Health Care Service Corporation

Customer Service Representative II - LHB

Health Care Service Corporation · Full Time · 18 hours ago

Health Care Service Corporation

🌎 United States 💵 $18.07 - $33.92 per hour ⭐ 2-5 yrs exp 💼 Support

Provide telephonic assistance to clients and their families to help them navigate healthcare, wellness, and incentive programs. Resolve complex benefit and claim issues and escalate difficult cases to supervisors or managers when necessary.

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Mgr Financial Planning & Analysis

Health Care Service Corporation · Full Time · 3 days ago

Health Care Service Corporation

🌎 United States 💵 $102K - $184K per year ⭐ 5-10 yrs exp 💼 Finance

The Manager of FP&A supports financial and business objectives through strategic planning, forecasting, and reporting. This role focuses on value-based care contract performance, financial system implementation, and long-range planning.

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Consultant Workforce Solutions (Employee Relations) Work From Home

Health Care Service Corporation · Full Time · 3 days ago

Health Care Service Corporation

🌎 United States 💵 $55900 - $123K per year ⭐ 5-10 yrs exp 💼 Recruitment

This role focuses on mitigating enterprise risk by guiding leaders on corrective actions, conflict resolution, and employee accommodations. It also involves conducting thorough investigations into employee concerns and developing HR policies to promote positive employee relations.

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Sales (IC) Senior Manager - HealthSpring Supplement Business - Work From Home

Health Care Service Corporation · Full Time · 3 days ago

Health Care Service Corporation

🌎 United States 💵 $119K - $179K per year ⭐ 5-10 yrs exp 💼 Sales

Manage a team of sales personnel to achieve quarterly new Supplement Benefit sales goals through National FMO Broker Partners. Maintain productive relationships with FMO partners, agents, and internal matrix partners while traveling up to 60% nationally.

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Executive Director, Network Management (Texas Network Contracting) – Remote

Health Care Service Corporation · Full Time · 3 days ago

Health Care Service Corporation

🌎 United States 💵 $161K - $299K per year ⭐ 10+ yrs exp 💼 Others

Directs a regional team responsible for professional and facility provider contracting, network strategies, and value-based care implementation. Manages medical cost trends, unit price targets, and ensures contracted network coverage across group, government, and retail programs.

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Principal Network Management Consultant - (Ancillary) Work from Home

Health Care Service Corporation · Full Time · 4 days ago

Health Care Service Corporation

🌎 United States 💵 $92700 - $167K per year ⭐ 5-10 yrs exp 💼 Teaching

Responsible for recruiting and contracting national ancillary providers, including dialysis, laboratory, and home infusion services. This role involves developing proposals, negotiating financial arrangements, and maintaining provider relationships to improve efficiencies.

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Benefit Advocate

Health Care Service Corporation · Full Time · 4 days ago

Health Care Service Corporation

🌎 United States 💵 $14.97 - $28.12 per hour ⭐ 0-2 yrs exp 💼 Others

Manage and coordinate a high volume of service requests via phone, email, portal, and chat for client employees and their families. Educate callers on navigating and maximizing the value of their healthcare benefits and incentive programs.

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Medical Reviewer II

Health Care Service Corporation · Full Time · 4 days ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 2-5 yrs exp 💼 Healthcare

Perform accurate and timely medical reviews of claims suspended for medical necessity, pricing, and contract interpretation. Manage correspondence with providers and members regarding medical determinations.

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Behavioral Health Care Management Specialist - 743

Health Care Service Corporation · Full Time · 5 days ago

Health Care Service Corporation

🌎 United States 💵 $34.9 - $57.89 per hour ⭐ 5-10 yrs exp 💼 Healthcare

Responsible for conducting care management and health education programs for customers on government health care programs. Duties include gathering and analyzing data for regulatory reports and representing the company to members.

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Sr Network Mgmt Consultant - Work From Home

Health Care Service Corporation · Full Time · 5 days ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 2-5 yrs exp 💼 Others

Responsible for recruiting and contracting activities for physicians, physician groups, and healthcare facilities. This includes developing and negotiating contracts while maintaining strategic provider relationships and ensuring territory coverage.

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Technical Content Writer III - (Work from Home)

Health Care Service Corporation · Full Time · 6 days ago

Health Care Service Corporation

🌎 United States 💵 $55900 - $123K per year ⭐ 5-10 yrs exp 💼 Writing

Responsible for analyzing, documenting, and publishing policies and procedures for internal operations divisions. This role involves facilitating consensus among stakeholders and improving content taxonomies to enhance search efficiency and usability.

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Sr Staff Actuary - remote

Health Care Service Corporation · Full Time · 6 days ago

Health Care Service Corporation

🌎 United States 💵 $102K - $184K per year ⭐ 5-10 yrs exp 💼 Finance

Manage the implementation and analysis of actuarial models for pricing, reserving, and forecasting. Develop complex models and lead projects across various departments to drive informed decision-making.

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Senior Crisis Management Consultant

Health Care Service Corporation · Full Time · 6 days ago

Health Care Service Corporation

🌎 United States 💵 $92700 - $167K per year ⭐ 5-10 yrs exp 💼 Others

Responsible for identifying and triaging events to reduce business impact and coordinating enterprise-wide responses to business interruptions. Duties include serving as a Crisis Management Duty Officer, managing mass notifications, and maintaining crisis management software tools.

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Principal Network Management Consultant - Work from Home

Health Care Service Corporation · Full Time · 6 days ago

Health Care Service Corporation

🌎 United States 💵 $92700 - $167K per year ⭐ 5-10 yrs exp 💼 Teaching

Manage and maintain harmonious working relationships with assigned providers while overseeing provider agreement negotiation operations. Analyze financial data to determine the impact of negotiations and drive alignment across cross-functional teams.

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Sr Actuarial Analyst - remote

Health Care Service Corporation · Full Time · 7 days ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 2-5 yrs exp 💼 Finance

The role involves implementing and maintaining actuarial models and systems for pricing, reserving, and forecasting. It also requires performing detailed analysis of results and creating presentations to support business decision-making.

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Assoc Systems Analyst

Health Care Service Corporation · Full Time · 7 days ago

Health Care Service Corporation

🌎 United States 💵 $45900 - $102K per year ⭐ 0-2 yrs exp 💼 Others

Responsible for designing, enhancing, and supporting business applications by integrating technical and business requirements across the full application lifecycle. The role involves translating architectural direction into technical designs and managing production incidents to ensure application stability.

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Sr Systems Analyst

Health Care Service Corporation · Full Time · 11 days ago

Health Care Service Corporation

🌎 United States 💵 $92700 - $167K per year ⭐ 5-10 yrs exp 💼 Others

Responsible for designing enhancements and new business applications by integrating technical and business requirements. Ensures the integrity, security, and availability of databases supporting Blue Chip and IRIS CICS applications.

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Sr Network Management Consultant - Work from Home

Health Care Service Corporation · Full Time · 12 days ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 2-5 yrs exp 💼 Others

Responsible for recruiting and contracting small to mid-size providers, including physicians and facilities. This involves developing contracts, maintaining provider relationships, and coordinating Single Case Agreements.

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Direct Agent & Territory Strategist Sales (IC) Advisor - Phoenix

Health Care Service Corporation · Full Time · 13 days ago

Health Care Service Corporation

🌎 United States 💵 $98300 - $147K per year ⭐ 5-10 yrs exp 💼 Sales

Drive Medicare sales growth by building and managing a channel of local contracted external agents and agency partners. Develop and execute territory-level growth strategies using competitive intelligence and data insights to optimize selling outcomes.

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Holistic Health Specialist - Work From Home

Health Care Service Corporation · Full Time · 13 days ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 2-5 yrs exp 💼 Healthcare

Acts as a single point of contact for members and providers to coordinate care, evaluate treatment options, and promote cost-effective health outcomes. Provides clinical care advisory services, wellness education, and oversight to holistic health coordinators.

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Lead Data Science Engineer

Health Care Service Corporation · Full Time · 14 days ago

Health Care Service Corporation

🌎 United States 💵 $121K - $225K per year ⭐ 5-10 yrs exp 💼 Software Development

Responsible for engineering AI capabilities for the Intelligent Delivery Platform, including data pipeline creation and optimization. This includes managing AI models through MLOps, implementing RAG systems, and performing prompt engineering.

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Sr Managing Actuary - Remote

Health Care Service Corporation · Full Time · 15 days ago

Health Care Service Corporation

🌎 United States 💵 $112K - $202K per year ⭐ 5-10 yrs exp 💼 Finance

Manage the implementation and analysis of actuarial models and systems for pricing, reserving, and forecasting. Develop complex models and lead cross-functional projects involving non-actuarial departments and external parties.

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Sr Infrastructure Engineer - Cribl

Health Care Service Corporation · Full Time · 21 days ago

Health Care Service Corporation

🌎 United States 💵 $84400 - $152K per year ⭐ 5-10 yrs exp 💼 Software Development

Design, implement, and optimize data pipelines using Cribl Stream and Edge for observability and security platforms. Provide 24x7 operational support, including monitoring and resolving data ingestion and routing issues.

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Executive Director, Payment Transformation (Work from home)

Health Care Service Corporation · Full Time · 21 days ago

Health Care Service Corporation

🌎 United States 💵 $161K - $299K per year ⭐ 10+ yrs exp 💼 Others

Oversee enterprise payment transformation and Value Based Care (VBC) strategies, including model design and end-to-end administration. Lead cross-functional teams in managing provider contracting, payment platforms, and analytics for over $2B in annual provider payments.

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Medical Director

Health Care Service Corporation · Full Time · a month ago

Health Care Service Corporation

🌎 United States 💵 $191K - $355K per year ⭐ 5-10 yrs exp 💼 Healthcare

Responsible for managing assigned medical policies and programs. Performs medical reviews and collaborates with provider communities.

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Quality Management Specialist II

Health Care Service Corporation · Full Time · a month ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 2-5 yrs exp 💼 Others

Facilitate clinical quality improvement projects and evaluate compliance with clinical practice guidelines for providers and IPAs. Consult with physicians and members to implement and monitor services that meet quality project objectives.

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Sr Sales Executive

Health Care Service Corporation · Full Time · a month ago

Health Care Service Corporation

🌎 United States 💵 $73500 - $110K per year ⭐ 5-10 yrs exp 💼 Sales

Accountable for delivering sales results for health, life, and ancillary insurance products in the Southern Illinois and St. Louis territory. Focuses on building and expanding key broker relationships and identifying territory-specific growth opportunities.

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Healthcare Sr Analytics Consultant - Medicare Part D Stars

Health Care Service Corporation · Full Time · a month ago

Health Care Service Corporation

🌎 United States 💵 $84400 - $152K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the development of technical and analytical enhancements to improve Medicare Part D Star ratings. Design and develop advanced reporting and dashboards to support critical business decisions regarding clinical and customer experience measures.

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TRS Account Manager

Health Care Service Corporation · Full Time · a month ago

Health Care Service Corporation

🌎 United States 💵 $66400 - $99600 per year ⭐ 2-5 yrs exp 💼 Sales

Responsible for providing on-site and territorial support to assigned accounts to retain membership and grow the business. This includes implementing healthcare activities, conducting training and enrollment sessions, and ensuring overall client satisfaction.

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Market Medical Director

Health Care Service Corporation · Full Time · 2 months ago

Health Care Service Corporation

🌎 United States 💵 $191K - $355K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Market Medical Director drives strategy and clinical excellence in clinical programs, Stars, and risk adjustment to optimize the total cost of care. They are responsible for strengthening partnerships with providers, health systems, and managed service organizations to ensure positive customer outcomes.

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Medical Director

Health Care Service Corporation · Full Time · 2 months ago

Health Care Service Corporation

🌎 United States 💵 $191K - $355K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Director will collaborate with leadership to improve underwriting tools, clinical reviews, and processes. They will leverage clinical expertise to deploy innovations and deliver market-leading strategies for supplemental benefits.

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Regional Medical Director

Health Care Service Corporation · Full Time · 2 months ago

Health Care Service Corporation

🌎 United States 💵 $191K - $355K per year ⭐ 5-10 yrs exp 💼 Healthcare

Responsible for managing medical policies and programs while providing clinical leadership across medical management and population health initiatives. The role focuses on influencing quality, affordability, and risk adjustment accuracy through strategic provider-performance initiatives.

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Sr Network Development Spec

Health Care Service Corporation · Full Time · 3 months ago

Health Care Service Corporation

🌎 United States 💵 $61500 - $136K per year ⭐ 10+ yrs exp 💼 Others

The role involves managing complex contracting for dentists within an assigned territory to achieve annual network growth goals. Responsibilities include conducting outreach, cold calls, and relationship development to successfully contract dental locations.

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