At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThis position is responsible for leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and ensuring consistency and efficiency of major, complex, and strategic cross-divisional and enterprise-wide projects and initiatives from inception to completion. Provides oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines. Interacts with all levels of management including senior management. Supports the prioritization of transformational program activities and tracks progress to goals. Support writing and executing test cases based on business requirement hands on experience with SQL excel and test managementNOTE: This hybrid role can be located in CHICAGO IL, NASHVILLE, TN or RICHARDSON TX ~ relocation will not be offered; sponsorship is not available.
Required Job Qualifications:
* Bachelor’s degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry experience
* 3 years of experience leading with large and complex multi-million-dollar projects.
* Experience communicating with senior management from multiple divisions.
* Experience developing and delivering presentations.
* Problem resolution experience and skills.
* Knowledge of strategic planning techniques and industry trends
* Experience interpreting business and financial information
* Negotiations skills.
* Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
* Organizational skills.
* Experience managing multiple complex projects successfully.
* Detail oriented.
* PC proficiency to include MS Office products
* Knowledge and/or experience with:
- · Medicare Part A/B/D
- · Provider workflows & Provider application - Symplr
- · EDI formats – 837 I&P, 276/277, 270/271, 278, 834
- · Member Enrollment – Elements application
- · Member Collaterals
- · Provider Credentialing – sCRED application
- · Claims Intake process
- · Claims Adjudication logic – FACETS application
- · EOB
- · Provider Payments – 835 remittance files & EOP
- · CMS reporting
- · SalesForce
- · Evolve/Broker
* Test case management tools such as Zephyr
* Agile tool such as Jira/Rally
* SQL
* Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge
Preferred Required Job Qualifications:
* Proven strategic thinking and execution
* Ability to drive decisions, create optionality and determine impacts of options
#INCR
#LI-BS1
#LI-Hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$82,700.00 - $149,300.00Exact compensation may vary based on skills, experience, and location.
Top Skills
What We Do
Imagine Something New, Something Different.
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families.
HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development.
HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC.
Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization.
Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
