Search the 75 jobs at Health Care Service Corporation

Responsible for managing analytical and reporting tools and data sets to produce valuable insights. Leading a team of analysts to provide reports, insights, and analytics. Developing team's analytical capabilities and working closely with stakeholders.

Responsible for supporting the product lifecycle by gathering, organizing, analyzing, and interpreting data. Assisting in report preparation and maintenance of project management documentation.

Responsible for negotiating renewals or selling products and services to existing customers, understanding customer needs, providing customer support, and traveling when required. Requires General Lines Agent license, group health insurance experience, customer service skills, and product knowledge.

Develop, integrate, test, and maintain applications using various programming languages, methodologies, and technologies. Collaborate on feature design, integration, and cloud computing solutions. Implement best practices in SDLC methodologies and system performance management. Solve complex problems and enhance system capabilities through innovative thinking and rapid prototyping.

Design enhancements and new business applications through integration of technical and business requirements. Serve as technical designer to identify best solution within code environment. Link business analyst needs to technical solutions.

Clinical care advisory role to assess members for wellness education and disease management, introduce company website tools for personal health management, assist in program development/projects, educate members on wellness and specific conditions, coordinate care, and mentor staff.

Looking for a skilled and experienced Manager for ACA Risk Adjustment to lead RADV IVA efforts for BCBSTX, ensuring compliance with regulatory requirements and maximizing revenue. Key responsibilities include leading RADV IVA program, developing strategies for documentation and coding gaps, analyzing data, collaborating with teams, and staying updated on industry practices.

The Outbound File Technical Analyst at Luminare Health is responsible for analyzing and testing electronic data files, collaborating with programmers, and providing user sign off for file deployment. This role requires strong problem-solving and analytical skills, along with the ability to work collaboratively with internal and external stakeholders.

Responsible for developing and managing collaborative working relationships with community partners to identify investment and partnership opportunities, educate partners on programs and resources, lead employee engagement in volunteer opportunities, and manage community contacts. Also responsible for special projects and providing reportable data to management.

Serve as a liaison between contact center customers and the contact management center (CMC), provide subject matter expertise on available technologies, services and processes, collect customer business requirements, monitor customer satisfaction and performance to optimize contact center operations.

Join HCSC as a Senior Analytics & Reporting Analyst to provide actionable insights to providers in the healthcare analytics space. Work on projects using SQL, SAS, Teradata, and Excel to improve healthcare quality and reduce costs. Requires a Bachelor's degree and 2 years of data analysis experience.

Responsible for negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. Must have state General Lines Agent Life, Health, and HMO license or obtain it within the required time frame. Customer service oriented with strong communication skills and the ability to analyze reports.

Ensure alignment of project specific designs with application architecture roadmap, support project and product teams on design activities, define interactions between application packages, databases, and middleware systems, act as a subject matter expert for integrated products.

Design and develop data Integrations for Enterprise BI Data Marts and BI Semantic Data layer(s) using RDBMS database, Hadoop Datalake, and Azure cloud. Work on projects to improve data processes, technology infrastructure, and reporting services. Required to work closely with product managers and lead Engineers.

Responsible for gathering, analyzing, and reporting on budget and expense data. Prepare financial reviews and reports, analyze variances, and assist in forecasting. Collaborate with team members and maintain confidentiality. Bachelor's degree in Accounting, Business, Economics, or Finance with 3 years of experience required.

Processing benefit changes, reworking policies, adding new product lines, and providing policy information under supervision. Recalculation of bills and processing policy change requests. Requires high school diploma, 1 year of business experience, organizational and analytical skills, clear communication, PC proficiency, and ability to work independently and in a team setting.

Develop, integrate, test, and maintain applications using Big Data, Hadoop, and Spark. Proficiency in programming languages and development methodologies. Experience in traditional and scripting languages, integration technologies, mobile technologies, cloud computing, SOA, web technologies, and SDLC methodologies.

The Sr Application Architect is responsible for ensuring alignment of project designs with application architecture roadmap, supporting project teams on functional and technical design activities, defining the interaction between application packages, databases, and middleware systems, and acting as a subject matter expert for products that require integration into the application.

Responsible for pricing Live Production Claims and managing Specialty or Contested Claims to ensure accuracy. Identify pricing issues and collaborate with management for resolution. Update databases and collaborate with claims area on misrouted training opportunities.

Manage a team of sales personnel handling new group health care and ancillary sales through brokers, implement sales goals, ensure achievement of goals, build relationships, and work across the company to exceed goals. Must be willing to travel.