Health Care Service Corporation Jobs in the United States
Health Care Service Corporation
$82700 - $149300 YEAR
Chicago, IL
A candidate for this role must be comfortable in a high performing and fast-moving team, have demonstrated ability to foster business critical relationships and provide oversight of large-scale programs involving multiple enterprise stakeholders, have a strong process background and worked on continuous improvements initiatives. The team member will also have significant stewardship over the HCSC Risk and Criticality segmentation framework to ensure the appropriate levels of supplier governance are executed by HCSC supplier management teams on their respective supplier base.
Health Care Service Corporation
$100000 - $180700 YEAR
Chicago, IL
Act As A Dedicated Liaison To A Specific Leadership Group Or Segment Within Hcsc (Such As Exchange, Retail, Small Group, Large Group, Technology & Operations, Financial Programs, And Corporate) With Respect To Applicable Regulatory Implementation Related Matters. * Bachelor degree and 7+ years of healthcare, managed care, health insurance, business operations or consulting experience OR Masters Degree and 4+ years of healthcare, managed care, health insurance, business operations or consulting experience.
Health Care Service Corporation
$40900 - $91000 YEAR
Richardson, TX
This position is responsible for enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service. Required Job Qualifications: *Bachelor Degree and 1 year managed care experience in products or contracts OR 5 years’ experience in managed care environment with 1 year experience in products or contracts.
Health Care Service Corporation
$54800 - $121100 YEAR
Chicago, IL
This position is responsible for supervising staff accountable 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 inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities. + Project management skills to develop project plans, implement plans, work across teams, and ensure completion of projects.
Health Care Service Corporation
$60300 - $133400 YEAR
Chicago, IL
Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master’s degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field. With a team of over 150 dedicated professionals, DAS harnesses the power of data and analytics to bring HCSC’s vision to life: empowering whole-person health, expanding access to care, and enhancing healthcare affordability for our 23 million members.
Health Care Service Corporation
$40900 - $91000 YEAR
Chicago, IL
Incumbent will also be responsible for the project management of primary quantitative and qualitative research projects, including content development, research design, sampling, survey programming, analyzing and reporting survey data, and research vendor management. + Proficiency with key software packages (word processing, data management, spreadsheet, statistical analysis and presentation) and experience with corporate programming languages (i.e. SPSS, among others).
Health Care Service Corporation
$60300 - $133400 YEAR
Chicago, IL
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 levels of behavioral health care from outpatient office visits to acute in-patient to out-patient office visits. *Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, RPsy) with current license to practice at the independent practice level.
Health Care Service Corporation
$60300 - $133400 YEAR
Richardson, TX
This position is responsible for performing behavioral health case management in accordance with accepted department criteria; consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individual’s and family’s comprehensive health needs; using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members. *Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, LCPC, LMFT, RPsy) with a license to practice at the independent level in this field.
Health Care Service Corporation
$60300 - $133400 YEAR
Richardson, TX
Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LMSW, LCSW, LPC, LCPC, LMFT, Licensed PhD Psychologist) with a license to practice at the independent level in this field. Consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individual and family comprehensive health needs.