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Most recent job postings at hcsc
via Glassdoor
posted_at: 2 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
This position is responsible for supervising and overseeing day-to-day operations of Customer Service units.
Required
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
This position will not honor telecommuter status. This role will function on a flex schedule requiring you to be in office 3 days/week.
This position has an expected start date of August 26th.
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 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
This position will not honor telecommuter status. This role will function on a flex schedule requiring you to be in office 3 days/week.
This position has an expected start date of August 26th.
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 Workday
posted_at: 2 days agoschedule_type: Full-timework_from_home: 1
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.
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 This position will not honor telecommuter status. This role will function on a flex schedule requiring you to be in office 3 days/week. This position has an expected start date of August 26th. 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. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved
Show more details...
via LinkedIn
posted_at: 14 hours 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
This position is responsible for supervising and overseeing day-to-day operations of Customer Service units.
Required
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
This position will not honor telecommuter status. This role will function on a flex schedule requiring you to be in office 3 days/week.
This position has an expected start date of August 26th.
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 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
This position will not honor telecommuter status. This role will function on a flex schedule requiring you to be in office 3 days/week.
This position has an expected start date of August 26th.
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 Built In
posted_at: 1 day 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
This position is responsible for creating reports, insights and analytics in support of the division. Creating
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 creating reports, insights and analytics in support of the division. Creating specifications for reports and analysis based on business needs. Providing consultation to users and working on cross functional teams to address the divisions issues. Producing datasets and reports for analysis using system reporting tools. Performing research and analyzing data related to the division's strategic initiatives and broader research needs. Interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment. Working closely with customers to build relationships and to meet business needs. Analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers identifying and interpreting trends and patterns in datasets to locate influences.
• Create and analyze data and prepare reports (financial and membership) including disseminating information from various sources and systems.
• Perform analysis of financial impacts, claim pends, tracking and validating savings from tracking data.
• Develop processes and recommend/develop process improvements.
• Maintain up to date business knowledge and process to impact operations and provide solutions.
• Maintain documentation of all requests, data parameters and reports in an accurate and accessible manner.
Required Job Qualifications:
• Bachelor degree or 4 years of business experience.
• 4 years of reporting or data analysis experience and/or preparing database reports.
• Systems database testing experience.
• Experience with data languages (i.e. SQL, VB)
• Experience working independently and in a team setting with the planning, design and execution of assigned projects.
• Organizational and analytical skills.
• Flexibility and adaptability.
• Experience managing completion of multiple projects.
• Clear and concise verbal and written communication skills.
• Proficient in Microsoft Access and Excel.
Preferred Job Qualifications:
• Bachelor degree in Math, Statistics, Accounting, Finance, Economics, or Actuarial Science.
• End-user programming skills.
• This is a hybrid role requiring 3 days in the office and 2 days remote weekly.
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.
#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 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 creating reports, insights and analytics in support of the division. Creating specifications for reports and analysis based on business needs. Providing consultation to users and working on cross functional teams to address the divisions issues. Producing datasets and reports for analysis using system reporting tools. Performing research and analyzing data related to the division's strategic initiatives and broader research needs. Interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment. Working closely with customers to build relationships and to meet business needs. Analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers identifying and interpreting trends and patterns in datasets to locate influences.
• Create and analyze data and prepare reports (financial and membership) including disseminating information from various sources and systems.
• Perform analysis of financial impacts, claim pends, tracking and validating savings from tracking data.
• Develop processes and recommend/develop process improvements.
• Maintain up to date business knowledge and process to impact operations and provide solutions.
• Maintain documentation of all requests, data parameters and reports in an accurate and accessible manner.
Required Job Qualifications:
• Bachelor degree or 4 years of business experience.
• 4 years of reporting or data analysis experience and/or preparing database reports.
• Systems database testing experience.
• Experience with data languages (i.e. SQL, VB)
• Experience working independently and in a team setting with the planning, design and execution of assigned projects.
• Organizational and analytical skills.
• Flexibility and adaptability.
• Experience managing completion of multiple projects.
• Clear and concise verbal and written communication skills.
• Proficient in Microsoft Access and Excel.
Preferred Job Qualifications:
• Bachelor degree in Math, Statistics, Accounting, Finance, Economics, or Actuarial Science.
• End-user programming skills.
• This is a hybrid role requiring 3 days in the office and 2 days remote weekly.
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.
#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 Show more details...
via Talentify
posted_at: 2 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
This Position Is Responsible For Leading Large Complex Projects Or A Program With A Number Of Sub-Projects.
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 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 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; Managing And Escalating Issues And Changes. 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. Having A Thorough Understanding Of Systems Development Life Cycle And Project Management And Enterprise Processes.
Required Job Qualifications:
• Bachelor Degree with 5 years project management experience OR 7 years project management experience.
• Familiarity and experience with Project Management Methodologies (i.e. Project Management Institute – PMBOK), and experience in project delivery and management of large and/or complex projects.
• Understanding of project financial tracking including monitoring and reporting on budget expenditures.
• Experience in negotiations, managing conflict, and organizational / political savvy.
• Verbal and written communication skills, as well as meeting facilitation skills.
• Ability to work independently and within a team environment.
• Analytical thinking and problem solving skills; agility and flexibility to adapt to constantly changing priorities.
• Ability to create integrated, milestone-driven critical path project plans.
• Ability to multi-task and balance multiple competing priorities while meeting deadlines.
• Ability to influence (direct / indirect reports, project stakeholders, and leaders), and manage in a matrix organization.
• Structured, organized and methodical in execution, takes ownership and accountability for outcomes, drives for results and drives certainty in delivery; able to manage multiple parallel efforts and deliver quality deliverables on schedule.
• Develops trusted relationships and demonstrates deep Interpersonal skills.
• Experience with the entire software development lifecycle from inception to development to testing to production deployment and maintenance; deep understanding of HCSC delivery models – OWF, Scrum, XP.
• Regular in-person attendance at the designated facility of the job posting.
Preferred Job Qualifications:
• Project Management Professional (PMP®) Certification
• Health care acumen and HCSC experience
• Comfort/poise with senior management
• Leadership skills
• Knowledge of the Clarity PPM system, and expertise in Microsoft Suite, including Excel, PPT, Word, Project.
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 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 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; Managing And Escalating Issues And Changes. 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. Having A Thorough Understanding Of Systems Development Life Cycle And Project Management And Enterprise Processes.
Required Job Qualifications:
• Bachelor Degree with 5 years project management experience OR 7 years project management experience.
• Familiarity and experience with Project Management Methodologies (i.e. Project Management Institute – PMBOK), and experience in project delivery and management of large and/or complex projects.
• Understanding of project financial tracking including monitoring and reporting on budget expenditures.
• Experience in negotiations, managing conflict, and organizational / political savvy.
• Verbal and written communication skills, as well as meeting facilitation skills.
• Ability to work independently and within a team environment.
• Analytical thinking and problem solving skills; agility and flexibility to adapt to constantly changing priorities.
• Ability to create integrated, milestone-driven critical path project plans.
• Ability to multi-task and balance multiple competing priorities while meeting deadlines.
• Ability to influence (direct / indirect reports, project stakeholders, and leaders), and manage in a matrix organization.
• Structured, organized and methodical in execution, takes ownership and accountability for outcomes, drives for results and drives certainty in delivery; able to manage multiple parallel efforts and deliver quality deliverables on schedule.
• Develops trusted relationships and demonstrates deep Interpersonal skills.
• Experience with the entire software development lifecycle from inception to development to testing to production deployment and maintenance; deep understanding of HCSC delivery models – OWF, Scrum, XP.
• Regular in-person attendance at the designated facility of the job posting.
Preferred Job Qualifications:
• Project Management Professional (PMP®) Certification
• Health care acumen and HCSC experience
• Comfort/poise with senior management
• Leadership skills
• Knowledge of the Clarity PPM system, and expertise in Microsoft Suite, including Excel, PPT, Word, Project.
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 Glassdoor
posted_at: 12 days agoschedule_type: Full-timework_from_home: 1
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 contacting identified members to inform and educate them on health care programs
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 contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities.
TELECOMMUTE WORK
JOB REQUIREMENTS:
• Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
• Knowledge of medical terminology.
• Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs.
• PC proficiency including Microsoft Office applications.
• Customer service skills.
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues.
• CA
#LI-TELECOMMUTE
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 contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquires from members, and supporting the clinicians in the Medical Management department with their provider and member activities.
TELECOMMUTE WORK
JOB REQUIREMENTS:
• Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
• Knowledge of medical terminology.
• Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs.
• PC proficiency including Microsoft Office applications.
• Customer service skills.
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues.
• CA
#LI-TELECOMMUTE
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 Built In
posted_at: 3 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
This Position Is Responsible For Leading The Development Of Functional And Non-Functional Business Requirements;
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
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 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
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 Workday
posted_at: 8 days agoschedule_type: Full-timework_from_home: 1
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.
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 Degree and 2 years Information Technology experience OR Technical Certification and/or College Courses and 4 year Information Technology experience OR 6 years Information Technology experience. * 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 Degree in Computer Science, Business Administration, or Information Technology * Business process management and modeling. * BA certification * Experience working in Healthcare industry 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. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved
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posted_at: 6 days agoschedule_type: Full-timework_from_home: 1
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 leadership to ensure alignment and integration of the Illinois
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 leadership to ensure alignment and integration of the Illinois Plan to support strategies and to ensure consistency and efficiency. Accountable for coordinating and delivering annual changes to offerings. Manages prioritization of the line of business and tracks progress to goals and reports upon progress to senior leadership. Assist in providing input on business cases, managing prioritization process and developing project updates. JOB RESPONSIBILITIES: Manage the team responsible for ideation to execution development and assist leadership as needed with goal and priority development. Also, conduct... ideation around line of business markets and evaluate new ideas and concepts against line of business goals, objectives and operational capabilities. Assist with providing input on business cases, managing prioritization process and developing project updates. Lead initial project brainstorming / orientation sessions geared toward identifying and framing issues and generating hypotheses around how to organize and prioritize the work. Translate strategy into executable plans and oversee successful implementation. Develop clear and compelling deliverables that present work approach and results to multiple internal / external audiences, in presentations, reports, dashboards, intranet site content, etc. Collaborate with government relations areas to determine and develop corporate positions on the line of business-related topics as appropriate. Develop success measures around implementation and infrastructure efforts and ensure reporting and tracking. Coordinate design, development and implementation efforts of new ideas and concepts that cross multiple functional areas. Manage the team to track programs and initiatives across the line of business to ensure proper handoffs and coordination happen between functional areas. Support the line of business needs for internal and external customers, including brokers, client / consultant meetings, internal training and report out sessions, and future roadmap. Support Plan President with required internal and external communications, Determines presentation needs for executives while advising and counseling on techniques and strategies. Keep abreast of best practices and strategic trends in health-care products and industry in general. Interact one-on-one and in group settings with departmental/inter-departmental team members to identify issues, gather data, brainstorm, prioritize, discuss analytic approach, and share findings. Develop, measure and report the metrics and financial requirements for reporting and budget management needs. Manage multiple priorities across projects and work with staff to complete tasks on time. Lead the development of clear and compelling project deliverables that present work approach and results to multiple internal / external audiences, in presentations, reports, dashboards, intranet site content, etc. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. JOB REQUIREMENTS: Bachelor’s AND 10 years of experience in health care, health insurance, or consulting environment 5 years’ experience in a management/leadership capacity Experience with strategic planning, strategy development, project management and/or analytics and research Experience within the health care insurance industry Management experience leading and mentoring staff Clear and concise verbal and written communication skills Experience with interacting successfully with senior management and staff across multiple departments Organizational skills, including ability to prioritize tasks Creativity and innovation, analysis and implementation skills and experience Advanced level of business acumen and project/process integration skills Strong facilitation skills PREFERRED JOB REQUIREMENTS: MBA, MHA, MPH Experience with implementation 10+ years of Health care industry experience Lead SME role in large programs Business case development 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. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved
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posted_at: 9 days agoschedule_type: Full-timework_from_home: 1
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 Under supervision, this position is responsible for working... on the phone all day in a call center to assist members
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 Under supervision, this position is responsible for working... on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 85% of the scheduled time on the phone according to business need. JOB REQUIREMENTS: High school diploma OR GED. 6 months customer service experience OR 6 months experience in an office environment. Data entry and/or typing experience. Interpersonal, verbal and written communication skills. Analytical and organizational skills and independent decision making skills. Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks. PREFERRED JOB REQUIREMENTS: 9 months customer service experience. Experience working with various lines of business, i.e. CDHP, Medicare, Wellness, and Disease Management. Knowledge of medical terminology and anatomy. Proven ability to learn quickly and adapt to change. Referral preference given to applicants able to take and meet testing criteria. 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. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved
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