Search the 47 jobs at Health Care Service Corporation

The Appeals Specialist II will handle non-Utilization Management appeals, ensuring compliance with federal, state, and NCQA regulations. They will respond to member inquiries regarding appeals in various formats and assist in analyzing claims processing issues while managing a high volume of information.

The Manager of Ancillary Network Management will oversee the daily operations and strategies for contracting ancillary provider groups, develop and negotiate contracts, maintain provider relationships, and manage a team focused on provider contracting and support. This role entails travel and requires analytical and project management skills with strong leadership and communication abilities.

The Senior Design Strategist at HCSC will lead the development and implementation of innovative strategies that enhance user-centric solutions within the healthcare sector, actively conducting research, collaborating with multi-disciplinary teams, and employing systems thinking to create impactful designs that improve health outcomes for clients.

The Principal Network Management Consultant at HCSC is responsible for provider recruitment and contracting, with a focus on large and complex groups and facilities. This role involves negotiating contracts, maintaining provider relationships, educating providers, and offering subject matter expertise to improve operational efficiencies.

The Case Management Coordinator II performs concurrent review and discharge planning, identifying cost-effective treatment options and consulting with healthcare providers to coordinate services. This role includes assessing health needs, serving as a liaison, and providing support to less experienced staff.

The Sustainability Analyst at HCSC supports the Sustainability Department by analyzing environmental sustainability data, achieving departmental goals, and educating employees on climate-related issues. This hybrid role collaborates with leadership to understand business impacts and sustainability practices.

The Sr Analytics Consultant at HCSC will analyze data to provide valuable insights for member engagement, translate complex business challenges into data specifications, and support decision-making for enterprise strategies. Skills in statistical software and data visualization are crucial, alongside the ability to communicate effectively with various stakeholders.

The role involves planning and enforcing Enterprise Business Resiliency, Crisis Management, and Business Continuity Planning. It requires managing GRC policies, collaborating with teams, and providing operational oversight to ensure quality and suggest improvements. Skills include data analytics and ability to communicate complex concepts effectively.

The Sales Solutions Consultant at HCSC supports the National Accounts Sales team by managing proposal execution and coordinating with internal partners. The role involves enhancing sales strategies, support for prospecting, and post-sale activities to drive business growth in the healthcare sector.

The Senior Legal Assistant will provide administrative support to the Legal Department, handling calendars, travel, expense reporting, and legal support tasks for attorneys. This role requires confidentiality and independent judgment, including preparing documents and supporting Legal Operations initiatives with technology tools.

The Legal Operations Technology Specialist at HCSC will work with the Legal Operations team to enhance legal processes through automation, liaising with various stakeholders including management, IT partners, and vendors to improve efficiencies in legal workflows via technology solutions.

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 Strategic Account Manager will partner with the account executive to retain and grow enterprise national accounts, ensuring client satisfaction and implementing service strategies. Responsibilities include independent account servicing, effective communication with clients and brokers, and project implementation.

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 Sales Executive focuses on new business sales through establishing partnerships with brokers and clients, staying informed on market trends, managing sales processes and contributing to forecasting. They leverage marketing programs and seminars, manage relationships, and solve complex issues effectively.

The Advanced HR Tech Consultant will provide consultation on Workday and other HR applications, prioritizing and implementing solutions for the HR ecosystem. Responsibilities include managing vendor relationships, project management on complex initiatives, and ensuring effective deployment of HR technologies during mergers and acquisitions.

The role involves supporting the National Accounts Sales team by leading the sales process from proposal execution to sales strategy development. The Sales Solution Consultant is responsible for ensuring an excellent sales experience, fostering relationships with stakeholders, and standardizing sales processes. A strong understanding of healthcare concepts and sales techniques is necessary.

The Talent Management Manager is responsible for creating strategies to assess and develop internal leadership pipelines, manage talent programs, lead performance management initiatives, and enhance employee retention. The role involves leading a team, implementing HR processes, and collaborating with business partners to drive leadership and talent development within the organization.

The Product Development Manager at HCSC will oversee the development and management of product enhancements within the ancillary portfolio, interact with various departments, and utilize analytical skills to drive success. Responsibilities include building relationships, project management, and delivering presentations.