HCSC Jobs (9)

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This Position Is Responsible For Planning And Managing Projects Of Various Sizes And Complexity. Being Accountable For End-To-End Delivery Of A Project Including Managing The Cost / Budget, Schedule & Dependencies, Resources, Scope, Quality, And Risk.

Ensuring The Work Of The Project Is Aligned With The Stated Business Objectives; Providing A Blend Of Technical And Business Acumen To Drive The Design, Development And Implementation Of Strategic It Projects;

Building A Sufficient Level Of Knowledge Of It Products And Lob To Enable Targeted Probing Of Delivery Feasibility And Conflicts With Other Projects.

Setting And Managing Customer Expectations; Developing And Maintaining Relationships With Project Stakeholders To Obtain Project Objectives While Working In A Matrix Project Environment.

Driving Deliverables And Activities With Pdl And It Product Managers Or Their Program Manager By Removing Barriers, And Escalating Risk / Issues.

A Comprehensive Understanding Of Systems Development Lifecycles And Methodologies. Basic Understanding Of It Architecture, Infrastructure And Networking.

JOB REQUIREMENTS :

• Bachelor Degree with 4 years project management experience OR Technical Certification or College Courses with 4 years project management experience OR 6 years of project management experience.
• Experience with Project Management Methodologies (i.e. Project Management Institute PMBOK).
• Knowledge of project financial tracking including monitoring and reporting on budget expenditures.
• Experience in negotiations, influence others and managing conflicts.
• Problem solving skills.
• Clear and concise verbal and written communication skills.
• Work independently and within a team environment.
• Analytical skills.
• Leadership skills, including meeting facilitation.
• Experience balancing multiple tasks simultaneously.
• PC proficiency to include Word, Excel, Project and Lotus Notes

PREFERRED JOB REQUIREMENTS :

• Project Management Professional (PMP®) Certification
• Experience with Lotus Notes.

Remote

LI-RP1

INJLF

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for supporting sales representatives or account management personnel in the prospecting, acquiring, or renewing business.

Duties vary based on market and type of role supporting and may include any of the following : building relationships with customer representatives / brokers, researching and coordinating the resolution of customer issues, preparing and analyzing reports, participating / leading enrollment meetings, gathering information for RFPs, preparing or implementing new accounts or renewals, and travel to customer sites.

This position is a hybrid, working three days onsite and two days remote.

• This position is a hybrid, working three days onsite and two days remote.
• Support Sales or Account Management personnel to assist in prospecting, acquiring or renewing business.
• May conduct research for prospective business.
• Research inquiries received from customers, Brokers, or company representatives. Relay information to Sales or Account Management personnel or responds directly to customer or company representative.
• May coordinate meetings.
• Gather data, create and / or maintain databases.
• Participate in enrollments. Prepare materials for enrollment sessions.
• Prepare documentation for prospective or existing customers. Review forms received for completeness.
• Develop relationships with customer representatives.
• May respond to questions from prospect regarding benefit information and available benefit options.
• May include some travel.
• Communicate and interact effectively and professionally with co-workers, management, customers, etc.
• Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
• Maintain complete confidentiality of company business.
• Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
• This position is a hybrid, working three days onsite and two days remote.

JOB REQUIREMENTS :

• Bachelor's degree and 1 year of experience in health insurance / health care field in a service / sales / marketing position involving initiative and decision-making OR 1 year experience in health care management in a marketing service representative role OR 3 years' experience in sales / marketing or health care management / claims / provider service experience involving processing or coordination of services for health care clients.
• State Insurance License(s) or ability to obtain State Insurance License(s) within required time frame, per state regulations.
• Organizational and decision-making skills; written and verbal communications skills including telephone skills.
• Ability to interact professionally with both internal and external contacts.
• Proficient in Microsoft Excel, Word, PowerPoint and Access.

PREFERRED JOB REQUIREMENTS :

Associate's or Bachelor's degree

LI-HYBRID

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for supervising and overseeing day-to-day operations of Customer Service units.

Required Job Qualifications :

• Bachelor Degree and 2 years business experience OR 3 years business experience and 3 years experience in a leadership position with sound decision making skills in a customer service environment.
• Experience in developing / leading and inspiring employees.
• Clear and concise written and verbal communication skills.
• Analytical and organizational skills and ability to meet deadlines

Preferred Job Qualifications :

• Knowledge of contract benefits, claim processing and inquiry procedures, system logic or the processing system.
• Knowledge of the health care industry.
• Bilingual.
• PC proficiency to include Word, Excel and PowerPoint

NOTE : This is NOT a remote position.

We encourage people of all backgrounds and experiences to apply.

Even if you don't meet every listed qualification, apply anyway - you might have qualifications we haven't even thought of yet.

INDM

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for providing business analysis and project leadership to ensure alignment and integration across functional areas in support of divisional strategies.

This role will require consistency and efficiency while leading key workstreams of major, complex, and enterprise-wide projects from inception to completion.

In this position individuals will partner with project teams, professional service resources, and interact with all levels of management including senior leadership and plan presidents.

A large function of the role is to drive business implementation deliverables, track project progress to goals, partner with business owners, and regularly present findings and status to leaders.

Required Job Qualifications :

• Bachelor Degree and 3 years' experience OR 7 years' experience in business analysis, process improvement, strategic planning, research, project management, product administration, product operations or relevant health care industry experience
• Project management skills, including strong organization, prioritization and problem solving skills; strong oral, verbal and interpersonal communication skills;

ability to accept direction and feedback

• Experience interacting with personnel of multiple departments and at various levels in the organization
• Knowledge of strategic planning techniques and industry trends
• Analytical and information synthesis skills
• Experience interpreting business and financial information
• Verbal and written communication and organization skills
• Experience with changing assignments and priorities
• PC proficiency to include MS Office products

Preferred Required Job Qualifications :

• Health insurance or healthcare industry experience
• Identified as a self-starter
• Drives accountability amongst matrix partners
• Strong written, verbal, and presentation communication skills
• Motivated to learn new processes and requirements
• Proven problem-solving skills
• Comfortable working across peers and leadership

Please note : This role will work in the office three days a week.

We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet

INAK

LI-AK1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Reviews And Interacts With The Provider Communities For Assigned Areas.

JOB REQUIREMENTS : .

Physician (M.D. or D.O) with a current and unrestricted physician license in a state or territory of the United States

Maintain Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists

5 years of clinical experience

Analytical and communication skills

Strategic thinking skills

Proficiency in computer skills (including software applications such as Microsoft Office Product and Lotus Notes) needed for electronic documentation of case reviews

PREFERRED REQUIREMENTS :

3 years Managed Care experience

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for performing moderate to complex financial analyses and support for special projects; read / write basic SQL, manage data integrity, data reporting / analysis and to run large volumes of claims, membership & revenue data to utilize in shared savings modeling and analytics.

Ability to ramp up quickly to support all Medicare and Medicaid Value Based Care (VBC) financial performance metrics and risk sustainability analytics for all provider Government VBC contracts.

Understand attribution processes required for Government contracts with financial provisions; assist with the evaluation of all business needs and requirements needed to ascertain technical & financial requirements for Government LOB's continual growth that is impacting the business area;

prepare all necessary financial analyses, periodic financial statements, and special reports for BCBSIL and / or subsidiaries.

This is a Flex position, in the office 3 days a week

Office location is Chicago, IL Required Job Qualifications :

• Bachelor Degree in Accounting or Finance.
• 4 years experience conducting financial analysis

Preferred Job Qualification :

• Bachelor Degree in Business Economics
• Experience conducting healthcare related financial analysis

We encourage people of all backgrounds and experiences to apply.

Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This Position Is Responsible For Provider Data Accuracy / Data Quality Improvement In Resolution Of Provider Demographic Issues And Working With Internal Departments To Evaluate And Resolve Provider / Demographic Issues That Impact The Contract Or Service Conduct Research And Identify Issues, Develop Reports And Lead The Creation Of Reporting Needs.

JOB REQUIREMENTS :

• Bachelor Degree OR 4 years' experience in the health care / insurance industry.
• Plus 1 year health care network management, health care customer service or health care product experience.
• Knowledge of policies, products and procedures; contracts, applications and products.
• PC proficiency including Word and Excel.
• Verbal and written communication skills to compose business correspondence.
• Problem solving skills
• Analytical and reporting skills to develop reports and analyze data.

PREFERRED JOB REQUIREMENTS :

Knowledge of claims processing systems.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This Position Is Responsible For Leading Complex Cross*Enterprise Implementations Of Custom Products Or Services That Are Critical To Securing Or Retaining Group Customers, Maintaining Market Relevancy And Responding To Legislative And Regulatory Initiatives.

This Role Serves As The Business Lead On A Given Implementation And Collaborates With Business And Technology Partners To Take The Project From Business Case Analysis Through Implementation.

Projects In This Space Are Complex, Fast Moving And Critical To Business Strategy.

Required Job Qualifications : *Bachelor Degree and 4 years of experience in business analysis, systems implementation efforts, project management or relevant health care industry experience *3 years of project management experience with large and complex multi-million dollar projects.

• Experience communicating with senior management from multiple divisions. *Experience developing and delivering presentations.
• Problem resolution experience and skills. *Negotiations skills. *Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
• Organizational skills. *Experience managing multiple complex projects successfully. *Detail oriented. *PC proficiency to include MS Office products and VISIO Preferred Required Job Qualifications : *Health insurance or healthcare industry experience *Affordable Care Act knowledge or other healthcare regulatory experience *Management consulting experience *Experience supervising project teams / personnel *Master's degree in business or healthcare related field

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

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's degree and 4 years Information Technology, business analysis specific experience OR Technical Certification and / or College Courses and 6 year Information Technology, business analysis specific experience OR 8 years Information Technology, business analysis specific experience.
• 1 year experience leading project.
• Knowledge of system architecture and application portfolio.
• Knowledge of requirements management and / or prototyping (ALM, Jira, RallyDev, Balsamiq, iRise).
• Ability to simplify & standardize complex concepts and / or processes.
• Business acumen.
• Project management skills.
• Requirements definition and management.
• SDLC, Iterative, Agile, OWF, and / or Scrum development.
• Problem solving and / or analytical thinking.
• Possess ability to manage workload, and manage multiple priorities, as applicable.
• Written and verbal communications

Preferred Job Qualifications :

• Bachelor's degree in computer science, Business Administration, or Information Technology.
• Business process management and modeling.
• BA Certification
• Experience working in healthcare industry

NOTE : This hybrid role can be located in CHICAGO IL or RICHARDSON TX relocation will not be offered; sponsorship is not available.

LI-ES1

LI-Hybrid

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement :

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.