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Senior Business Solutions Owner
HCSC - Chicago, IL
Senior Business Solutions Owner (DI0082) Job Purpose: This position is responsible for researching emerging technologies and aligning business technology strategy, developing capability and maturity roadmaps, and managing stakeholders, while ensuring that the customer/user goals and visions are implemented, and the value of the...
Associate Systems Analyst
HCSC - Chicago, IL
Job Purpose: This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Business Analyst needs and Architect definitio...
Pharmacy Operations Representative
HCSC - Chicago, IL
**POSITION IS LOCATED IN THE CHICAGO, IL. OFFICE WITH A FLEX/HYBRID WORK SCHEDULE** Must be a Licensed/Certified Pharmacy Technician. BASIC FUNCTION: This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. Works with internal dep...
Medical Management Specialist I (Care Coordination)
HCSC - Downers Grove, IL
Job Purpose: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. Perform assessments and other care review in the member/family home. This position will represent the company...
Client Consultant
HCSC - Chicago, IL
BASIC FUNCTION: In this role, you will be responsible for creating medical plan review presentations for BCBSTX employer group clients and for presenting those reviews to the client. Creating the medical plan reviews and providing additional ad hoc analytics in support to your book of key accounts will require you to analyze health claims utilization and cos...
Communications Consultant I
HCSC - Chicago, IL
***THIS IS A FLEX/HYBRID POSITION, AND IS LOCATED IN THE CHICAGO, IL. HQ*** BASIC FUNCTION: This position is responsible for assessing the communication needs of a variety of internal clients and implementing plans and products to meet the client's strategic objectives; writing, editing, proofing, and coordinating design and production...
Financial Ops Project Consultant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for serving as a key resource in providing project support for various initiatives within the Financial Operations Area; working with Directors and designated staff in each area to coordinate merger and project management activities; assisting with major process improvement efforts; developing and managing rel...
Senior Business Consultant
HCSC - Chicago, IL
Senior Business Consultant (NH0210) Job Purpose: This position is responsible for providing business analysis and leadership to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency requiring leadership of major, complex, and strategic cross-divisio...
Medical Management Specialist I - Care Coordination
HCSC - Downers Grove, IL
JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS: * Reg...
Learning Partner
HCSC - Chicago, IL
Job Purpose: This position is responsible for developing and executing learning and development strategies in support of the goals of our Pharmacy and other business areas and in alignment to learning methodologies; developing and nurturing consultative partnerships across organization; analyzing performance gaps and learning needs; recommending strategi...
Medical Management Specialist I (Care Coordination)
HCSC - Downers Grove, IL
Job Purpose: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. Perform assessments and other care review in the member/family home. This position will represent the company...
Business Analyst III
HCSC - Downers Grove, IL
BASIC FUNCTION: This position is responsible for working with business areas to determine their needs; analyzing and translating current state information into accurate requirements; developing and maintaining accurate test cases; executing all testing activities; developing manuals and training end-users; supporting implementation activities. JOB REQUIREMENTS:
Sr IT Release Analyst
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...
Assoc Test Engineer
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...
Behavioral Health Care Coord
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all leve...
