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1 - 10 of 19 matches in 0.012 seconds
Care Coordinator UM/CM I (RN-Work from home) (7035946)
Last Updated: 2019-12-11
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

  • After training, this will be a work from home position. Candidate will live within a commutable distance from the downtown Chicago office only*

We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we…

Counsel (7034011)
Last Updated: 2019-12-10
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position is responsible for assisting in providing necessary legal counsel, assistance and support to specific legal practice areas as assigned; works primarily independently and has direct impact on departmental results; sets objectives within a team; problems faced may require understanding of broader set of issues…

Clinical Process Improv Spec (7033671)
Last Updated: 2019-12-10
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position is responsible for developing and evaluating clinical business processes to support the cost of care, quality, compliance and financial performance strategy for the divisional/enterprise care management operations. Responsible for providing independent, objective evaluation and consultative services that enhance business performance, minimize risk and optimize…

Healthcare Quality Auditor (HEDIS and quality impr (7029170)
Last Updated: 2019-12-09
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position is responsible for reviewing medical records and abstracting and overreading data for quality improvement projects (HEDIS like measures) and HEDIS. This position collaborates internally and externally with stakeholders to drive improvement in quality outcomes and performance. The Quality Management Specialist (QMS

Primary Nurse Case Administrator I (RN-Work from h (7026306)
Last Updated: 2019-12-06
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

  • There are multiple openings associated with this posting to be filled within a commutable distance from Chicago only. After training, this will be a work from position*

We are the Health Care Management division of HCSC – a team of dedicated nurses, doctors and other clinicians. Everything we do…

Medicare Group Sales & Account Executive III - Emp (7025661)
Last Updated: 2019-12-06
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Located in Chicago, IL this position is responsible for Employer Group Medicare, ensuring continued and increased growth by selling GROUP Medicare products including Medicare Advantage, Medicare Prescription Drug Plan (PDP) and Medicare Supplement products to new customers and ensuring renewal business of existing customers by understanding customer…

Clinical Account Consultant Pharmacy (7014474)
Last Updated: 2019-11-29
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

POSITION IS LOCATED IN THE CHICAGO OFFICE

Job Purpose:
This position is responsible for providing consultative sales and account management operations support across HCSC market. Cultivate relationships, liaise with stakeholders and respond to pharmacy sales support requests. Responsible for executing the ASO Pharmacy Sales and Account Management strategy directly…

Clinical Quality Research Analyst (7009179)
Last Updated: 2019-11-27
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Job Purpose:

This position is responsible for conducting data collection and abstraction of medical records for HEDIS and Quality projects including supplemental data collection. Responsible for interacting with various internal staff, internal departments, and network providers/IPAs to ensure quality performance and results for Blue Cross managed care products. Responsible…

Coding Compliance Specialist (7008261)
Last Updated: 2019-11-26
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding; validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and…

Associate Proposal Writer (7004792)
Last Updated: 2019-11-25
Employer: Health Care Service Corporation
Location: Chicago, IL

Initiate the writing and coordinating of the activities associated with the Request for Proposal (RFPs) process ensuring the highest quality of service is provided while remaining consistent with the Company’s policies, procedures and philosophies. Participate in the activities involved in the resolution of issues associated with the RFP process ensuring…

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