Health Care Service Corporation
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The Technical Reporting Analyst III will lead business analysis activities, gather requirements, and translate them into specifications for implementation. Responsibilities include developing multi-source data and reporting solutions, executing test scenarios, supporting production issues, and providing infrastructure support.
The Quality Management Specialist I is responsible for leading clinical quality improvement projects, assessing and analyzing compliance with clinical practice guidelines, and facilitating communication among physicians and providers. The role involves data analysis, project monitoring, and documentation to ensure adherence to regulatory standards and improve healthcare outcomes.
The Manager Underwriting position at HCSC is responsible for leading a team that underwrites major national accounts, ensuring compliance with applicable legislation and company goals. The role requires expertise in underwriting processes, pricing strategies, and effective communication skills for interacting with customers and senior leaders. The manager will also oversee project management tasks and foster positive relationships both internally and externally.
The Associate Life and Waiver Examiner is responsible for reviewing and processing various insurance claims, ensuring accurate assessment and customer service while managing multiple tasks effectively under supervision.
The Legal Operations Technology Specialist at HCSC will work with management, IT business partners, vendors, and attorneys to enhance legal processes through automation. The role involves understanding legal workflows, identifying pain points, and developing technological solutions to improve efficiencies.
The Senior Legal Assistant provides administrative and legal support to attorneys within the Legal Department. Responsibilities include managing calendars, travel arrangements, expense reporting, and preparing legal documents, while maintaining confidentiality. This role also supports Legal Operations initiatives involving technology and office functions.
The Network Compliance & QA Program Manager at HCSC ensures operational adherence to compliance programs for various dental business lines. Responsibilities include overseeing the credentialing process, managing vendor relations, conducting audits, maintaining quality assurance statistics, and developing training programs for staff. Strong leadership and organizational skills are necessary for managing multifunctional teams and balancing multiple priorities.
This position involves reviewing and processing life waiver of premium insurance claims for group insurance policies, including following up on claims, assessing supporting information, and ensuring customer service, all under supervision.
Responsible for drafting account-specific documents, training less experienced staff, and participating in peer reviews. Must have knowledge in health insurance contracts and state/federal regulations, along with strong communication skills.
The Actuarial Analyst position at HCSC involves implementing and analyzing actuarial models, maintaining compliance, and developing business presentation skills. The role requires basic model-building and communication with other analysts, while also beginning project management and participating in the Actuarial Student Program if not credentialed.
The Associate Paralegal assists the legal department with daily operations, including supporting attorneys in research and document preparation for litigation and non-litigation matters, interfacing with internal partners and external counsel, and ensuring regulatory compliance.
The Senior Paralegal will prepare complex legal documents and agreements related to litigation and regulatory matters. This role involves collaborating with internal partners and outside counsel, managing document collections, and responding to discovery requests.
This role is responsible for collaborating with account executives to retain and grow enterprise national accounts, ensuring client satisfaction through effective service strategies and independent work. It involves account servicing, communication with customers and brokers, and project implementation.
The Manager of Revenue Management at HCSC oversees training and development, office audit standards, and employee performance evaluations. This role involves reviewing operational programs, establishing priorities, and addressing technical issues related to member premiums for Medicaid services.
The Senior Legal Assistant at HCSC will provide administrative and legal support to a team of attorneys. Responsibilities include extensive calendaring, travel management, expense reporting, and preparing legal documents. The role requires independent judgment and managing sensitive information while supporting legal operations initiatives using technology.
The Senior Income Tax Accountant will handle income tax compliance, prepare federal and state income tax returns, and support tax accounting processes. Responsibilities include managing quarterly tax provisions, conducting tax research, and collaborating with peers to enhance tax processes and stay updated on tax regulations.
The Tax Accountant III at HCSC is responsible for tax compliance, research, and planning support. The role involves identifying tax savings, supporting audits, and providing tax consulting on various topics while communicating effectively with management and tax authorities.
The Senior Supplier Management Analyst manages key supplier relationships, ensuring compliance and performance aligned with contracts. The role involves strategic supplier selection, performance evaluation, and partnering with internal teams to meet business expectations. The analyst must navigate complex relationships, delivering cross-functional projects in a matrixed organization while employing analytical and consultative skills.
The Senior Financial Accountant is responsible for closing monthly books, analyzing financial trends, preparing financial statements, and managing complex accounting processes for HCSC. This role involves mentoring team members and collaborating on various financial models and projects while ensuring accurate financial reporting and reconciliation.
The Managing Actuary is responsible for overseeing and developing complex actuarial models, managing compliance with standards, enhancing internal and external relationships, and leading projects involving actuarial and non-actuarial departments. They also provide training and management for actuarial staff while ensuring effective communication of information for decision making.