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Care Coordinator UM/CM I - Government Programs
HCSC - Downers Grove, IL
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 make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Utilization Management Coordinator - Registered Nurse (RN) - Preds
HCSC - Chicago, IL
** THIS POSITION IS IN-OFFICE IN CHICAGO, IL AND NEEDS TO BE BASED A COMMUTABLE DISTANCE TO IN CHICAGO, IL . ** BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between...
Sr Analytics & Reporting Analyst
HCSC - Chicago, IL
As part of our Government Products Reporting and Insights team, you will support the most vulnerable of our population: Medicare and Medicaid members. By gathering and analyzing their health, utilization and financial data you will provide meaningful insights to ultimately help in developing programs and initiatives to help them gain access to care. This is a great opportunity for those that...
Sr Analytics & Reporting Analyst
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross-functional teams to address the divisions issues; producing datasets and reports for analysis using system reporting...
Communications Consultant III
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for developing and executing a variety of communications to meet the needs of multiple audiences through interaction with key stakeholders, subject matter experts and management at all levels of the organization; drafting, editing and supervising the production of communications to be distributed to a variety of audiences; in t...
Health Data Exchange Consultant (Operations)
HCSC - Chicago, IL
BASIC FUNCTION : This position is responsible for implementing the adoption, operations and/or delivery of capabilities needed to support and expand health data exchange which includes: fostering strong relationships with external and internal stakeholders; addressing issues / risk from stakeholders; planning and coordinating comprehensive solutions; and p...
Health Data Exchange Consultant (Delivery)
HCSC - Chicago, IL
BASIC FUNCTION : This position is responsible for managing the adoption, operations and/or delivery of capabilities needed to support and expand health data exchange which includes: fostering strong relationships with external and internal stakeholders; addressing issues / risk from stakeholders; planning and coordinating comprehensive solutions; and proac...
Health Data Exchange Consultant (Adoption)
HCSC - Chicago, IL
BASIC FUNCTION : This position is responsible for managing the development and prioritization of network strategies and connectivity models to increase utilization of health data across HCSC markets. JOB REQUIREMENTS : * Bachelor's degree and 5 years of applicable background/experience * Exper...
CyberSecurity Platform Operations Consultant - DLP
HCSC - Chicago, IL
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this purpose through t...
Medical Management Specialist I - Government Programs
HCSC - Downers Grove, IL
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 make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Database Specialist
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for designing, modeling, developing and supporting Database Management Systems (DBMS). Analyzes data requirements, application and processing architectures, data dictionaries, and database schema(s), and then designs, develops, amends, optimizes, and certifies database schema design to meet system(s) requirements. Gathers, analyzes, and normali...
Sr Systems Analyst-Mulesoft
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this purpose through...
Member Care Coordinator - Government Programs
HCSC - Downers Grove, IL
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 make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Product Design Consultant
HCSC - Chicago, IL
Job Purpose: This position is responsible for working independently and partnering with team members to develop the planning, development, integration, and execution of basic Product Solutions initiatives within the constructs of HCSC's business architecture. Deliverables would include proofs of concept, pilots, product solutions, and marketing solutions. Activities ...
Utilization Management Coordinator - Registered Nurse (RN)
HCSC - Chicago, IL
** THIS POSITION IS IN-OFFICE IN CHICAGO, IL. ** BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews ...
