, technical, and task management skills, this position will work with IT leaders to develop and enact strategic departmental communication plans. Responsibilities include working with department leads to define their area's individual communication goals and objectives;... Job Title: Utilization Management Coordinator - Registered Nurse (RN) Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL We are currently seeking to fill several positions in both Richardson, TX and Chicago, IL (Downtown). 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 lia... Job Title: Business Analyst II Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL; Richardson, TX BASIC FUNCTION This position is responsible for working with business partners within one business function to align technology solutions with business strategies; eliciting, documenting and refining business requirements for SSD Tech; serving as a liaison between the business community and the IT organization in order to p... 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: Primary Nurse Case Administrator I 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. 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 entitie... Job Title: Sr Innovation Initiative Consultant Company: Health Care Service Corporation Experience: 8 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for managing one or more highly complex or enterprise wide program(s) consisting of multiple innovation projects; managing innovation initiatives from technology research and ideation to experimentation, managing key interactions, timelines, and project reporting; coordinating meetings and engag... Job Title: Cybersecurity Vulnerability Specialist Company: Health Care Service Corporation Experience: 2 to 4 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL The position is responsible for identifying technical security vulnerabilities by conducting application analysis, network analysis, and scanning; reporting security vulnerabilities and the risks those vulnerabilities present to Vice Presidents, Managers, and other technical individuals; recommending mitigating solutions to... Job Title: Health Advocacy Concierge Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: 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: Innovation Scientist Consultant - Research & Development 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: 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. This is a 'Work from Home' field based position that 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 heal... Job Title: Process Consultant I Company: Health Care Service Corporation Experience: 3 to 4 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Naperville, IL The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; implementing projects according to dynamic and critical timelines; interacting with all levels of management (including senior management and executive leadership); supporting operational... Job Title: Workday HR Analyst Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Richardson, TX; 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: 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 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: 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: Clinical Process Improvement Specialist - Registered Nurse (RN) Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL THIS POSITION IS IN OFFICE IN CHICAGO, IL. BASIC FUNCTION This position is responsible for developing and evaluating clinical business processes to support the cost of care, quality, compliance and improved clinical outcomes for the divisional care management operations. Responsible for providing independent, objective eval... 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: Sr. Solution Architect Company: Health Care Service Corporation Experience: 1 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 This position is responsible for assessing t... 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: 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: Med Management Accreditation & Audit Coordinator - 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. BASIC FUNCTION This position is responsible for conducting audits as well as monitoring ongoing quality improvement activities within the Medical Management Program; analyzing compliance with departmental policies, regulatory and accrediting re... Job Title: Medical Director - Quality & Accreditation Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL; Tulsa, OK BASIC FUNCTION This position is responsible for assigned aspects of medical policies and programs. Performs medical quality reviews and interacts with the provider communities for assigned areas. ESSENTIAL FUNCTIONS Support medical necessity prepayment, pre certification and other claim reviews as required by applicable Sta... Job Title: Medical Management Specialist I - Government Programs Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL; Chicago, IL This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS Registered Nurse (RN)... Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years 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 is a 'Work from Home' field based position that will require making visits to members homes Position will be located in the NORTH SIDE of Chicago BASIC FUNCTION This position is responsible for conducting home health assessment, contacting... Job Title: Tax Technology Consultant Company: Health Care Service Corporation Experience: 2 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for supporting the design, development and maintenance of current and future technology solutions within the Tax Department. Identifies technology needs, opportunities for process improvements, automation, and increased efficiency and applies relevant technology to create best practices for appl... Job Title: Care Coordinator UM/CM I (RN) Company: Health Care Service Corporation Experience: 3 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. 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: Finance Manager Company: Health Care Service Corporation Experience: 6 to 20 years Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION This position is responsible for managing a team of supervisors and financial analysts supporting the budget and financial metric processes across Internal Operations. The position will need to be an excellent team player with an aptitude for understanding both financial and operational concepts/procedures fo... 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: Medical Mgmt Social Worker II - LMSW / LCSW Company: Health Care Service Corporation Experience: 2 to 20 years Employment Type: Full Time Job Location: Chicago, IL 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: Project Management Coordinator Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Richardson, TX; Chicago, IL include, but are not limited to The resolution of issues including escalation to the project manager as required; creating project schedules, coordinating project team meetings and capturing meeting minutes, and helping to maintain and update project documentation and project status; providing planning, tracking, and genera... Job Title: Sr Director Intelligent Automation Company: Health Care Service Corporation Experience: 5 to 7 years Employment Type: Full Time Job Location: Chicago, IL In the fast paced, quickly evolving Healthcare industry, key to achieving HCSC's business objectives is responsive, agile, reliable and scalable technology. As we continue to transform our business and technology capability, HCSC will adopt and scale new technologies to improve our responsiveness to our members, while at th... 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: Utilization Management Coordinator - Registered Nurse (RN) Company: Health Care Service Corporation Experience: 3 to 20 years Employment Type: Full Time Job Location: Chicago, IL THIS POSITION IS IN OFFICE IN CHICAGO, IL. 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 D... Job Title: Learning Partner - Case Management Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Downers Grove, IL; Richardson, TX; Chicago, IL; Tulsa, OK; Austin, TX This position is responsible for developing and executing education strategy in alignment with the goals of a specific line of business and in alignment to learning methodology and culture; developing and nurturing consultative partnerships across organization; analyzing performance gaps and learning needs; recommending str... Job Title: Manager Procurement & Support Services - Pharmacy Company: Health Care Service Corporation Experience: 5 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for leading a team including Pharmacy and special HCSC initiatives such as Afforability Cures resources within Procurement and Support Services (PSS), and the management of a team of strategic sourcing staff and providing leadership around the of identification, development, and execution of sou... Job Title: Performance & Results Consultant 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 partnering with the division and the Enterprise in identifying, validating, monitoring and reporting financial metrics, operational capabilities and continual process improvements across all areas influencing Data Universes. Provides guidance and support toward the division and the Enterpris... Job Title: Behavorial Health Care Management Specialist Company: Health Care Service Corporation Experience: 4 to 20 years Employment Type: Full Time Job Location: Chicago, IL This position is responsible for conducting care 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. Required Job Qualifications Registered Nurs... Job Title: ENA Strategic Account Mgr II Company: Health Care Service Corporation Experience: 7 to 20 years Employment Type: Full Time Job Location: Chicago, IL Located in Chicago, this position is responsible for partnering with assigned Account Executive in all aspects of retaining and growing Enterprise National Accounts Employer Group Health Benefits. Handles work at an independent level to assist with renewal and growth of accounts, providing unrivaled servicing of accounts. R... Job Title: Member Care Coordinator - Government Programs Company: Health Care Service Corporation Experience: 1 to 20 years Employment Type: Full Time Job Location: Peoria, 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: Recovery Support Assistant Company: Health Care Service Corporation Experience: Open Employment Type: Full Time Job Location: Chicago, IL BASIC FUNCTION Under supervision, this position is responsible for promoting a culture in which the voices representing people with lived mental health and substance use experiences and recovery become part of the institution; promoting a recovery oriented system of care; serving as a member advocate; providing support for... Job Title: Sr Mgr Resource Development Company: Health Care Service Corporation Experience: 3 to 9 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. Job Purpose This position is responsible for managing th... Job Title: Consultant - Internal Consulting Group Company: Health Care Service Corporation Experience: 1 to 3 years Employment Type: Full Time Job Location: Richardson, TX; 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...