Blue Cross Blue Shield of North Carolina jobs in Chicago, IL - 65 jobs
Senior Counsel - Data, AI & Emerging Tech Governance
Blue Cross Blue Shield 4.8
Blue Cross Blue Shield job in Chicago, IL
A leading national healthcare organization in Chicago is looking for an Associate General Counsel specializing in data and emerging technologies. This role provides legal guidance on data use, privacy, and advanced technologies like AI and analytics. Candidates should have a Juris Doctor and at least 5 years of legal practice experience, with a strong understanding of healthcare privacy laws. The compensation range is set between $142,690.00 and $205,246.50 annually, alongside a comprehensive benefits package.
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$142.7k-205.2k yearly 2d ago
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Associate General Counsel, Data and Emerging Technologies
Blue Cross Blue Shield 4.8
Blue Cross Blue Shield job in Chicago, IL
Associate General Counsel, Data and Emerging Technologies page is loaded## Associate General Counsel, Data and Emerging Technologieslocations: US ILChicago E. Randolphtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR5552Job Description Summary: The Data Governance and Emerging Technologies Counsel partners across the organization to provide legal and strategic guidance on initiatives involving data use, privacy, and advanced technologies such as artificial intelligence, machine learning, and analytics. This role supports legal team efforts related to data governance, regulatory compliance, intellectual property, and risk management strategies associated with emerging technologies. The position also engages with attorneys and business teams from affiliated health plans to support the implementation and operational oversight of data use practices across the broader system.**Responsibilities include but are not limited to:*** Identify and assess legal risks for moderately complex matters for assigned practice area with minimal supervision and direction.* Assigned practice area may include one or more of the following litigation, special investigations, legal operations, healthcare/regulatory law, contracts, etc.* Builds knowledge of the business context* Performs routine legal work.* Handles moderately complex legal questions and projects.**The posting range for this position is:** $142,690.00-$205,246.50**Required Education, Certifications and Experience:** Education:* Required Juris DoctorExperience:* Required 5+ Years legal practice experience Knowledge Skills and Abilities:* Proficient written and oral communication skills* Proficient organizational and project management skills, including follow through skills* Strong legal research, analysis and drafting* Problem solving skills* Preferred knowledge of healthcare insurance industry, including state and federal regulatory environment Certifications & Licenses:* Required: Bar Admission - VariousAdditional preferred experience:* Demonstrated experience drafting and negotiating technology and data-related agreements, including cloud-based services (e.g., SaaS, PaaS), data sharing and licensing, and AI-enabled solutions, within regulated environments; strong understanding of healthcare privacy and security laws (e.g., HIPAA, HITECH, state privacy) and emerging frameworks for AI governance, data ethics and responsible innovation.#LI\_HYBRIDThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for *annual bonus incentive* pay.We offer a comprehensive package of benefits *including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits* to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It's easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA!At Blue Cross Blue Shield Association , we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity. Experience a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us!
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$122k-168k yearly est. 3d ago
Strategic Market Insights Lead for Health Plans
Blue Cross Blue Shield 4.8
Blue Cross Blue Shield job in Chicago, IL
A leading health insurance company is seeking a strategic leader accountable for driving insights that inform competitive positioning across government programs like Medicare and Medicaid. The ideal candidate will need a Bachelor's degree and 7+ years of experience in market research within health insurance. Key responsibilities include designing market research, synthesizing insights, and collaborating with stakeholders to enhance decision-making. This role offers a competitive salary range of $112,443.00-$161,738.53 with comprehensive benefits.
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$112.4k-161.7k yearly 1d ago
Market Performance Lead Consultant
Blue Cross Blue Shield 4.8
Blue Cross Blue Shield job in Chicago, IL
The role is a strategic leader accountable for driving insights that inform competitive positioning across government programs (ex. Medicare, Medicaid) market segments. Shapes business strategies by overseeing the design and analysis of custom research. Synthesizes findings and presents to executive audiences to inform decision making. Collaborates with BCBSA and Plan executives to share insights and support best practice sharing.* Designs and conducts in-depth market research to meet business needs, leveraging deep expertise, e.g. competitive intelligence, primary market research* Communicates insights to business stakeholders internally and to BCBS Plan forums. Fosters an environment of market insight and best practice sharing across the Blues System* Collaborates with business stakeholders across BCBSA and Plans to identify business questions and information requirements. Stays current of industry and line of business trends.* Extracts meaningful patterns and trends from the market research and synthesizes into actionable insights that inform strategic decisions. Integrates data from research with other analyses for a holistic view.* Leads vendor contracting and management for related market research activities**The posting range for this position is:** $112,443.00-$161,738.53 **Qualifications:** **Education*** Required Bachelor's Degree in analytic and research background or equivalent work experience* Preferred Master's Degree in market research methodologies and statistical analyses**Experience*** Required - 7+ Years experience in the field of market research and/or competitive intelligence within health insurance* Preferred - Experience working in and knowledge of Medicare Advantage, Medicare Supplement, and/ or Managed Medicaid health insurance markets.**Knowledge Skills and Abilities*** Strong business acumen* Skilled in data synthesis and analysis* Skilled in strategic decision support* Strong stakeholder communication skills#LI-HybridThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for *annual bonus incentive* pay.We offer a comprehensive package of benefits *including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits* to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It's easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA!At Blue Cross Blue Shield Association , we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity. Experience a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us!
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$84k-104k yearly est. 1d ago
Division Broking Leader- Commercial Lines
World Insurance Associates 4.0
Chicago, IL job
DIVISION BROKING LEADER - COMMERCIAL LINES WORLD DIVISION - West The Division Broking Leader is a strategic and influential senior broking leader with a proven ability to negotiate and drive optimal outcomes for clients and prospects across diverse market segments. The DBL leads and orchestrates all broking activities for new and renewal business, aligning with organizational goals for client retention and growth. The DBL demonstrates deep expertise in insurance coverages, carrier underwriting guidelines, alternative funding strategies, and evolving legislative frameworks. Builds and nurtures high-impact relationships with clients, carrier partners, and internal stakeholders, fostering collaboration and delivering exceptional value. Serves as a trusted advisor and thought leader, championing innovation and excellence in broking practices.
RESPONSIBILITIES
Lead placement strategy with World Client Advisors and Account Executives to achieve optimal outcomes for clients and prospective clients
Drive a competitive coverage placement process and demonstrate strong negotiation skills to achieve appropriate cost, coverage, and capacity targets for clients and prospective clients
Maintain productive and responsive relationships with underwriting managers, practice leaders, and business development managers of World's key Trading Partners
Participate as requested in client and prospective client introductory, strategic, planning, and proposal meetings, and represent World in a professional and responsive manner
Promote utilization of strategic Trading Partners critical to maintaining secure and dependable relationships for World to generate optimal outcomes for clients and prospective clients
Collaborate with peers and national resources as necessary to ensure client's and prospective client's coverage needs are comprehensively addresses
Manage business models in accordance with corporate KPIs
Exhibit strong leadership capacity in training, developing, supervising, and appraising associates to ensure they experience a productive and fulfilling career path at World
Productively and with clear vision, lead a team of diverse placement professionals who possess varying levels of expertise and skill in distant locations to achieve defined goals and objectives
Serve as primary internal source of information concerning market trends, pricing practices, and other underwriting policies
Assist in developing Broking Practice policies and procedures to support our commitment to continuous improvement
Maintain focus on World-authorized workflow and standard operating procedures to support the delivery of a consistent service model across the World enterprise
ESSENTIAL SKILLS/COMPETENCIES
Comprehensive understanding of World's scope of expertise, structure, distribution strategy, and value proposition
Broad and diverse knowledge of the global insurance industry marketplace including:
Middle market and large account segments
All property and casualty products
Excess and Surplus Lines marketplace and how to access
London and Bermuda market facilities
Property and Casualty program designs including guaranteed cost/first dollar, deductible/retention structures, quota share & layered property programs, liability towers, risk management, and alternative risk
Project/process management discipline and follow-through
Compelling deductive reasoning skills
Strong leadership capabilities+
Substantial inter-personal skills and associate engagement expertise
Effective listening and communication skills
Collaborative nature
Action-oriented, ambitious, initiative-taker
Analytical and creative thinker
Commitment to continuous learning and development
Good understanding of complex property and casualty insurance programs, risk management, and alternative risk structures
Purposeful, results-driven, competitive, tenacious desire to win
Understands how to identify and apply corporate resources to achieve optimal outcomes for clients and prospective clients
Knowledgeable of the global insurance marketplace and keeps current with changing marketplace landscape
Strong ability to influence and negotiate with trading partner peers, and achieve optimal outcomes for clients and prospective clients
LEADERSHIP
Committed to working in a shared leadership environment and among cross-functional teams and promoting World values of collaboration, excellence, leadership, innovation, and integrity
Lead through empowerment, engagement, collaboration, feedback, and buy-in from others
Collaborate with Practice Leaders, Division Leaders, Division Growth & Service Leaders to ensure Broking objectives are in accordance with World corporate objectives
Stay aligned with customer acquisition strategies to ensure Broking activity effectively supports business growth initiatives
Support and embed World workflow processes and procedures
Represent World brand to the global marketplace in a professional manner
Identify creative ways to work more efficiently with our key trading partners
Identify and maintain close relationships with World's key trading partners decision-makers at regional management level
Encourage other associates to align with World initiatives, values, and principles
Confident to challenge those whose behavior's conflict with World values and principles
WORK EXPERIENCE/JOB QUALIFICATIONS
Minimum 10 years industry experience in risk management and insurance brokerage, underwriting, and carrier relationship management role; or in combination
Minimum 5 years in leadership role with high-performing, successful teams, including goal setting and associate performance review responsibilities
Complete Understanding of a national insurance broker's sales, service, and broking platforms
COMPUTER SOFTWARE SKILLS
Proficient in all Microsoft office products
Mid-level expertise with excel
PROFESSIONAL LICENSES/CERTIFICATIONS
Preferred insurance designation such as CPCU, CIC, or ARM
Licensed Property & Casualty insurance producer in resident state
EDUCATION
4-year college degree from an accredited institution or equivalent professional designation
COMPENSATION
This position is located in Illinois. The base salary for this position at the time of this posting may range from $120,000 to $180,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details.
Equal Employment Opportunity
At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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$30k-36k yearly est. Auto-Apply 60d+ ago
Customer Support Account Manager
World Insurance Associates 4.0
Barrington, IL job
The Account Manager is responsible for providing general office support and a variety of client support and other related tasks. The Account Manager will be responsible for collecting, organizing, and analyzing client data as well as other administrative and support functions such as scheduling client appointments, greeting clients, answering incoming calls, receiving and processing investment checks, scanning and maintaining client information in CRM and completing applications and forms.
Primary Responsibilities
The Account Manager can expect to focus their work in the following areas:
Client Communication
Greet clients and guests in a professional, friendly and hospitable manner
Answer telephones and direct callers to appropriate member of the firm
Respond to client emails in a professional manner
Attend client meetings in a technical, supporting, and learning role
Client relationship development, including ongoing and regular client contact and communications
Client Preparation
Client support including performing a wide range of activities, such as data gathering and analysis, development of recommendations, implementation, and ongoing portfolio management - within a financial planning context.
Assist advisors and clients in completing application, enrollment and other forms as needed
Client service, including planning updates, portfolio changes and reviews, information data gathering, portfolio returns, and new opportunity identification
Data gathering from clients for initial meeting, engagement meeting and ongoing management meetings. Prepare necessary documentation and agendas one week in advance of appointments.
Manage the follow-up process including action items, next contact date, follow up letter, update and maintain CRM.
Prepare and mail forms and applications to clients as needed
Forward investment checks and enrollment/application forms to necessary broker
Administrative Tasks
Daily Downloads (Pershing, DST Fan Mail)
Review alerts from custodians
May buy and sell investments for clients at the advisor's discretion
Maintain electronic filing system, clear folders at the COB each day
Administer and coordinate client billing process
Consistently review accounts for compliance requirements
Schedule client meetings with appropriate advisor
Coordinate the pick-up and delivery of express mail services (UPS, Fed Ex)
Scanning, filing, faxing and collating
Place appropriate postage on outgoing mail and send via appropriate boxes
Other
Open and close the office (locking doors, turning off lights)
Maintain kitchen area, stock refreshments and refrigerator
Attend team meetings, Investment Committee Meetings and other meetings as necessary
In addition to participation in the Financial Planning and Investment Committee meetings the CRA may participate in developing investment and financial planning strategies for the committees
Complete special projects as needed
Required Qualifications
Self-confidence, personal integrity and an understanding of fiduciary responsibility
A team player, with strong leadership skills and ability to multi-task and manage time effectively
Ability to think through issues and problems from the client's perspective and offer solutions, willing to take responsibility for task completion, and seeks out ways to improve processes
2 years of relevant service-oriented experience and/or training, or equivalent combination of education and experience
Ability to work independently on assigned tasks as well as to accept direction on given assignments
Excellent verbal and written communication skills, and exceptional interpersonal communication skills
Sound organizational skills and strong personal computer skills (MS Office Suite)
Compensation
Pay/benefits are competitive based on industry standards.
Salary will be based on experience and industry benchmarks.
Eligibility for Individual Performance as well as Firm-wide Incentive Bonuses
Perks & Benefits
401(k) with Employer Match
Health Insurance (with HSA option)
Dental Insurance
Vision Insurance
Life Insurance
Paid Time Off Policy
Flexible Spending Account (FSA)
Healthy Work/Life Balance
Maternity/Paternity Leave Policy
About World Investment Advisors
World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier independent retirement plan and investment advisory services to employers, executives, and individual investors. Collectively, WIA supports $76B assets
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across 65 offices and 310 team members.
Stimulating Environment
At World Investment Advisors we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants.
Team-Oriented
Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities.
Why World Investment Advisors?
Great company culture with an awesome team-oriented atmosphere!
Professional growth opportunities
Friendly and collaborative work environment
World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. Pensionmark is committed to equality and deeply believes in diversity, sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different.
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As of 12/31/2023, the WIA network of advisors and firms collectively provides support to over $55.4 billion in assets across a variety of channels including investment management and retirement plan consulting services. This includes regulatory assets under management (AUM) of over $24.5 billion.
$92k-119k yearly est. Auto-Apply 60d+ ago
Sales Executive - Commercial Lines
World Insurance Associates, LLC 4.0
Arlington Heights, IL job
Job Description
World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions.
Sales Executive - Commercial Lines
Position Overview
World's Client Advisors bring risk management solutions to businesses and individuals. Your primary focus is identifying, prospecting, cultivating, and closing new commercial clients (small, medium, large) leveraging World's unique niche. While your focus is selling commercial lines risk solutions, you also are empowered to help clients with personal lines insurance, employee benefits, 401(k) and related retirement solutions, and payroll and human resources outsourcing solutions. World's investments in a broad range of solutions means you can prospect any company of any size to provide value to your client. Imagine the potential.
Primary Responsibilities
Identify, prospect, and cultivate new business, with a focus on commercial accounts
Engage in all sales and marketing tactics (with extensive corporate marketing support) to move prospects through your funnel to closing
Track all sales activities in HubSpot and leverage HubSpot to its fullest potential
Utilize World's broad platform to bring risk management solutions to individuals and business owners. At World, you will have access to resources to help any client solve any challenge, including traditional commercial lines insurance, high net worth / private client, employee benefits, human capital and payroll outsourcing, and retirement financial services.
Qualifications
Must have proven Trucking/Transportation experience with a range of insurance solutions to bring value to clients
Must be willing to become each client's trusted risk management advisor and bring the entire World platform to each client (P&C, Employee Benefits, Retirement Plans, Wholesale, and Payroll and Human Resources outsourcing services)
Must maintain all relevant insurance licenses from the first day of employment to be positioned to manage an existing book of business
It is meaningful, but not mandatory, if you have:
Sold commercial insurance for a top broker. Based on your experience, World will enhance your expertise through the company's training program;
Used an insurance agency management software platform, like AMS360 and Epic, and have experience with a sales CRM (World uses HubSpot); and
Built and presented client “pitch decks” / presentations.
Compensation
As a World Insurance Client Advisor, your compensation is tied to your effort and your performance. We offer a base salary plus commissions as well as a full suite of employee benefits, including a 401(k) match that is immediately fully vested. The base salary range for this role is $60,000 to $200,000+. The base salary depends on your experience and your ability to drive revenue. Your base salary grows as your book of business grows, with tremendous potential to significantly exceed the top of this range.
Equal Employment Workforce and Workplace
World celebrates and supports differences amongst its employees. World knows employing a team rich in diverse thoughts, experiences, and opinions allows World's employees and World's work environments to flourish. World is honored to be an equal opportunity workplace, dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, World makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of World's business.
TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES:
World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Talent team.
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$60k-200k yearly 3d ago
Inside Sales Representative - Personal Lines
World Insurance Associates 4.0
Chicago, IL job
World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefit programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions.
Personal Lines Inside Sales Representative
The Inside Sales Representative for Personal Insurance is a licensed sales professional responsible for generating new business through inbound and outbound sales activity. This individual handles client discovery, quoting (including application process), coverage consultation, and binding across home, auto, umbrella, and other personal lines products.
This role is focused on capturing internal, organic opportunities sourced through current clients, client referrals, unit leaders, team members, and leadership. In addition, the Inside Sales Representative will provide sales support to key marketing programs and initiatives. The Inside Sales Representative is expected to execute a high volume of opportunities with fast response times while driving business with preferred World carriers. Ability to utilize technology associated with the role is a must.
Primary Responsibilities
Primarily source leads through internal organic channels such as referrals from existing clients, client advisors and unit leaders.
Manage inbound quote requests and outbound lead follow-up
Generate quotes and proposals using Xilo, comparative raters and carrier portals
Evaluate risks and align clients with the right carrier solutions
Educate stakeholders on policy features, limits, and carrier value
Bind policies and ensure smooth handoff to service team
Maintain accurate activity and client records in CRM/AMS
Collaborate with Client Advisors to optimize outcomes
Cross-sell opportunities from existing books of business
Re-engage past or inactive clients
Achieve sales goals - new business written revenue goals set on an annual basis
Qualifications
1-3 years of sales experience
Licensed in Property & Casualty
Confident communicator with strong phone and interpersonal skills
Comfortable with technology, rating platforms, and CRM systems
Coachable, detail-oriented, and driven by performance metrics
Compensation
Competitive base salary ranging from $55,000-$75,000 plus 15% new business commissions
Equal Employment Workforce and Workplace
World celebrates and supports differences amongst its employees. World knows employing a team rich in diverse thoughts, experiences, and opinions allows World's employees and World's work environments to flourish. World is honored to be an equal opportunity workplace, dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, Veteran status, or any other protected category under applicable state or local laws. In addition, World makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of World's business.
TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES:
World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department.
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$55k-75k yearly Auto-Apply 60d+ ago
Early Careers - Customer Service Business Analyst Intern
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThis ten-week paid internship can be located in Chicago, IL or Richardson, TX
What Are Your Responsibilities?
The Customer Service Business Analyst Intern position is responsible for actively participating in an Internship program that leverages your skills, knowledge and capabilities within the Customer Service division while exposing you to different methodologies and tools. This role will assist with applying emerging technologies to assist with developing best-in-class systems and solutions for our clients and members. The Customer Service Business Analyst Intern is responsible for learning specific aspects of the processes, programs and technology. Additional project support, administrative tasks and ad hoc requests to support business needs.
This role will also need to:
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
Maintain complete confidentiality of company business.
Maintain communication with management regarding development within areas of assigned.
responsibilities and perform special projects as required or requested.
Create a final internship PowerPoint presentation to share with department leadership covering the internship experience, the assigned project over the course of the summer, including the results along with any solutions or recommendations that can be leveraged by the department in the future.
What Do You Need To Be Successful?
Prior related technical internship or work experience is a plus
Volunteerism or leadership experience is a plus
Eagerness to learn, grow and contribute
Demonstrated interpersonal skills including clear and concise verbal and written communication
Strong analytical and problem-solving skills
Be coachable and open to feedback
Have a professional presence
Results-oriented with a continuous improvement mindset and an ability to grasp new and unfamiliar concepts
Strong organizational and multi-tasking skills with the ability to prioritize and support multiple projects
Practical, developed PC skills, especially Office 365 and virtual team collaboration tools
(MS Teams, Word, SharePoint, etc.)
What Are the Requirements You Must Meet?
Pursuing a bachelor's degree in business, data analytics, information technology, information systems, computer science or other related degree
Graduation date between December 2026 - June 2027
A minimum GPA of 3.0/4.0
Availability to work ten weeks during the summer (June - August)
Unrestricted authorization to work in the United States.
(Currently, we are not offering this program to students on a visa)
What Does the Internship Program Entail?
Formal Intern Orientation to build business and industry acumen
Challenging real-world, hands-on project
Weekly networking opportunities among interns and company leaders
Professional development workshops
Volunteer activities
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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$18.46 - $37.84
Exact compensation may vary based on skills, experience, and location.
$18.5-37.8 hourly Auto-Apply 8d ago
Chief Strategy Officer
Blue Cross Blue Shield Association 4.8
Blue Cross Blue Shield Association job in Chicago, IL
The hiring range for this role is:
This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for
annual bonus incentive
pay.
We offer a comprehensive package of benefits
including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits
to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
The Chief Strategy Officer (CSO) of the Blue Cross Blue Shield Association is a senior executive responsible for shaping and advancing the Association's long-term strategic agenda in service of the Blue Cross Blue Shield System and its independent member Plans. Operating at the intersection of strategy, federation leadership, and healthcare transformation, the CSO partners closely with the CEO and Executive Leadership Team (ELT), Board of Directors, Plan leadership, and plan strategy leaders to define enterprise and System priorities, anticipate industry disruption, and translate strategic vision into measurable impact.
The CSO serves as a trusted advisor to the CEO and Board, providing rigorous insight on market dynamics, competitive forces, and innovation trends. The role requires a sophisticated understanding of the unique federated model of BCBSA, balancing national leadership and brand stewardship with Plan autonomy and market-specific needs.
Key Responsibilities
Enterprise Strategy & Vision
Lead the development, articulation, and evolution of BCBSA's multi-year enterprise strategy, ensuring alignment with the Association's mission, brand promise, and the strategic priorities of member Plans.
Translate long-term vision into actionable strategic roadmaps, enterprise initiatives, and clear success metrics.
Continuously assess the external healthcare landscape-including payer competition, provider dynamics, technology innovation, policy shifts, and consumer expectations-to inform strategic direction.
Stakeholder Leadership & Strategic Planning
Partner with the CEO to engage the Board of Directors and Plan leadership on strategic priorities, trade-offs, and opportunities for Systemwide value creation and competitive positioning.
Facilitate alignment across independent Plans by identifying areas where collective action, shared capabilities, or national coordination can accelerate impact.
Build and lead the enterprise-wide strategic planning process, ensuring broad stakeholder engagement and alignment with organizational mission and goals.
Drive the development of multi-year strategic plans, translating vision into actionable objectives, initiatives, and measurable outcomes.
Establish and manage governance structures, timelines, and performance metrics to ensure disciplined execution and accountability throughout the planning cycle.
Foster a culture of collaboration, transparency, and continuous improvement within the strategic planning function, empowering teams to adapt to emerging trends and challenges.
Market Intelligence & External Insights
Proactively source and analyze long-term trends, disruptions, and innovations from external healthcare markets, including payors, providers, and competitors.
Continuously monitor industry developments, regulatory changes, and emerging business models to anticipate shifts that could impact the Association and its member Plans.
Synthesize external market intelligence, competitor strategies, and provider dynamics into forward-looking recommendations for leadership and the Board.
Ensure the Association leverages external insights to identify strategic opportunities and risks, supporting long-term affordability, access, and competitiveness.
Innovation, Partnerships & Growth
Identify and evaluate strategic partnerships, alliances, and growth opportunities that strengthen the BCBS System's position.
Support innovation efforts that enhance the value proposition for Plans, employers, providers, and members.
Provide strategic oversight for select enterprise investments or initiatives, as applicable.
Executive Leadership
Build and lead a high-performing strategy organization with strong analytical rigor, executive presence, and collaborative orientation.
Foster a culture of disciplined thinking, constructive challenge, and enterprise-wide perspective.
Represent BCBSA externally, as appropriate, with industry leaders, partners, and stakeholders.
Qualifications & Experience
15+ years of progressive leadership experience in corporate strategy, healthcare, management consulting, corporate development, or related executive roles.
Deep understanding of the U.S. healthcare ecosystem; experience with health plans, provider systems, healthcare services, or health policy strongly preferred.
Demonstrated success operating in complex, matrixed, or federated environments with multiple stakeholders and shared governance.
Proven ability to influence at the Board and C-suite level, with exceptional communication, synthesis, and executive presence.
Strong analytical and strategic problem-solving capabilities, paired with the ability to drive execution.
Bachelor's degree required; MBA or other advanced degree preferred.
Leadership Attributes
Enterprise-minded: Balances national strategy with local Plan realities and autonomy.
Strategic and pragmatic: Equally adept at vision-setting and aligning the organization to deliver on the vision
Trusted advisor: Credible, discreet, and confident in navigating sensitive issues.
Collaborative influencer: Builds alignment without formal authority.
Mission-driven: Committed to advancing affordability, access, and quality of care.
Why This Role Matters
The Chief Strategy Officer plays a pivotal role in ensuring the Blue Cross Blue Shield Association something like: generates and leverages collective opportunities for the Blues to continue as the most trusted healthcare brand in the nation while creating a better system of health. This leader will help position the BCBS System to navigate industry disruption, strengthen collective capabilities, and deliver enduring value to Plans and the members they serve.
$106k-141k yearly est. Auto-Apply 4d ago
Staff Actuary
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThe Staff Actuary uses statistics, financial theory, mathematics, and basic financial and actuarial principles to assess the impact of company decisions or situations. They have an in-depth knowledge of at least one market or business segment and operate with a high level of autonomy for daily purposes of pricing, underwriting, statistics, reserving, forecasting and other actuarial functions. This position can communicate complicated concepts, information, and recommendations regarding process, data, analysis, and results, while catering information to different audiences as needed. As necessary, position manages small projects with limited interaction outside Actuarial department.
Required Job Qualifications:
* Bachelor degree in Actuarial Science, Mathematics, Statistics or Economics. Other Bachelor (or higher) Degrees may be considered.
* Associate of the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA).
* At least 3 years of actuarial experience.
* Verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations.
* PC proficiency to include Word and Excel.
Preferred Job Qualifications:
* Access, SQL, Visual Basic or other programming skills.
* Actuarial experience in the health insurance or related field
* Pharmacy or Medicare experience is a plus
Please note that this role is HYBRID with an in-office requirement of 3 days a week.
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#LI-Hybrid
#INJLF
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$82,700.00 - $149,300.00
Exact compensation may vary based on skills, experience, and location.
$82.7k-149.3k yearly Auto-Apply 40d ago
Financial Consultant
Blue Cross Blue Shield Association 4.8
Blue Cross Blue Shield Association job in Chicago, IL
This position is responsible for providing financial services for financial planning, budgeting, forecasting, monitoring, and analysis delivered to the customer groups. Serves a key role in the financial reporting process including monthly and custom revenue & expense reporting, resource tracking and time allocation reporting, invoice tracking & reconciliation reporting, vendor commitment reporting and monthly accruals. Provides analytical support to financial planning and analysis projects as assigned to help contribute to the successful operation of the various customer business units supported. Works collaboratively with members of finance, sourcing & vendor Management, and various levels of management within their assigned business units.Prepare and analyze various financial reports to support specific business units, fully comprehending underlying data. Complete monthly and custom financial reporting for certain business units. This could include expense and revenue variance reporting, vendor spend against contracts, vendor savings, resource modeling, monthly dashboard reporting including performance metrics, business metrics, core cost goals and benchmarks. Develop and support budgets, revenue/expense forecasts, and capital projections within assigned business units. Utilize effective financial modeling to collect, streamline, analyze, monitor, and communicate financial results to management for representation to senior leadership. Perform monthly and ad-hoc reporting, monitoring, and value-added analysis for various levels of staff and management. Respond to and resolve various ad-hoc financial requests and customer issues, such as resource modeling, trend reporting, project code setup, invoice reconciliation, and billing inquiries. Develop and maintain financial communications with multi-departmental management and the Finance team. Ensure the accuracy and integrity of all financial data by performing required cross-checks and supporting priority projects with ad-hoc analyses or financial modeling.
The posting range for this position is:
$73,655.00-$101,684.25
Qualifications:
Education
Required Bachelor's Degree in Finance, related business discipline or equivalent work experience
Experience
Required 4+ Years demonstrated work experience in financial planning & analysis or financial reporting
Knowledge Skills and Abilities
Competency in quality assurance with ability to perform required cross-checks to ensure the quality and accuracy of financial data
High level of competency with Microsoft Office software (Excel, Word, and PowerPoint).
Exemplary organizational skills and ability to manage multiple projects concurrently.
Intermediate customer service and relationship skills, including the ability to develop and maintain critical relationships.
Effective communication skills, good judgment and sense of urgency.
Presentation skills; ability to effectively present data/information and respond to questions from various constituents
Proficient analytical and financial reporting skills
Detail oriented
Extra Posting Information:
Work experience within similar environment experience using financial/accounting systems including Workday, Hyperion, and Tableau
The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for
annual bonus incentive
pay.
We offer a comprehensive package of benefits
including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits
to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
$73.7k-101.7k yearly Auto-Apply 5d ago
Executive Director, Actuarial
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThe Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP, with end-to-end accountability for product strategy, pricing, and financial performance.
The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, and is responsible for Medicare Part D bid development and submission, quarterly forecasting, monthly close support, and bid audits.
This position reports to the DSVP, Pharmacy Finance and Actuarial and serves as a key strategic partner to senior leaders across Pharmacy, Product, Finance, Compliance, and Operations. The role also acts as the primary actuarial point of contact for external vendors and consultants.
Key Responsibilities:
Medicare Part D Product & Pricing Leadership
• Lead actuarial strategy for Individual MAPD and PDP products, ensuring financial sustainability, regulatory compliance, and competitive market positioning.
• Provide actuarial leadership on product strategy and component strategies, including benefits, formulary, rebate, network, and mail, balancing affordability, growth, and margin objectives.
• Partner cross-functionally with Pharmacy, Product, Finance, Compliance, and Operations to align actuarial assumptions with enterprise strategy.
Bid Development & Financial Management
• Oversee end-to-end Medicare Part D bid development and submission, including pricing, assumptions, documentation, and internal governance approvals.
• Lead quarterly forecast updates and support monthly close activities, ensuring accuracy, transparency, and alignment between actuarial projections and financial results.
• Provide actuarial support for annual PBM market checks and negotiations.
• Identify key financial risks and opportunities, proactively communicating insights and recommendations to executive leadership.
Market Intelligence & Strategic Insights
• Lead Medicare Part D market intelligence, including competitor analysis, CMS policy changes, regulatory guidance, and industry trends.
• Translate market insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning.
Audit, Governance & Compliance
• Serve as actuarial lead for CMS bid audits, internal audits, and financial audits, ensuring defensibility of assumptions, data integrity, and timely responses.
• Establish and maintain strong actuarial governance, controls, and documentation standards to support regulatory and audit requirements.
Vendor & External Partner Management
• Act as the primary actuarial point of contact for external actuarial vendors and consultants.
• Oversee vendor scope, deliverables, timelines, and quality, ensuring alignment with business objectives and regulatory expectations.
• Leverage external partnerships to enhance modeling sophistication, analytics, and strategic decision-making.
Leadership & Talent Development
• Lead, mentor, and develop a high-performing actuarial team supporting Medicare Part D.
• Foster a culture of accountability, collaboration, and continuous improvement, with a focus on developing future actuarial leaders.
• Set clear priorities, performance expectations, and development plans aligned with organizational goals.
JOB REQUIREMENTS:
* Bachelor's degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems.
* 10 years of data, transactional application-based knowledge or group health underwriting experience
* 10 years of management experience, including overseeing two or more departments led by managers.
* Experience in leading one or more major (multi year) group insurance implementation projects
* Experience in leading one of the following: Actuarial Systems or Applications and systems related teams including testing, building, and writing requirements.
* Experience in quality and auditing and system testing (including creating test scripts)
* Experience planning skills including: Setting goals at a position appropriate level, long term planning (one year or longer), budget and expense management, creating staffing models for up to 2 years, establishing department vision
* Problem solving, negotiation skills, and organizational alignment
* Clear and concise verbal and written communication skills. Experience presenting to all levels of management including audiences with diverse communications preferences
*Overseeing the annual budget and allocating resources for various projects and operational needs.
*Translating needs and initiatives into compelling business cases.
*Conducting cost-benefit analyses to justify investments and ensure ROI.
PREFERRED JOB REQUIREMENTS:
• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field; advanced degree preferred.
• FSA designation.
• 10+ years of progressive actuarial experience, including significant leadership responsibility in Medicare Part D.
• Deep expertise in Medicare Part D pricing, bid development, forecasting, and regulatory requirements.
• Strong strategic influence, executive presence, and financial acumen.
• Strong understanding of pharmacy benefit economics, including formulary and network strategy impacts.
• Proven experience leading CMS bid audits and financial audits, and partnering with external actuarial firms.
• Demonstrated ability to communicate complex actuarial and financial concepts clearly to senior leaders and non-technical stakeholders.
#LI-TR1
#LI-Hybrid
INJLF
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$161,500.00 - $299,700.00
Exact compensation may vary based on skills, experience, and location.
$161.5k-299.7k yearly Auto-Apply 13d ago
Medical Director
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThis Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Reviews And Interacts With The Provider Communities For Assigned Areas.
JOB REQUIREMENTS:.
Physician (M.D. or D.O) with a current and unrestricted physician license in a state or territory of the United States
Maintain Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists
5 years of clinical experience
Analytical and communication skills
Strategic thinking skills
Proficiency in computer skills (including software applications such as Microsoft Office Product and Lotus Notes) needed for electronic documentation of case reviews
PREFERRED REQUIREMENTS:
3 years Managed Care experience
This is a Telecommute (Remote) role: Must reside withing 250 miles of the office or anywhere within the posted state.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$191,500.00 - $355,600.00
Exact compensation may vary based on skills, experience, and location.
$191.5k-355.6k yearly Auto-Apply 4d ago
Sr Market Analyst
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for supporting marketing strategy and execution under the Individual and Family Markets segment. The Sr. Market Analyst will be leading the creation and execution of marketing campaigns, gathering, organizing, analyzing, and interpreting marketing, financial, and operating data, assisting in report preparation and presentation of research findings, creation and maintenance of project management documentation and serving as a subject matter expert for internal audiences.
Required Job Qualifications:
* Bachelor's Degree and two years' experience in marketing, strategic planning, research, project management, or health care industry OR five years of experience in marketing, research, project management, strategic planning, or health care industry.
* Experience interacting with personnel of multiple departments and at various levels in the organization.
* Knowledge of sales and marketing techniques and industry trends.
* Experience developing reports and modeling.
* Analytical and information synthesis skills.
* Knowledge of databases.
* Knowledge of statistical methodology and tools.
* Experience interpreting business and financial information.
* Verbal and written communication and organization skills.
* PC proficiency to include MS Office products
Preferred Job Qualifications:
* Experience in direct marketing or sales support.
* Health insurance or healthcare industry experience
* Fluent in Spanish
#LI-CH1
#FLEX
#JLFW
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$55,900.00 - $123,500.00
Exact compensation may vary based on skills, experience, and location.
$55.9k-123.5k yearly Auto-Apply 10d ago
Sr Claim Technician- Onsite
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This is a Union Role
Job Summary
Under Supervision, This Position Is Responsible For Directing, Organizing And Controlling Technical Workflow And Support In The Department.
Required Job Qualifications:
* High School diploma or GED.
* 1 year of claims/membership experience.
* Analytical Skills.
* Clear and concise verbal and written communication skills.
* PC proficiency to include Microsoft Word, Excel and Outlook.
Sponsorship is not available.
This is a Union role.
INDM
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$18.00 - $31.11
Exact compensation may vary based on skills and experience.
$18-31.1 hourly Auto-Apply 8d ago
Government Program Care Manager III - 743
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This is a Union Role
Job Summary
This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care planning duties which may require visits to members' homes and/or facilities to support complex and specialty populations.
Required Job Qualifications:
* Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting or , unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL) or Licensed Clinical Social Worker (LCSW, IL & NM) Licensed Marriage and Family Therapist (LMFT, IL & NM), Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent Social Worker (LISW, NM), or Licensed Mental Health Counselor {LMHC, NM) with 2 years of clinical practice experience.
* Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
* Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians.
* Knowledge of the health and wellness marketplace and employer trends.
* Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
* Analytical experience including medical data analysis.
* PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
* Current unrestricted driver's license, transportation and applicable insurance.
* Ability and willingness to travel within assigned territory.
Preferred Job Qualifications:
* 3 years direct clinical experience.
* Patient education experience.
* Condition Management experience.
* Bilingual in English and Spanish.
* Experience in managing complex or catastrophic cases.
* Certification in Case Management, Training, Project Management or nationally recognized health care certification.
* Government Programs experience
* Population Management
This is a Union role. This is a Union Telecommute (Remote) role. Must reside within a 60-mile radius of the Chicago office
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$34.90 - $57.89
Exact compensation may vary based on skills and experience.
$34.9-57.9 hourly Auto-Apply 42d ago
Contract Specialist
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryThis Position Is Responsible For Drafting Account-Specific Documents. Training Less Experienced Staff On Production Procedures; And Participating In The Peer Review Process.
JOB REQUIREMENTS:
Bachelor degree or 4 years work experience in a position involving independent judgment and initiative.
Experience and skills in drafting standard or customized group health contracts or booklet documents with minimal guidance of up to 10 paragraphs.
Knowledge of insurance contracts such as health, life, disability, supplemental health and/or self-funded
Knowledge of insurance products such as health, dental, life, disability and/or supplemental
Knowledge of group health state and federal regulations on contract administration.
PC experience including Microsoft Office.
Experience in deadline driven environment and completing tasks on time.
Judgment and problem resolution skills.
Verbal and written communication skills to interface with staff from other departments, draft document language and handle issue resolution.
PREFERRED JOB REQUIREMENTS:
Referral preference given to applicants able to take and meet testing criteria.
Experience working on corporate projects. Skills in project management/project planning.
This position is expected to adhere to HCSC's hybrid FLEX policy of 3 days/week on-site at an approved location.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$41,700.00 - $92,800.00
Exact compensation may vary based on skills, experience, and location.
$41.7k-92.8k yearly Auto-Apply 11d ago
Lead Data Science Product Mgr
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryWe are looking to hire a Lead Data Science Product Manager for The AI Innovation Lab at HCSC. The AI Lab is focused on application of leading-edge AI technologies to the business challenges of HCSC, and the product manager of this team owns key responsibilities such as stakeholder engagement, product prioritization, scoping, execution, and delivery on a portfolio that focuses primarily on Generative AI applications. This is an exciting opportunity to lead the adoption of AI to transform one of HCSC's core capabilities and drive tremendous impact for our customers and members.
At the largest customer-owned and not-for-profit health insurer and fourth largest health insurer overall in the United States, you will have the opportunity to work with massive datasets to drive revenue growth, improve our operational and member-facing processes, and affect how healthcare is delivered to our 17 million members.
An ideal candidate is someone who has a demonstrated track record of leading or delivering analytical projects and products with measurable value, can see the big picture and effectively communicate with executives, has an ability to explain complex technical concepts to non-technical audiences, and has a laser-focused customer and user-centric mindset. Day-to-day tasks include engaging senior and executive leadership in the domain area to understand their most significant business challenges, designing new AI products and solutions to automate or enable better decision making to address these challenges, building long-term product roadmaps, scaling and delivering on those products by working within cross-functional data science, IT, and business teams, and providing overall product leadership for one or more of our machine learning and AI initiatives. Successful candidates will also have indirect leadership over data scientists and engineers assigned to these initiatives.
Note that while this position requires an understanding of data science, machine learning, and AI and its applications, it does not require “hands on” technical work such as coding. We are looking for a businessperson who has a strong technical background that can lead and indirectly influence both IT and business teams to scale and deploy models in a complex organizational environment.
The AI Innovation Lab works within the context of the broader AI Solutions team at HCSC. The role reports to the Senior Director of Product Management for AI Solutions. There are many different domains (or thematic units) within AI Solutions, with topics that include Claims and Payment Integrity, Member Engagement, Utilization Management, Document Intelligence, Risk Stratification, and the AI Innovation Lab. Generally, one (or sometimes two) product managers are assigned for each different domain area.
Required Job Qualifications:
* Bachelors degree and 5 years of work experience in a mathematical, statistical, computer science, engineering, physics, economics or related quantitative field OR Actuarial credential or Masters degree and 4 years of work experience in an advanced mathematical, statistical , engineering, physics or related quantitative field OR Ph.D. and 2 years of work experience in a mathematical, statistical, computer science, engineering, physics, economics or related quantitative field OR 8 years of work experience in an advanced mathematical, statistical , engineering, physics or related quantitative field
* Must demonstrate proficiency in at least four of the following six areas: 1) data analysis and relational-style query languages; 2) machine learning and/or statistical modeling; 3) data visualization; 4) a high-level programming language; 5) Generative AI; 6) understanding of healthcare.
* Strong learning and growth mindset
* Customer-focused
* Strong interpersonal, verbal and written communication skills
* A track record of independently delivering or leading the delivery of multiple complex analytics or data science projects
Preferred Job Qualifications:
* Previous product management experience
* Experience with Generative AI and other cutting edge AI technologies (e.g., agentic AI) is strongly preferred.
* Previous experience working with insurance claims systems and/or healthcare experience
* Experience with Iterative / Agile / Scrum development
*Experience successfully implementing at-scale A.I. solutions in cloud environments
#LI-MK1
#LI-Hybrid
#INCR
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$110,000.00 - $198,600.00
Exact compensation may vary based on skills, experience, and location.
$110k-198.6k yearly Auto-Apply 60d+ ago
Sr Business Solutions Consultant
HCSC 4.5
Chicago, IL job
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and ensuring consistency and efficiency of major, complex, and strategic cross-divisional and enterprise-wide projects and initiatives from inception to completion. Provides oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines. Interacts with all levels of management including senior management. Supports the prioritization of transformational program activities and tracks progress to goals. Support writing and executing test cases based on business requirement hands on experience with SQL excel and test management
NOTE: This hybrid role can be located in CHICAGOIL, NASHVILLE, TN or RICHARDSON TX ~ relocation will not be offered; sponsorship is not available.
Required Job Qualifications:
* Bachelor's degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry experience
* 3 years of experience leading with large and complex multi-million-dollar projects.
* Experience communicating with senior management from multiple divisions.
* Experience developing and delivering presentations.
* Problem resolution experience and skills.
* Knowledge of strategic planning techniques and industry trends
* Experience interpreting business and financial information
* Negotiations skills.
* Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
* Organizational skills.
* Experience managing multiple complex projects successfully.
* Detail oriented.
* PC proficiency to include MS Office products
* Knowledge and/or experience with:
* · Medicare Part A/B/D
* · Provider workflows & Provider application - Symplr
* · EDI formats - 837 I&P, 276/277, 270/271, 278, 834
* · Member Enrollment - Elements application
* · Member Collaterals
* · Provider Credentialing - sCRED application
* · Claims Intake process
* · Claims Adjudication logic - FACETS application
* · EOB
* · Provider Payments - 835 remittance files & EOP
* · CMS reporting
* · SalesForce
* · Evolve/Broker
* Test case management tools such as Zephyr
* Agile tool such as Jira/Rally
* SQL
* Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge
Preferred Required Job Qualifications:
* Proven strategic thinking and execution
* Ability to drive decisions, create optionality and determine impacts of options
#LI-BS1
#LI-Hybrid
#INCR
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting **************************************
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$82,700.00 - $149,300.00
Exact compensation may vary based on skills, experience, and location.
$82.7k-149.3k yearly Auto-Apply 34d ago
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