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https://bcbsil.com
Blue Cross and Blue Shield o…
Blue Cross and Blue Shield o…
Local
BCBSIL.com is the official website for Blue Cross and Blue Shield of Illinois, a leading health insurance provider in the state. The website offers information on various health insurance plans, coverage options, and wellness resources for individuals and families. Users can find tools to help them manage their health and finances, as well as access online accounts and customer service support. BCBSIL.com also provides information on healthcare reform, community involvement, and news updates related to health insurance. Overall, the website serves as a valuable resource for those looking to understand their health insurance options and make informed decisions about their healthcare.
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EncryptedSite is Encrypted
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CountryHosted in United States
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CityBoydton, Virginia
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Latitude\Longitude36.6534 / -78.375 Google Map
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Traffic rank#59,092 Site Rank
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Site age29 yrs old
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Site Owner informationWhois info
Website is Safe
Site is not blacklisted
Traffic rank
#59,092
#59,092
Site age
29 yrs
29 yrs
Location
United States
United States
Popular Questions for Blue Cross and Blue Shield o…
Newest job postings for Blue Cross and Blue Shield o…
via ZipRecruiter
schedule_type: Full-time
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 conducting data collection and abstraction of medical records for Quality
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 conducting data collection and abstraction of medical records for Quality projects including supplemental data collection, HEDIS and QRS Surveys. Responsible for interacting with various internal staff, internal departments, and network providers to ensure quality performance and results for Blue Cross managed care products. Responsible for auditing all aspects of BCBSIL clinical quality improvement projects and evaluating PCP compliance with BCBSIL clinical practice guidelines. Also responsible for data analysis, interaction with providers practices to educate on HEDIS measures, gaps in care and quality programs. Translate data into actionable information and determine areas for improvements as well as help implement actions toward improvement and report results to internal and external customers.
Responsibilities
The CQRA position is an integral role with BCBSIL Quality initiatives and outcomes. This role would be attractive to clinicians new to health plan quality with a desire to expand their understanding of quality programs and reporting with a focus on HEDIS /QRS and Health Plan accreditation. The CQRA's primary responsibilities include managing the Quality of Care Complaints, supporting the annual HEDIS /QRS surveys, Quality Improvement Fund project quality abstractions and overreads as well as quality reporting.
The Quality Improvement team falls under the umbrella of Network Clinical Programs and Oversight working collaboratively with BCBSIL medical directors, cross functional teams and Illinois delegated medical groups to influence clinical quality improvement and outcomes as well as support care gap closure through provider engagement, performance monitoring and incentives along with provider education across all lines of business.
Required Job Qualifications:
• Registered Nurse (RN) OR licensed clinician with current, unrestricted license in Illinois.
• Minimum of 3 years clinical practice experience performing medical record review.
• Minimum of 3 years Healthcare or Managed Care experience, including quality improvement and/or project management experience.
• Minimum of 1 year medical record data abstraction.
• Data analysis experience, skills and knowledge of statistical analysis software, and statistical methods and meaning knowledge.
• Ability to adapt to changing priorities and managing a wide range of quality projects.
• Able and willing to travel.
• Verbal and written communication skills.
• Problem resolution skills and ability to work with difficult situations with respect and diplomacy Presentation planning and delivery experience for provider training.
• Preferred Job Qualifications:
• Working knowledge of managed care programs and NCQA Accreditation guidelines.
• Project management experience and skills. QSHR and Epic experience
Sign on Bonus $5,000
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 Show more details...
Come join us and be part of a purpose driven company who is invested in your future...
Job Summary
This position is responsible for conducting data collection and abstraction of medical records for Quality projects including supplemental data collection, HEDIS and QRS Surveys. Responsible for interacting with various internal staff, internal departments, and network providers to ensure quality performance and results for Blue Cross managed care products. Responsible for auditing all aspects of BCBSIL clinical quality improvement projects and evaluating PCP compliance with BCBSIL clinical practice guidelines. Also responsible for data analysis, interaction with providers practices to educate on HEDIS measures, gaps in care and quality programs. Translate data into actionable information and determine areas for improvements as well as help implement actions toward improvement and report results to internal and external customers.
Responsibilities
The CQRA position is an integral role with BCBSIL Quality initiatives and outcomes. This role would be attractive to clinicians new to health plan quality with a desire to expand their understanding of quality programs and reporting with a focus on HEDIS /QRS and Health Plan accreditation. The CQRA's primary responsibilities include managing the Quality of Care Complaints, supporting the annual HEDIS /QRS surveys, Quality Improvement Fund project quality abstractions and overreads as well as quality reporting.
The Quality Improvement team falls under the umbrella of Network Clinical Programs and Oversight working collaboratively with BCBSIL medical directors, cross functional teams and Illinois delegated medical groups to influence clinical quality improvement and outcomes as well as support care gap closure through provider engagement, performance monitoring and incentives along with provider education across all lines of business.
Required Job Qualifications:
• Registered Nurse (RN) OR licensed clinician with current, unrestricted license in Illinois.
• Minimum of 3 years clinical practice experience performing medical record review.
• Minimum of 3 years Healthcare or Managed Care experience, including quality improvement and/or project management experience.
• Minimum of 1 year medical record data abstraction.
• Data analysis experience, skills and knowledge of statistical analysis software, and statistical methods and meaning knowledge.
• Ability to adapt to changing priorities and managing a wide range of quality projects.
• Able and willing to travel.
• Verbal and written communication skills.
• Problem resolution skills and ability to work with difficult situations with respect and diplomacy Presentation planning and delivery experience for provider training.
• Preferred Job Qualifications:
• Working knowledge of managed care programs and NCQA Accreditation guidelines.
• Project management experience and skills. QSHR and Epic experience
Sign on Bonus $5,000
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 Show more details...
via Chicago, IL - Geebo
posted_at: 4 days agoschedule_type: Full-timesalary: 20–28 an hour
Job Purpose:
BCBSIL has an exciting and highly impactful opportunity for a Finance Principal - responsible for helping maintain and grow BCBSIL's market share and find cost opportunities as well as potential new revenue streams. This individual contributor position will ensure continued successful fulfillment of BCBSIL's core strategies, including but not limited to developing corporate strategic... plans, communication strategies, and defining metrics
Job Purpose:
BCBSIL has an exciting and highly impactful opportunity for a Finance Principal - responsible for helping maintain and grow BCBSIL's market share and find cost opportunities as well as potential new revenue streams. This individual contributor position will ensure continued successful fulfillment of BCBSIL's core strategies, including but not limited to developing corporate strategic... plans, communication strategies, and defining metrics for success. This is a cross-functional role, so strong collaboration and communication skills are a must - across all departments especially finance (Actuarial and Underwriting), Sales and Account Management among others and requires critical thinking as well as strong execution skills. This position will make a difference across BCBSIL and have an impact on millions of members! Required Job
Qualifications:
Bachelor Degree in Actuarial Science, Mathematics, Statistics or Economics, or related fields. Other Bachelor Degrees may be considered. Minimum 7 years of experience in health care services, statistical analysis, financial analysis, financial consulting or insurance industry economics including 4 years experience in data analysis and information reporting relating to healthcare data. Advanced PC proficiency to include Word, Excel, PowerPoint or similar. Proficiency in designing reports. Excellent verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations. Experience working cross-functionally within all levels of the organization, leading projects and in problem resolution. Experience in developing, maintaining and leveraging collaborative relationships with internal and external stakeholders and business leaders, to accept recommendations, cooperate or change their behavior, facilitating the accomplishment of business goals. Negotiation and influencing skills. Preferred Job
Qualifications:
MBA or MPA Experience in consulting for or working with health products and services or benefits consulting Health insurance/payer knowledge
Salary Range:
$100K -- $150K
Minimum Qualification
Corporate Finance, Healthcare ManagementEstimated Salary: $20 to $28 per hour based on qualifications Show more details...
BCBSIL has an exciting and highly impactful opportunity for a Finance Principal - responsible for helping maintain and grow BCBSIL's market share and find cost opportunities as well as potential new revenue streams. This individual contributor position will ensure continued successful fulfillment of BCBSIL's core strategies, including but not limited to developing corporate strategic... plans, communication strategies, and defining metrics for success. This is a cross-functional role, so strong collaboration and communication skills are a must - across all departments especially finance (Actuarial and Underwriting), Sales and Account Management among others and requires critical thinking as well as strong execution skills. This position will make a difference across BCBSIL and have an impact on millions of members! Required Job
Qualifications:
Bachelor Degree in Actuarial Science, Mathematics, Statistics or Economics, or related fields. Other Bachelor Degrees may be considered. Minimum 7 years of experience in health care services, statistical analysis, financial analysis, financial consulting or insurance industry economics including 4 years experience in data analysis and information reporting relating to healthcare data. Advanced PC proficiency to include Word, Excel, PowerPoint or similar. Proficiency in designing reports. Excellent verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations. Experience working cross-functionally within all levels of the organization, leading projects and in problem resolution. Experience in developing, maintaining and leveraging collaborative relationships with internal and external stakeholders and business leaders, to accept recommendations, cooperate or change their behavior, facilitating the accomplishment of business goals. Negotiation and influencing skills. Preferred Job
Qualifications:
MBA or MPA Experience in consulting for or working with health products and services or benefits consulting Health insurance/payer knowledge
Salary Range:
$100K -- $150K
Minimum Qualification
Corporate Finance, Healthcare ManagementEstimated Salary: $20 to $28 per hour based on qualifications Show more details...
via The Muse
posted_at: 5 days agoschedule_type: Full-time
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
Bilingual (English and Spanish)
Responsible For Being A Compassionate And Dedicated Advocate For The Visitor
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
Bilingual (English and Spanish)
Responsible For Being A Compassionate And Dedicated Advocate For The Visitor To Demonstrate A Concierge Attitude When Assisting Visitors With Maximizing Their Benefits, Navigating The Healthcare System And Reaching Their Optimal Health. Responsible For Providing Guidance And Answering Questions From Visitors Who Visit The Center About Their Benefits And Medical Claims, As Well As Educating Visitors About Health And Wellness Programs. Assisting Visitors In Assessing Tools Available To Help Guide And Inform Decision-Making About Complex Matters Related To Their Health And Well-Being. The Incumbent Is A Subject Matter Expert And May Handle Projects And Assist With Training Others.
Required Job Qualifications:
Associate degree and 3 years of concierge oriented customer service experience OR Bachelor degree and 2 years of concierge oriented customer service experience OR 4 years of concierge oriented customer service experience.
Knowledge of HCSC customer service systems, processes, and products of the operational area.
Knowledge of medical terminology.
Experience building trust and providing concierge level of service.
Attention to detail and strong documentation skills.
Web and PC proficiency.
Preferred Job Qualifications:
Associate degree in Health Science or Health Studies or Bachelor degree.
3 years of concierge oriented customer service experience in an insurance environment, preferably with BCBSIL.
Clinical or social work expertise.
Experience in coordinating medical services.
Knowledge with health benefit plans and the insurance industry.
Bilingual in verbal and written communication: Spanish and English
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 Show more details...
Come join us and be part of a purpose driven company who is invested in your future...
Job Summary
Bilingual (English and Spanish)
Responsible For Being A Compassionate And Dedicated Advocate For The Visitor To Demonstrate A Concierge Attitude When Assisting Visitors With Maximizing Their Benefits, Navigating The Healthcare System And Reaching Their Optimal Health. Responsible For Providing Guidance And Answering Questions From Visitors Who Visit The Center About Their Benefits And Medical Claims, As Well As Educating Visitors About Health And Wellness Programs. Assisting Visitors In Assessing Tools Available To Help Guide And Inform Decision-Making About Complex Matters Related To Their Health And Well-Being. The Incumbent Is A Subject Matter Expert And May Handle Projects And Assist With Training Others.
Required Job Qualifications:
Associate degree and 3 years of concierge oriented customer service experience OR Bachelor degree and 2 years of concierge oriented customer service experience OR 4 years of concierge oriented customer service experience.
Knowledge of HCSC customer service systems, processes, and products of the operational area.
Knowledge of medical terminology.
Experience building trust and providing concierge level of service.
Attention to detail and strong documentation skills.
Web and PC proficiency.
Preferred Job Qualifications:
Associate degree in Health Science or Health Studies or Bachelor degree.
3 years of concierge oriented customer service experience in an insurance environment, preferably with BCBSIL.
Clinical or social work expertise.
Experience in coordinating medical services.
Knowledge with health benefit plans and the insurance industry.
Bilingual in verbal and written communication: Spanish and English
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 Show more details...
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