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1 - 10 of 72 matches in 0.011 seconds
Sr Analytics Consultant - Health Economics Team (7044259)
Last Updated: 2019-12-14
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position will be responsible for the client-facing data and analytics engagements for some of HCSC’s largest clients. The candidate will preferably have presentation experience or a proven track record of conveying complex ideas to a diverse audience. Will lead research in analyzing financial and health…

Senior Healthcare Claims and Benefits Design Engin (7044130)
Last Updated: 2019-12-14
Employer: WPS Health Solutions
Location: Chicago, IL

Role Summary:

Senior Healthcare Claims and Benefits Design Engineer will review and interpret data within complex claims systems to determine accuracy and compliance with contractual obligations. Collaborate with cross functional groups to develop and implement system updates, ensure continued improvement in the synchronization of systems, people, and processes. Participate in…

Federal Strategy and Business Development Manager (7044126)
Last Updated: 2019-12-14
Employer: WPS Health Solutions
Location: Chicago, IL

*Federal Strategy and Business Development Manager

Role Overview*

Lead our business capture team efforts, developing and executing strategies and tactics to help WPS win new and retain existing health-related business

In this role you will:

  • Help WPS win business, by:Structuring and executing customer and competitive research to identify opportunities (including…
Unit Manager Quality & Accreditation (7044124)
Last Updated: 2019-12-14
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:

This position is responsible for managing staff accountable for designing, implementing and maintaining quality improvement programs and accreditation. This position is responsible for implementing strategies, developing and ensuring completion of projects, identifying areas for improvement, developing business cases, completing annual quality improvement program evaluation, and working…

Sr Production Support & Issue Analyst (7044121)
Last Updated: 2019-12-14
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Exciting Opportunity to join the ACE Team!

Job Purpose:
This position is responsible for providing support, triage and resolution of the new ACE dashboard to ensure the highest levels of service and system availability are attained. Interacting with customers to understand business need, providing status on issues and responding…

Sr Contract Specialist - Health Insurance Drafting (7042023)
Last Updated: 2019-12-13
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Job Purpose:
This position is responsible for drafting and filing of standard and customized account-specific documents for new and renewing accounts with redrafts of up to ten paragraphs. This position is responsible for drafting non-standard contract language and coordinating the production of documents working with account managers. This position…

Delegation Oversight Coordinator (7042021)
Last Updated: 2019-12-13
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Job Purpose: This position is responsible for creating, managing and reporting processes designed to monitor and evaluate activities and functions delegated to contracted, delegated entities and vendors for assigned products and business lines according to all corporate and regulatory/accreditation requirements and standards.

Required Job Qualifications:

  • Bachelor’s degree plus 2…
Clinical Delegation Coordinator (RN) (7042020)
Last Updated: 2019-12-13
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Job Purpose:

This position is responsible for leading, coordinating and participating in clinical delegation oversight audits of HCSC’s vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools based on state and federal regulations, conducts the reviews…

Production Sup & Issue Analyst (7041901)
Last Updated: 2019-12-13
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Please note – candidates moving forward to next steps are required to complete a video interview via HireVue

This role will be exclusively located in one of the following locations: Quincy, Rockford, Chicago, IL; Marshall, Richardson; TX*
Job Purpose:This position is responsible for providing support, triage and resolution…

Quality & Perf Consultant (7041893)
Last Updated: 2019-12-13
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

BASIC FUNCTION:
This position is responsible for completing trending and analysis of quality results; as well as driving performance improvement initiatives across the organization. Conducts assigned focus audits across various lines of business; drafting executive summary documents to capture performance results; facilitating meetings as assigned; drafting solutions to…

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