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Project Coordinator
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for providing technical and operational support to departments, divisions or enterprise areas. Perform tasks include developing and managing projects; develop and facilitate training; writing system functionality; testing new development; and maintaining project plans, issue logs, and status reports. Also lead or participating in the projec...
Customer Advocate I
HCSC - San Angelo, TX
BASIC FUNCTION: 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 90 of the scheduled time on the phone according to business need. JOB REQUIREMENTS:
Senior Network Innovation/Strategy Consultant
HCSC - Austin, TX
BASIC FUNCTION: This position is responsible for Value Based Care and New Network strategy and development activities at an advanced consultative level to enhance market stance, competitive capabilities and profitability. Responsible for the identification, evaluation and development of innovative network / care management solutions; direction and expansion of Value Based Care provide...
Sr Portfolio Delivery Consultant - Intelligent Automation
HCSC - Richardson, TX
Job Purpose: In the fast-paced, quickly-evolving Healthcare industry, responsive, agile, reliable, and scalable technology is key to achieving HCSC's business objectives. As we continue to transform our business and technology capability, HCSC will adopt and scale new technologies to improve our responsiveness to our members, while at the same time driving operational efficiency. Intellig...
Sr Developer
HCSC - Chicago, IL
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare 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 purpo...
Senior IT Strategy Consultant (Internal)
HCSC - Richardson, TX
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 purpose through...
Senior Data Science Engineer
HCSC - Chicago, IL
Our Enterprise Analytics team is searching for data engineers who can contribute to our mission of expanding access to high quality, cost-effective health care and equipping our members with information and tools so they can make the best health care decisions for themselves and their families. Enterprise Analytics applies data science and machine learning to make healthcare more cost-effect...
Quality Mgmt Spec III
HCSC - Austin, TX
BASIC FUNCTION: This position is responsible for facilitating BCBSIL clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBSIL clinical practice guidelines; consulting with MG/IPAs, physicians, providers, members, and other resources to assess, plan, facilitate implement, coordinate, monitor and evaluate options and services required to meet clinical qualit...
Quality Mgmt Spec II
HCSC - Austin, TX
BASIC FUNCTION: This position is responsible for facilitating BCBSIL clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBSIL clinical practice guidelines; consults with MG/IPAs, physicians, providers, members, and other resources to assess, plan, facilitate implement, coordinate, monitor and evaluate options and services required to meet clinical quality ...
Internal Operations Budget/Finance Analyst III
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for providing support to all levels of management in the development and monitoring of budget/expense data and financial performance metrics for Internal Operations divisions and the Enterprise Portfolio through updating and creating new financial models; developing cost estimations and benefit determination for business cases, utilizing comput...
Data Scientist
HCSC - Chicago, IL
We're looking for a Data Scientist in our growing Enterprise Data Science Team to develop new data science products using machine learning, natural language processing, data visualization techniques, and other forms of advanced analytics. The Enterprise Data Science team is also a Center of Excellence for data science at Blue Cross and Blue Shield of Illinois, New Mexico, Montana, Ok...
Coding Compliance Specialist
HCSC - Chicago, IL
BASIC FUNCTION: Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS Coding Guidelines and ...
Clinical Account Consultant Pharmacy
HCSC - United States of America
***POSITION CAN BE LOCATED RICHARDSON, HOUSTON, WACO, AUSTIN OR SAN ANTONIO*** Job Purpose: This position is responsible for providing consultative sales and account management operations support across HCSC market. Cultivate relationships, liaise with stakeholders and respond to pharmacy sales support requests. Responsible for executing the ASO Pharmacy Sales and ...
Member Care Coordinator - Government Programs (Rockford area)
HCSC - Rockford, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Medical Management Social Worker II - LCSW
HCSC - Chicago, IL
** THIS POSITION IS BASED ON-SITE IN-OFFICE IN CHICAGO, IL. ** BASIC FUNCTION This position is responsible for working with members, member families and physicians on health issues including complex cases. Will assist the member and/or their family by identifying resource needs, including but not limited to financial, transportation and/or helping with locating sup...
