HCSC jobs in Naperville, IL

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 managing the implementation, maintenance and critical review and analysis of models, studies and systems which use actuarial principles for the purposes of pricing, underwriting, statistics, reserving, forecasting and other actuarial functions; developing complicated models and teaching others how to develop models; developing written and oral presentations that drive the delivery of information for decision making; and managing day-to day projects that may include non-Actuarial departments. Must also possess and demonstrate a deep understanding of one actuarial area or business segment Required Job Qualifications: * Bachelor's 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). Compliance with the membership requirements for each professional designation. * At least 5 years of actuarial experience in the health insurance or related field. * 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. * Data visualization tools experience * Medicare experience is a plus #LI-LK1 #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 $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location.

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 managing and directing clinical quality improvement and population health oversight activities, driving continuous quality improvement consistent with HCSC goals, regulatory requirements, and accreditation. The senior director will remain current with best practices and innovations in the areas of quality improvement, population health and clinical quality measurement, and provide guidance and support to local quality teams, FEP, and HCM stakeholders. Fundamental to the role is a mastery of healthcare quality improvement methodologies and the measurement of healthcare processes and structures that contribute to primary and intermediary health outcomes. Working knowledge of NCQA, URAC, HEDIS, STARS, FEP, medical policy issues, condition management, social determinants of health/health equity, health informatics, quality improvement best practices and innovative strategies to improve the quality of care and member experience. **J** **ob Responsibilities:** 1) Oversee a team responsible for evaluating and developing quality improvement and population health programs and initiatives that lead to improvements in clinical quality outcomes, with attention to care disparities and social determinants of health. 2) Work with the Enterprise Quality Reporting (EQR) team to identify line of business and regional variations in clinical quality measures and population health statistics to inform targeted solutions. 3) Collaborate with EQR to design, deliver and communicate reporting tools to support quality improvement and accreditation efforts. 4) Work with the quality, data science and analytics teams to measure the impact of existing quality programs, design and communicate initiatives that effectively target variations in healthcare measures. 5) Collaborate with Quality Operations team to coordinate quality improvement outreach efforts and initiatives and that support Accreditation Governance strategy. 6) Partner with EQ&A and Quality Improvement Committee Meetings around quality best practices. 7) Develop, review and sign off on relevant policies and procedures 8) Maintain regular communication with management regarding developments within areas of assigned responsibilities and perform special projects as required or requested. 9) Maintain currency with HEDIS, Hospital and other quality data sets, accreditation standards and a knowledge of market place, products, health care initiatives, technology, etc. 10) Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. 11) Support and/or provide cross coverage in support of additional functions to ensure seamless execution of divisional priorities. 12) Maintain complete confidentiality of company business. 13) Overseeing the annual budget and allocating resources for various projects and operational needs. 14) Translating needs and initiatives into compelling business cases. 15) Conducting cost-benefit analyses to justify investments and ensure ROI. 16) Other duties as assigned. **JOB REQUIREMENTS** **:** + Bachelor's Degree with 10 years' experience in a healthcare insurance or provider setting in a quality improvement function or oversight role + 5 years leadership/management experience + Proven track record in developing innovative quality improvement strategies + Strong analytical, presentation & clear, concise verbal / written communication skills + Ability to adapt complex concepts to a range of audiences & express complex relationships in simple visual terms + Executive presence with the ability to influence inside and outside HCSC + Business and financial acumen; experience with operating, budgeting and financial forecasting + Experience leading, formulating and delivering strategy; building strong connections with people and team; + Ability to work effectively within a matrixed organization with multidisciplinary teams, across multiple geographic areas, with attitude toward team building. + Able to meet deadlines under pressure. + Willing and able to travel out of state **PREFERRED JOB REQUIREMENTS** **:** + RN or post-graduate education in Health Care Administration or a health-related field, public health and/or MBA. + Quality experience and Medical Management experience in a leading managed care/insurance or provider organization. + Health Informatics Training + Familiarity with clinical coding and statistical and reporting software + Knowledge of health care reimbursement models. + Experience in provider and vendor negotiations and contracting models, provider relation and member services. + Familiarity with Government Programs, Stars ratings and Retail products *This is a hybrid role in the Chicago or Richardson HQ office 3 days/week* INJLF \#LI-TR1 **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** $118,800.00 - $220,800.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 sales representatives or account management personnel in the prospecting, acquiring, or renewing business. duties vary based on market and type of role supporting and may include any of the following: building relationships with customer representatives/brokers, researching and coordinating the resolution of customer issues, preparing and analyzing reports, participating/leading enrollment meetings, gathering information for RFPs, preparing or implementing new accounts or renewals, and travel to customer sites. **Required Job Qualifications:** * Bachelor's degree and 1 year of experience in health insurance/health care field * Must be in a service/sales/marketing position involving initiative and decision-making * OR 5 years of experience in health care management in a marketing service representative role * OR 5 years of experience in sales/marketing or health care management/claims/provider service experience * Must involve processing or coordination of services for health care clients. * State Insurance License(s) or obtain State Insurance License(s) within required time frame per state regulations. * Organizational and decision-making skills; written and verbal communications skills including telephone skills. * Ability to interact professionally with both internal and external contacts. * Proficient in Microsoft Excel, Word, and PowerPoint. **Preferred Job Qualifications:** * Health insurance/health care experience. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** \#LI-Hybrid \#LI-AS1 **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** $40,900.00 - $91,000.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. Ability and willingness to travel including overnight stays. Job Requirements: - Must have General Lines Agent - Life, Health, and HMO license or obtain General Lines Agent - Life, Health, and HMO license within required time frame per state regulations. - 2 years as a group health insurance account executive OR 6 years experience in group health claims processing, customer service, claims-related, and/or sales and thorough knowledge of managed health care products (PPO, HMO) processes and trends OR Bachelor degree and 3 years customer service/account management experience with thorough knowledge of managed health care products. - 2 years in a position which require decision making, initiative, and self-direction. - Customer Service oriented; detail oriented. - Ability and willingness to travel including overnight stays. - Experience addressing customer needs and building customer relations. - Experience analyzing reports, determining product mix for customers, and analyzing financial information. - Written and verbal communications skills, negotiation skills, and presentation skills. Preferred Job Requirements: - Bachelor's Degree *Please note this is a flex/hybrid role - 3 days/week in office required \#LI-CH1 \#Flex 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** $55,800.00 - $83,600.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 Employee Relations position is responsible for working with leadership and team members to identify opportunities to improve or enhance the work environment and help business leaders identify effective solutions for addressing corrective action and conflict resolution. Team members participate in development and administration of HR policies, procedures, and tools to effectively support business leaders with promoting positive employee relations. Team members must also investigate employee concerns and allegations associated with violations of the law, enterprise policy and practice. **Required Job Qualifications:** + Bachelor's Degree or 4-6 years in human resources, preferably, employee relations, or closely related field; + Counseling, coaching, and conflict resolution skills. + Understanding of HR policies and procedures and federal and state employment and labor laws. + Ability to identify issues **Preferred Job Qualifications:** + 2-3 years experience employee relations case management + 1-2 years complex investigation experience **This is a Telecommute (Remote) role: Must reside withing 250 miles of the office or anywhere within the posted state.** \#LI-PD1 \#LI-Telecommute 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** $54,800.00 - $121,100.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 ensuring accurate and timely clinical review of behavioral health cases (Applied Behavior Analysis (ABA)) for medical necessity including assisting members on the telephone, reviewing medical records, reviewing cases which involves contract interpretation of behavioral health diagnoses, and utilizing knowledge of medical necessity criteria for all levels of behavioral health care from outpatient office visits to acute in-patient to out-patient office visits, especially of Applied Behavior Analysis (ABA) as appropriate for treatment within the Autism Spectrum Diagnoses (ASD). **JOB REQUIREMENTS:** **Registered Nurse (RN) or Masters-level Behavioral Health Professional (LPC, LMFT, LCSW, LCPC, BCBA, RPsy) with current license to practice at the independent practice level.** **Current clinical license in state of operations and in good standings.** **3 years clinical experience in psychiatric setting or own behavioral health practice.** **Verbal and written communication skills.** **Analytical and decision making skills.** **PC and database experience.** **PREFERRED JOB REQUIREMENTS:** **Utilization review experience.** **3 years clinical experience in psychiatric setting or behavioral health practice providing** **as a BCBA providing and/or supervising ABA treatment.** **_Experience in a school setting or working with individuals with ASD (Autism Spectrum Diagnoses)_** **_Relocation assistance will not be provided for this position._** **_Sponsorship will not be provided for this position._** **This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.** \#LI-Remote \#LI-DP1 \#CA **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** $60,300.00 - $133,400.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At Luminare Health , 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** The Eligibility Supervisor is responsible for the day-to-day supervision and management of an Eligibility team enabling the team to meet its client and corporate commitments. Responsibilities include, but are not limited to, successful achievement of team quality, production and service expectations, staff development, successful implementation of new clients, and retention of existing clients. The Supervisor is responsible for providing technical guidance and coaching, answering complex or difficult questions, advising team members regarding processes and procedures, and providing support to ensure all department goals are met. Required Job Qualifications: + High School Diploma or GED equivalent + 3-5 years Eligibility experience + Self-directed individual who works well with minimal supervision + Excellent verbal and written communication skills + Strong leadership, organizational and interpersonal skills + Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff + Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form + Ability to effectively deal with problems in varying situations and reach resolution + Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs) + Flexible; open to continued process improvement + Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word Preferred Job Qualifications: + Bachelor's degree + Previous supervisory or management experience + Self-Funded Insurance/Benefits and/or TPA experience **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **EEO 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. **Pay Transparency Statement:** At Luminare, 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 associates. 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. **Min to Max Range:** $41,400.00 - $77,700.00 Exact compensation may vary based on skills, experience, and location.

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 is an opportunity for a motivated lawyer to provide counsel relating to complex contracting, including vendor, provider network, producer/customer, and strategic sourcing contracting. In a highly complex and evolving legal and technology environment, the ideal candidate will provide sound, actionable legal advice on regulatory, business, and operational matters. A successful candidate will serve as a partner to our business leaders in developing adaptive strategies to support HCSC's established business and to further its growth while continually advancing HCSC's mission. HCSC is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. In addition to its core health insurance offerings, HCSC is proud to serve millions of people through a diverse portfolio of businesses that provide adjacent products and services. These companies help advance HCSC's goal of expanding access to quality, cost-effective health care to help people live healthier. The position can be based in Chicago, Illinois; Richardson, Texas; Tulsa, Oklahoma; Albuquerque, New Mexico; Helena, Montana, or Nashville, Tennessee. Please note this role is a hybrid role. This requires in-office hours 3 days a week at the respective office location. Sponsorship is not available for this position. **JOB REQUIREMENTS** **:** + Juris Doctor Degree and a license to practice law in the state where the legal department is located. + 5 years' experience as a practicing attorney after receiving a law degree. + Clear and concise verbal and written communication skills. **PREFERRED JOB REQUIREMENTS** **:** + Knowledge or understanding of the health care, health insurance, or claim administration field. + 3+ years' experience advising providers, insurers, or other health care entities. \#LI-AZ1 \#LI-Hybrid **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** $118,800.00 - $220,800.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 ten-week paid internship is located in Chicago, IL **What Are Your Responsibilities?** The Analytics & Consulting Associate Intern will support the Customer Service Analytics & Consulting team in executing high-impact, enterprise-level consulting and analytics engagements. The intern will help solve complex business problems by analyzing data, assisting with low-code solution development, and contributing to automation and AI-enablement initiatives across the division. In this role, you will: + The intern in this role will assist in translating business questions into analytical requirements, developing insight-driven reports and visualizations using data from internal and external sources. + Contribute to process automation and efficiency efforts, including self-service tooling (Excel/Power Query), Power Automate workflows, and exposure to robotic process automation (RPA) concepts. + Support low-code innovation by assisting analysts and consultants with requirements gathering process mapping, user acceptance testing (UAT), and solution validation for Power Apps and Power BI dashboards. + Participate in AI readiness and applied AI use cases, exploring opportunities to integrate GenAI and copilots into analytics, documentation, and workflow design. + Collaborate with cross-functional partners, gaining exposure to enterprise project work spanning Customer Service, Member Experience, Provider Operations, and Strategy. + Work within an Agile/iterative delivery model, assisting with sprint ceremonies, user story creation, backlog refinement, and acceptance criteria documentation. + Engage with leaders and stakeholders to synthesize insights, prepare presentations, and support change management activities. + Perform research and assist in analyzing business challenges tied to strategic initiatives, operational improvements, and automation opportunities. + Produce and deliver a capstone presentation highlighting project results, lessons learned, measurable impact, and recommendations for future implementation. 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?** + A curious and analytical mindset and enthusiasm for learning how analytics and consulting come together to solve real problems. + Strong interest in AI and automation, including copilots, machine learning concepts, or intelligent workflow design. + Experience (or strong desire to learn) the Microsoft Power Platform - Power BI, Power Apps, Power Automate, Power Query, Power FX, etc. + Ability to break down ambiguous problems through structured thinking, analysis, and creativity. + Comfortable researching, documenting, and synthesizing insights into clear recommendations. + Strong communication skills, including storytelling through data and presenting to stakeholders. + Enthusiasm for continuous learning, experimentation, and sharing knowledge with peers. + Entrepreneurial mindset - willingness to take initiative, test ideas, and learn through iteration. + Curiosity about the healthcare industry, including how analytics and technology improve service delivery. + Strong interpersonal skills, collaborative approach, and professional demeanor. + Proficiency with core productivity tools, including Excel, PowerPoint, and Word (experience with Access is optional but welcome). **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree in information technology, computer science, or other STEM related fields. + Graduation date between December 2026 and June 2027 + A minimum GPA of 3.0/4.0 + Availability to work 10 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 projects + Weekly networking opportunities among interns and company leaders + Professional development workshops + Volunteer activities \#LI-Hybrid \#LI-JT1 \#hcscintern **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** $18.10 - $37.10 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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, engage the member in adherence to personal health goals, respond to inquiries from members, and support the clinical operations department with their provider and member activities. This position will be required to complete member telephone and/or field based health screenings, comprehensive health assessments and care planning duties which may require visits to members' home and/or facilities to support complex and specialty populations. **JOB REQUIREMENTS** **:** + 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, NM), 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 3years wellness or managed care experience presenting clinical issues with members/physicians. + Experience handling medical management programs and health educations programs in an independent manner. + 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. + Ability and willingness to travel within assigned territory. **PREFERRED JOB REQUIREMENTS** **:** + 3 years 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. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 ten-week paid internship is located in Chicago, IL **What Are Your Responsibilities?** This position is responsible for actively participating in an internship program that leverages your skills, knowledge and capabilities supporting the infrastructure AV team 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 events for our clients and workforce. Working closely with cross-functional teams in both our business and technical areas, the AV Infrastructure Engineering Intern is responsible for learning specific aspects of the processes, programs, and technology in the field of video conferencing and live event production. 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?** + Experience with AV technology, platforms or tools is a strong plus + Interest in video production, audio, broadcast, media or photography + Comfortability with signal flow of audio and video systems + Familiarity with live audio and video production workflows + Demonstrated interpersonal skills including clear and concise verbal and written communication. + Strong analytical and problem-solving skills + 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, Webex, SharePoint, etc.)_ **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree or higher in visual communications, multimedia arts, audio, broadcasting, computer engineering, electronics engineering technology, information systems, or other related degrees. + Graduation date between December 2026 and June 2027 + A minimum GPA of 3.0/4.0 + Availability to work 10 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 \#LI-Hybrid \#LI-Hybrid \#LI-JT1 **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** $18.10 - $37.10 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 ten-week paid internship is located in Chicago, IL **What Will The Infrastructure Intern Get To Learn?** + How to create, drive and deliver entry level IT infrastructure initiatives + Review infrastructure play books and suggest modifications. + Gain a basic understanding of infrastructure processes. + Work on basic troubleshooting + Understand the specific tools used by Infrastructure teams. + Learn basic coding in the analysis of multiple data sets **What Are Your Responsibilities?** This position is responsible for actively participating in an internship program that leverages your skills, knowledge and capabilities supporting the infrastructure team in IT 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. Working closely with cross-functional teams in both our business and technical areas, the Infrastructure 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. + Interest or experience with IT systems, platforms or tools is a strong plus (operating systems, network, IT peripherals, etc.) + Understanding of coding including JSON, PowerShell, Bash and/or SQL + Understanding of Business Intelligence software like PowerBi + Involvement in IT related Associations/Organizations or participation in relevant technical competitions is a plus. + Interest in the healthcare payer industry or beginning a career in IT. + Demonstrated interpersonal skills including clear and concise verbal and written communication. + Strong analytical and problem-solving skills + 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, SharePoint, etc.)_ **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree or higher in Computer Science, Information Technology, Information Systems, or other related technical degree + Graduation date between December 2026 and June 2027 + A minimum GPA of 3.0/4.0 + Availability to work 10 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 \#LI-Hybrid \#LI-JT1 \#hcscintern **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** $18.10 - $37.10 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 10-week paid internship is located in Chicago, IL **What are your responsibilities?** The Automation Programmer Associate Intern position may involve applying emerging technologies to develop sophisticated database solutions. The intern will work closely with business and technical areas and analyze and define requirements associated with operational efficiency within customer service and translate them into functional design documents. This intern may design, test, and implement technical production automation solutions to achieve business objectives by utilizing java, visual basic, or any other industry approved software and providing customer support on internally developed applications and processes. 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?** + Demonstrated interpersonal skills including verbal and written communication + Strong analytical skills + Knowledge or experience in Visual Basic, VB.NET, C# and SQL + Practical, developed PC skills, especially Excel, Word, and Access **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree in computer science, Information Technology, Information Management, or other related degrees. + 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 \#LI-Hybrid \#LI-JT1 \#hcscintern **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** $18.10 - $37.10 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 managing the team with all divisional short-and long-term planning initiatives related to Commercial and Individual & Family Markets provider network strategy and executing the business plan. This team will lead major, complex, and strategic network initiatives from inception to completion leveraging analytics to drive financial performance outcomes. This position will manage and lead conducting analyses of Commercial and ACA competitive network and market strategy for the division. This team leader will have a strong foundational understanding of network composition and performance levers to drive network optimization and member retention strategic initiatives across the organization. **Required Job Qualifications:** + Bachelor degree and 7 years experience in health care, health insurance, or strategic consulting environment + 2 years management experience + Experience with strategic planning, strategy development, analytics and research + Experience with Retail Markets + Experience leading and mentoring staff. + Clear and concise verbal and written communication skills. + Experience with interacting successfully with senior management and staff across multiple departments. + Organizational skills, including ability to prioritize tasks. + Creativity and innovation, analysis and implementation skills and experience. + Business acumen and project/process integration skills. **Preferred Job Qualifications:** + MBA or MHA. + Health care industry experience. + Affordable Care Act knowledge. + Strong knowledge of ACA health plan strategy, provider networks, key performance indicators, financial acumen, and benefit design. + Strong knowledge of Commercial health plan strategy, provider networks, key performance indicators, financial acumen, and benefit design. + Strong executive-level communication, presentation, and writing skills. + Experience leading complex conceptual cross-functional initiatives. + Ability to articulate complex information to leadership stakeholders in a simple and straightforward manner. + Ability to proactively identify and resolve complex problems with minimal oversight. + Ability to see and understand "the big picture". + Strong desire to be part of high energy, positive, fast-paced, forward thinking, and collaborative team culture. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote, (Chicago)** **Sponsorship is not available.** \#LI-SG1 \#LI-Hybrid **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** $100,000.00 - $180,700.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At Luminare Health , 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** The role of the Client Management Health Systems Lead is to retain and grow existing Luminare Health Hospital and Health Systems accounts. This role is responsible for developing the overall strategy for Health Systems business and ensuring the retention, upsell and profitability goals are met or exceeded. In addition, this leader will define the strategy, product / service offering and go-to-market strategy while strengthening and growing distribution channel (brokers, consultants, etc.) relationships that accelerate growth and opportunities. This individual will lead and mentor a team of client managers, providing guidance, support, and performance management that supports the hospital segment of the business. This leader will have responsibility for being the executive sponsor for large health system clients, which includes providing strategic consultation, market insights, knowledge of hospital challenges, problem solving and executive escalations from the clients. **Job Responsibilities:** + Develop and execute the Luminare Health Hospital strategy and product roadmap in partnership with the Executive Director of Strategic Partnerships, the VP of Client Management and the Chief Growth Officer. + Serve as the Executive Sponsor to large, complex Hospital System clients. Engage with the clients at a strategic level helping them execute on their strategic priorities. + Work closely with Client Managers and Relationship managers on day-to-day client/broker issues as well as high priority issue resolution. Address and resolve complex client issues with a sense of urgency by assisting with escalations, ensuring client satisfaction and loyalty. + Lead and mentor the client management team, ensuring effective guidance, performance oversight, and adequate staffing. Collaborate with training and compliance to support onboarding and continuous education, including industry updates, regulations, and product trends. Monitor KPIs to drive client satisfaction, retention, revenue, and service excellence. + Provide high level of customer service to all internal and external constituents by working proactively across department to meet client deliverables as well as providing timely and equitable issue resolution. Represent the client's perspective within the organization, ensuring their needs are understood and addressed by various departments. + Collaborate cross-functionally with sales, marketing, and product teams to deliver a seamless client experience. Partner with sales to understand prospect needs, tailor solutions, and support finalist presentations and RFP responses. + Lead market-based planning for the client engagement team, evaluate RFP performance, and gather market insights to inform product, process, and technology enhancements. Establish a framework to capture and act on feedback related to offerings, pricing, and contracts. + Build and nurture strong relationships with key clients and brokers, acting as a trusted advisor and advocate for their needs within Luminare Health. Identify and pursue new business opportunities within existing client relationships and through new client acquisition. + Other duties as needed/assigned. **Job Requirements:** + Bachelor's degree in a related field. + Minimum of 12 years of leadership experience in client management, ideally within a complex or regulated environment, preferably in healthcare. + Direct experience working within a hospital or health system. + In-depth knowledge of the hospital and health system industry, including market trends and strategic challenges. + Exceptional interpersonal skills with the ability to facilitate meetings, resolve conflicts, build consensus, and collaborate across departments and organizational levels. + Proven ability to build and lead cross-functional teams, foster team morale, and drive shared success. + Strong strategic thinking and problem-solving skills, with a track record of analyzing complex situations and delivering innovative, sound solutions. + Solid financial acumen, including experience with self-funded markets, health system business models, budget management, and revenue growth strategies. + Willingness and ability to travel up to 25%. + Demonstrated consultative selling skills + Advanced degree in related field + Deep experience working with broker and consultant community specifically in health system business *Candidate must reside in the following states to be considered: IL, MT, NM, OK, TX, IN, MO, WI, IA, KS, NC, PA \#LI-TR1 INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **EEO 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. **Pay Transparency Statement:** At Luminare, 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 associates. 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. **Min to Max Range:** $133,400.00 - $250,500.00 Exact compensation may vary based on skills, experience, and location.

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 Researching, Analyzing And Gathering Data To Support The Implementation Of New Or Renewing Accounts, New Legislation, And Products Across The Enterprise. Works With Cross Functional Hcsc Teams/Internal Stakeholders To Coordinate The Implementation. Responsible For Communications And Implementation Artifacts That Describe Progress, Issues, And Risks Surrounding The Implementation. Responsible For Assisting With Managing Implementation Project Activities Of Low To Moderate Complexity. Gathering, Organizing, Analyzing, And Interpreting Marketing, Legislative, Financial, And Operating Data. Keeps Informed Of Best Practices And Strategic Trends In Product Lifecycle Management, Sales And Account Implementation, And Legislative Developments. THIS IS A FLEX ROLE AND WOULD REQUIRE WORKING HYBRID FROM ONE OF THE LOCATIONS LISTED. Required Job Qualifications: * Bachelor degree OR 4 years work experience in the healthcare insurance industry or in a position involving independent judgment and initiative, including at least 1 year of experience working with Summary of Benefits & Coverage documents * Advanced computer skills including experience using MS Office Suite * Ability to pick up new technology quickly * Strong verbal and written communications skills to interface with stakeholders from other departments * Strong organizational skills and attention to detail * Experience in a deadline driven environment and completing tasks on time and responding to rapidly changing priorities * Critical thinking and problem resolution skills * Experience in auditing documents against requirements * Analytical skills and experience conducting data analysis * Ability to work independently and in group settings Preferred Job Qualifications: * Knowledge of health insurance products and plans * Knowledge of health care regulatory and legislative processes * Experience with task management tools (e.g., JIRA) * Experience in project management * Technological savvy with experience working with software applications, internet, one-drive and websites to their fullest extent; Knowledge of basic coding a plus **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** $40,900.00 - $91,000.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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's primary focus is the management of members with specialty (ONCOLOGY) diagnoses. This position will be responsible for performing all functions of case management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing specialty care. The primary nurse case administrator performs care coordination; identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes quality and cost- effective outcomes; and serves as liaison to physicians and members. Provide education/local resource information and encourage member (self) education functioning in a clinical care advisory role, the primary nurse case administrator assesses members for case management, introduces members to our website tools, educates members regarding their specific condition, and facilitates the coordination of care for identified members. **JOB REQUIREMENTS:** **Registered Nurse (RN) with current, valid, unrestricted license in state of operations** **4 years clinical practice experience of direct clinical care, to include 3 years of recent Specialty** **(ONCOLOGY** **)** **clinical experience** **Knowledge of specialty diagnosis drugs, adjunct therapies and treatment protocols including side effects and complications** **Current certification in one of the following: OCN/** **ONS/ONCC** **PC proficiency to include Word, Excel, and database experience** **Clear and concise verbal and written communication skills** **Knowledge of UM/CM/DM activities and standardized criteria set** **Familiarity of ancillary services including HHC, SNF, Hospice, etc** **Verbal and written communication skills; analytical skills; sound clinical judgment** **Incumbents with nursing licenses in** **positions/departments** **requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC.** **Knowledge of drugs and treatment protocols including side effects and complications** **Knowledge of diets relating to assist members** **Knowledge of Problem Solving, Healthy Coping and establishing SMART goals.** **Current Certified Specialists must maintain their certification** **PREFERRED JOB REQUIREMENTS:** **RN Compact License required** **_ONCOLOGY CERTIFICATION REQUIRED_** **CCM certification PREFERRED** **Experience in managing complex or catastrophic health cases** **Inpatient and Outpatient experience preferred.** **1-year experience in Care Management in a health insurance/managed care setting** **Knowledge of medical management policies and procedures** **1-year education experience in Specialty area** **This position is Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.** \#LI-Remote \#LI-DP1 \#CA **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** $69,200.00 - $146,700.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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 will support business readiness activities across large-scale technology transformation programs in Medicare, including the separation from Cigna and the platform integration with legacy HCSC. This position is responsible for providing business analysis and guidance to ensure alignment and integration across functional areas in support of client success and to ensure consistency and efficiency. As a Senior Business Consultant, you will support implementation of initiatives with high complexity that affect multiple functional areas within the division. Supports the prioritization of divisional activities and tracks progress to goals. Success in this role will depend on your ability to autonomously drive initiatives and deliver results. Your expertise will help shape the strategic direction of the organization and deliver significant value to both internal and external stakeholders. * Bachelor's degree and 5 years of experience OR 9 -10 years of experience in healthcare business, project management, or customer service, with a demonstrated ability to lead complex projects and influence senior leadership. * Expertise in data interpretation and strategic decision-making. * Exceptional communication skills, with experience in engaging with senior executives and managing high-stakes client relationships. * Proficiency in project management methodologies and advanced data analysis and visualization tools. * Proven track record of driving business transformation and process optimization. * Strong critical thinking and problem-solving abilities, with a proactive approach to overcoming challenges and fostering continuous improvement. * Commitment to professional development and thought leadership, with a keen interest in staying ahead of industry trends. 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 $66,300.00 - $124,500.00 Exact compensation may vary based on skills, experience, and location.

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** We 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. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.