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11 - 20 of 41 matches in 0.011 seconds
University Relations - Finance Intern (7009777)
Last Updated: 2019-11-27
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

Why Intern at Health Care Service Corporation?

Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the United States and fourth largest overall, operating through our Blue…

Customer Service Specialist - Starting Pay $15.47 (7009538)
Last Updated: 2019-11-27
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary

The Customer Care Specialist will answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.

In this role you will:

  • Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions…
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…

Sr. Pharmacy Data Analyst (7008524)
Last Updated: 2019-11-26
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

POSITION IS LOCATED IN THE CHICAGO, IL. OFFICE

Quality Assurance backgound – a MUST

Ideal candidate will have familiarity with BlueSTAR and Pharmacy data sets

BASIC FUNCTION:
This position is responsible for generating and analyzing reports and providing insight/suggestions to support Pharmacy communications; performing QA on data…

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…

Customer Advocate I (7005475)
Last Updated: 2019-11-25
Employer: Health Care Service Corporation
Location: Jacksonville, IL

Description:

BASIC FUNCTION:
Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled…

Medical Director (7004930)
Last Updated: 2019-11-25
Employer: WPS Health Solutions
Location: West Frankfort, IL

Role Summary:

The Medical Director is a physician leader with expert knowledge in Medicare appeals and regulations. The Medical Director is responsible for clinical coverage determinations and staff trainings on clinical matters and collaborating with medical societies and peer groups to share information and provide education.

In this role you

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…

Customer Advocate II - SSD (7004501)
Last Updated: 2019-11-24
Employer: Health Care Service Corporation
Location: Naperville, IL

Description:

This is a Union role.

BASIC FUNCTION:
Under supervision this position is responsible for researching, analyzing and responding to telephone, written, membership and claim inquiries in a prompt, accurate and professional manner utilizing retail market systems and procedures. Ability to be flexible and accountable toward meeting deadlines in…

University New Grad - Pharmacy Resident (7004226)
Last Updated: 2019-11-24
Employer: Health Care Service Corporation
Location: Chicago, IL

Description:

NOTE: This position is a full-time position for one year in our Chicago headquarters with a 1-month rotation in our Albuquerque, NM office.

BASIC FUNCTION:This position as part of post-graduate year one of pharmacy residency training is responsible for assisting pharmacists, other clinicians and pharmacy management with…

Legend

  • Registered Apprenticeship