HCSC jobs in Naperville, IL - 134 jobs

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 provider recruitment and contracting, education of providers, and for ongoing provider service. Ability and willingness to travel within assigned areas of responsibility, including overnight stays. Job Requirements: * Bachelor's degree in business OR 4 years' experience in managed care environment. * 2 years' experience in a position that demonstrates leadership abilities and sound decision-making. * Knowledge of contracts, applications and products; claims processing systems. * Demonstrated proficiency in provider reimbursement methods. * Demonstrated ability to meet deadlines and work well under pressure. * Verbal and written communication skills; organizational and planning skills; ability to take initiative and work independently. * PC proficiency to include Microsoft Office * Ability and willingness to travel within assigned areas of responsibility, including overnight stays Preferred Qualifications: * Knowledge of contracting and Single Case Agreements * Negotiation skills * Strong documentation skills This is a Flex (Hybrid) role: 3 days in office; 2 days remote. #LI-MW2 #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 $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location.

A leading healthcare organization seeks an Executive Director for their Medicare Part D Actuarial function, based in Chicago, IL. In this role, you will lead the actuarial strategy, oversee bid development, and provide financial management for Medicare products. The ideal candidate will possess a strong background in actuarial science, extensive leadership experience, and exceptional communication skills. This position offers a comprehensive benefits package and professional development opportunities. #J-18808-Ljbffr

Executive Director, Actuarial page is loaded## Executive Director, Actuariallocations: IL - Chicago: TX - Richardsontime type: Full timeposted on: Posted 2 Days Agotime left to apply: End Date: February 27, 2026 (30+ days left to apply)job requisition id: R0047720At 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**### The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP, with end-to-end accountability for product strategy, pricing, and financial performance. The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, and is responsible for Medicare Part D bid development and submission, quarterly forecasting, monthly close support, and bid audits. This position reports to the DSVP, Pharmacy Finance and Actuarial and serves as a key strategic partner to senior leaders across Pharmacy, Product, Finance, Compliance, and Operations. The role also acts as the primary actuarial point of contact for external vendors and consultants.### **Key Responsibilities:** ***Medicare Part D Product & Pricing Leadership*** • Lead actuarial strategy for Individual MAPD and PDP products, ensuring financial sustainability, regulatory compliance, and competitive market positioning. • Provide actuarial leadership on product strategy and component strategies, including benefits, formulary, rebate, network, and mail, balancing affordability, growth, and margin objectives. • Partner cross-functionally with Pharmacy, Product, Finance, Compliance, and Operations to align actuarial assumptions with enterprise strategy. ***Bid Development & Financial Management*** • Oversee end-to-end Medicare Part D bid development and submission, including pricing, assumptions, documentation, and internal governance approvals. • Lead quarterly forecast updates and support monthly close activities, ensuring accuracy, transparency, and alignment between actuarial projections and financial results. • Provide actuarial support for annual PBM market checks and negotiations. • Identify key financial risks and opportunities, proactively communicating insights and recommendations to executive leadership. ***Market Intelligence & Strategic Insights*** • Lead Medicare Part D market intelligence, including competitor analysis, CMS policy changes, regulatory guidance, and industry trends. • Translate market insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning. Audit, Governance & Compliance • Serve as actuarial lead for CMS bid audits, internal audits, and financial audits, ensuring defensibility of assumptions, data integrity, and timely responses. • Establish and maintain strong actuarial governance, controls, and documentation standards to support regulatory and audit requirements. ***Vendor & External Partner Management*** • Act as the primary actuarial point of contact for external actuarial vendors and consultants. • Oversee vendor scope, deliverables, timelines, and quality, ensuring alignment with business objectives and regulatory expectations. • Leverage external partnerships to enhance modeling sophistication, analytics, and strategic decision-making. ***Leadership & Talent Development*** • Lead, mentor, and develop a high-performing actuarial team supporting Medicare Part D. • Foster a culture of accountability, collaboration, and continuous improvement, with a focus on developing future actuarial leaders. • Set clear priorities, performance expectations, and development plans aligned with organizational goals.**JOB REQUIREMENTS:** \* Bachelor's degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems. \* 10 years of data, transactional application-based knowledge or group health underwriting experience \* 10 years of management experience, including overseeing two or more departments led by managers. \* Experience in leading one or more major (multi year) group insurance implementation projects \* Experience in leading one of the following: Actuarial Systems or Applications and systems related teams including testing, building, and writing requirements. \* Experience in quality and auditing and system testing (including creating test scripts) \* Experience planning skills including: Setting goals at a position appropriate level, long term planning (one year or longer), budget and expense management, creating staffing models for up to 2 years, establishing department vision \* Problem solving, negotiation skills, and organizational alignment \* Clear and concise verbal and written communication skills. Experience presenting to all levels of management including audiences with diverse communications preferences\*Overseeing the annual budget and allocating resources for various projects and operational needs.\*Translating needs and initiatives into compelling business cases.\*Conducting cost-benefit analyses to justify investments and ensure ROI.**PREFERRED JOB REQUIREMENTS:** • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field; advanced degree preferred. • FSA designation. • 10+ years of progressive actuarial experience, including significant leadership responsibility in Medicare Part D. • Deep expertise in Medicare Part D pricing, bid development, forecasting, and regulatory requirements. • Strong strategic influence, executive presence, and financial acumen. • Strong understanding of pharmacy benefit economics, including formulary and network strategy impacts. • Proven experience leading CMS bid audits and financial audits, and partnering with external actuarial firms. • Demonstrated ability to communicate complex actuarial and financial concepts clearly to senior leaders and non-technical stakeholders.#LI-TR1#LI-HybridINJLF### ### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# # **Base Pay Range**$161,500.00 - $299,700.00Exact compensation may vary based on skills, experience, and location.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 #J-18808-Ljbffr

Become a part of our caring community and help us put health first Fulltime Registered Nurse needed for southern DuPage and Will County suburbs! Make a meaningful impact every day as a CenterWell Home Health nurse. You'll provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working closely with a dedicated team of physicians and clinicians, you'll develop and manage care plans that support recovery and help patients get back to the life they love. Full time Registered Nurse needed for southern DuPage and Will County suburbs! As a Home Health Registered Nurse, you will: * Provide admission, case management, and follow-up skilled nursing visits for home health patients. * Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. * Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. * Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers). * Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. * Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. * Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility. * Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. * Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Use your skills to make an impact Required Experience/Skills: * Diploma, Associate or Bachelor Degree in Nursing * Minimum of one year nursing experience preferred * Strong OASIS Proficiency * Home Health experience a plus * Current and unrestricted Registered Nurse licensure * Current CPR certification * Strong organizational and communication skills * Valid driver's license, auto insurance and reliable transportation. Pay Range * $49.00 - $69.00 - pay per visit/unit * $77,600 - $106,600 per year base pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,600 - $106,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Principal Network Mgmt Cons page is loaded## Principal Network Mgmt Conslocations: IL - Chicagotime type: Full timeposted on: Posted Yesterdayjob requisition id: R0047015At 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 provider recruitment and contracting of Physicians, Physician Groups both large and small (IPA's, PHO's, large independent hospital systems, Integrated & non-Integrated systems, Value Based Contracting, Etc). Develop and negotiate contracts. Develop and maintain relationships with assigned providers. Ensure strategic coverage for all LOBs and maintain required adequacy for each LOB. The person in this position it is expected to be a SME in the department for multiple assigned areas.### **Job Requirements:*** Bachelor's degree and 4 years provider contracting experience OR Master's degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience. Contracting experience involves negotiating reimbursements, financial arrangements and rates.* Extensive knowledge of provider and facility contracting, products, and claims/processing systems.* Negotiation skills.* Relationship building skills.* Knowledge of marketplace.* Meet deadlines and work well under pressure.* Verbal and written communication skills to interact with all levels of corporate personnel and providers.* PC proficiency to include Microsoft Office.* Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.* Ability and willingness to travel within assigned areas of responsibility, including overnight stays.**This is a Flex (Hybrid) role: 3 days in office; 2 days remote.**#LI-MW2 #LI-Hybrid### ### **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 - $164,200.00Exact compensation may vary based on skills, experience, and location.locations: IL - Chicagoposted on: Posted 13 Days AgoFor 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. #J-18808-Ljbffr

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 Case Manager acts as the liaison between a patient, the primary care physician and other providers in the healthcare community. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates the options. **** This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI **** **Required Job Qualifications:** + Active RN License required + Associate's Degree in Nursing + Minimum three years of clinical care required + Able to obtain CCM certification within 18 months of hire date, if not currently active + Demonstrated problem solving skills + Possess strong time management and organizational skills + Ability to work independently and complete tasks in a timely manner, reprioritizing workload to meet customer needs + Excellent customer service skills + Ability to work in a fast-paced, customer service driven environment + Proficient in MS Word, Excel and Outlook + Ability to accurately document system notes while engaging callers + Ability to provide excellent communication in verbal and written form + Ability to read and interpret documents, criteria, instructions, and policy and procedure manuals + Excellent interpersonal skills + Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals + Ability to effectively communicate with employees, employers, physicians, families in crisis, community agencies and all levels of leadership + Ability to use commonsense understanding to carry out instructions furnished in written, oral or diagram form + Ability to use critical thinking skills to deal with problems in varying situations and reach reasonable solutions **Preferred Job Qualifications:** + Bachelor of Science in Nursing preferred + Case Management or Utilization Management (concentration in physical and mental health with patients of all ages) experience preferred + Third-Party Administrator (TPA), Managed Care or Health Insurance experience + Bilingual **** This is a Telecommute (Remote) role. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI **** **Sponsorship is not available** **\#LI-NR1** **\#LI-Remote** **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:** $56,700.00 - $106,400.00 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 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 position is responsible for implementing AWS integration solutions. This individual will work directly with business partners and other IT team members to understand desired system requirements and to deliver effective solutions within the SAFe Agile framework methodology. The Sr AWS Cloud Engineer will participate in all phases of the development and system support life cycle. Primary responsibilities are to design and implement AWS cloud integration solutions that will interact with the TriZetto Facets software package. The ideal candidate is a technologist that brings a fresh perspective and passion to solve complex functional and technical challenges in a fast-paced and team-oriented environment. In this role, you will work with business and technical experts to implement quality software engineering solutions and best practices. You will participate in the collaborative architectural refinement, software design and realization of products that support the strategic technology needs to support the organization. As a full stack engineer, you have the breadth of knowledge in computer science, a problem-solving mentality and a desire to learn. You are comfortable working within a technical capacity across many of the sectors including core development on platform, data processing and report generation. The FSE will be working in a team that demands technical excellence and whose members are expected to hold each other accountable in the overall success of the output. Focus for this team is on the delivery of innovative solutions to complex problems. **NOTE:** **This hybrid role can be located in CHICAGO IL, NASHVILLE,TN** **or RICHARDSON, TX ~ relocation will not be offered; sponsorship is not available.** **Required Job Qualifications:** + Bachelor's degree in CS, IT or related field AND 10 years of software development experience, OR 14 years' experience in related field. + **10 + years in MS SQL Server.** + **Experience in AWS services including AWS Step function, Lambda (using Node.js),** SNS, SQS, Eventbridge, API Gateway etc + ETL experience using SSIS or Python/Spark using AWS Glue + Experience with Docker. + Experience in RESTful API services + **Experience with Terraform,** experience with setting up CI/CD pipelines is a plus + **Experience with** **Angular.** + Experience with NoSQL Databases such as MongoDB/DynamoDB + Experience with containers such as Open Shift/ Kubernetes, Docker + Experience in SDLC, including testing and deployment + Working knowledge of scripting languages + Be passionate about resolving user pain points through great design + Be open to receiving feedback and constructive criticism + Experience in the Agile methodology + Good understanding of Medicare/Medicaid Healthcare data + Demonstrate mentality of building well architected applications for Cloud. + Demonstrate mentality of quality being owned by the entire team. + Can identify code defects and work with other developers to address quality issues in product code. + Passion for finding bottlenecks and thresholds in existing code through the use of automation tools. + Contribute to automation pyramid and integrate with CI/CD tools for continuous validation. + Passion for continuing education and improving code quality. + Able to articulate clear business objectives aligned to technical specifications and work in an iterative agile pattern daily. **Preferred Job Qualifications:** + Experience with Databricks. + Experience with OpenShift. + Experience with Kafka + **Experience with scripting in C#.NET using the .NET Framework** + Experience working with databases such as Aurora and PostGres. + Experience with Apache Airflow. + Experience with AWS API Gateway. + Experience in Healthcare. + Experience in Healthcare Claim or Enrollment functions. + Experience supporting Medicare technology platforms \#INCR \#LI-BS1 \#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** $130,800.00 - $242,800.00 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 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 $92,700.00 - $167,500.00 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. **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 SummaryThis 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.

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 pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. **JOB REQUIREMENTS** **:** + LPN with valid, current, unrestricted clinical license in the state of operations. + 3 years of clinical experience in physician office, hospital, or surgical setting. + Customer service oriented to assist internal/external customers. + Verbal and written communication skills. + Interpersonal skills and ability to be a team player. + Willingness and ability to travel. + Familiar with PC or database systems. + 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. Incumbents with other clinical licenses are not required to obtain multi-state licenses. **PREFERRED JOB REQUIREMENTS** **:** + Utilization review or utilization management experience + Insurance Industry experience. **Telecommute:** This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. \#LI-TELECOMMUTE \#LI-SG1 **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** $45,900.00 - $102,100.00 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 directing all negotiations, strategies and direct execution of the business plan for providers in our HealthSpring Alabama (includes MS and Northwest FL) and Georgia markets. There will be emphasis on key health systems and providers that contribute $10M or more in annual allowed spend, though this Leader and their team will be responsible for contracting all medical agreements across these markets. The role is responsible for market and partner direct relationship development, critical contract negotiations, establishing fee-for-service and value based contracts that enable financial and operational engagement strategies and internal cross-functional engagement with matrix partners. Role also will include leading and/or supporting select additional strategic plan initiatives that involve high value partners, inclusive of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with key network finance, contracting, analytics and operations areas as well as with enterprise areas to ensure there is alignment with partner strategies and the financial implications thereof; documenting and conducting analysis of current and proposed contract arrangements and its impact on HealthSpring strategy and managing its impacts on divisional and departmental short term and long term planning. **Required Job Qualifications:** + Bachelor degree and 7 years experience in health care, health insurance, or strategic consulting environment + 2-4 years management experience with an emphasis on experience managing external stakeholders + Experience with strategic planning, financial and data analysis, and research + Working knowledge of various health insurance products. + Strong financial acumen including understanding of financial statements and network contribution to plan financial performance. + Experience leading and mentoring staff. + Contract negotiation, development and execution. + 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 in problem solving and create processes within ambiguity. + Business acumen and project/process integration skills. **Preferred Job Qualifications:** + MBA or MHA. + Health care industry experience. + Medicare Advantage knowledge and expertise. + Commercial, Affordable Care Act knowledge and/or Medicaid MCO. + Knowledge a plus. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** **Sponsorship is not available.** \#LI-LO1 \#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** $102,000.00 - $184,300.00 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. **This is a Union Role** **Job Summary** Under Supervision, This Position Is Responsible For Directing, Organizing And Controlling Technical Workflow And Support In The Department. **Required Job Qualifications:** * High School diploma or GED. * 1 year of claims/membership experience. * Analytical Skills. * Clear and concise verbal and written communication skills. * PC proficiency to include Microsoft Word, Excel and Outlook. **Sponsorship is not available.** **This is a Union role.** INDM **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $18.00 - $31.11 Exact compensation may vary based on skills and experience. **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.

Job DescriptionDescription: Making a difference in the lives of the elderly, every day. Staffing Coordinator Perks: Health insurance Employee rewards program 401k Paid time off Upward mobility Growing organization Staffing Coordinator Duties: As a staffing coordinator, you will be responsible for organizing and managing the nursing staff schedules for your facility. You will review, approve, and book shifts for in house nurses and nursing assistants. You will identify gaps in the upcoming schedule and work to fill those gaps. You will handle and process last minute shift requests, cancellations, and no-shows. Requirements: Staffing Coordinator Qualifications: High school diploma or equivalent. Must have a CNA license. Excellent communication and organizational skills. Basic computer program knowledge. Clerical or administrative experience preferred. Knowledge or health care terminology preferred. keywords: nursing scheduler, skilled nursing facility, nursing staffing, scheduling

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays. Required Job Qualifications: *Bachelor's degree in health care or business administration or a minimum of 4 years work experience in a managed care environment. *Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience. *Effective interpersonal, analytical, presentation and communication skills. *Knowledge of the health care industry and BCBSIL private business. *Ability and willingness to travel within assigned areas for responsibility, including overnight stays. *Extensive knowledge of contracts, applications, and products. *Demonstrated proficiency in provider reimbursement methods. *Working knowledge of claims processing systems. *Effective organizational and planning skills. *Ability to take initiative and work independently. *Demonstrated ability to meet deadlines and work well under pressure. *Working knowledge of software, including Microsoft Office Preferred Job Qualifications: *Provider facing experience *Claims processing experience is a plus *Familiar with Government contracts i.e. regulatory/compliance *Self starter Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location.

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 providing operational leadership for the Medication Therapy Management program within HCSC's integrated Enterprise Pharmacy. The Director will support HCSC's Medical and Pharmacy Benefit Integration, MTM, PBM, and pharmacy product initiatives. Primary focus on providing strategies that increase efficiency, improve outcomes and help manage drug spend. Required Job Qualifications: * Pharm D Pharmacist in the state of operations. * At least 4 years experience in managed care pharmaceuticals. * At least 4 years of managerial experience in the Pharmacy environment. * Ability and experience managing a budget to appropriately establish targets. * Ability to lead a diverse staff. * Analytical skills with the ability to translate business needs into technical requirements. * Verbal and written communication skills with a demonstrated ability to work independently or with a team to achieve successful results. * Ability to be effective in a position requiring a high degree of self-direction, initiative, sound decision-making and effective organizational skills. * Ability to develop and cross-train staff through presentations, training, knowledge-sharing, goal setting, evaluation, and positive reinforcement. * Interpersonal, negotiation, and problem-solving skills. * Overseeing the annual budget and allocating resources for various projects and operational needs. * Translating needs and initiatives into compelling business cases. * Conducting cost-benefit analyses to justify investments and ensure ROI. Preferred Job Qualifications: * Experience with group health insurance customer contact. * Additional degrees or credentials outside the pharmacy area (such as an MBA). **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** $121,200.00 - $225,200.00 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.

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. This full time exempt, 7 on/7 off Virtual Clinical Pharmacist will join a team of highly skilled pharmacists working together in a fast-paced environment from our centralized state-of-the art facility located in Naperville, IL. Work in an office in the greater Chicagoland area and conveniently located off I-88 with easy access to Chicago and the western suburbs. to address patient and medication related questions. Work in an attractive office setting, enhancing pharmacist collaboration and a cohesive team environment, conducive to providing top patient care to those across the country Primary Responsibilities: * Serve as an integral member of our patient care team * Collaborate with nurses, physicians, and healthcare providers via phone and live feed camera You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Pharmacy degree (BS or PharmD) from an ACPE accredited school of pharmacy * Current Illinois Pharmacist license in good standing * Willingness and ability to obtain additional state licenses as requested by management * Experience using computer applications including word processing, spreadsheets, and pharmacy information systems * Ability to use pharmaceutical and medical references literature to provide drug information to patients, and prescribers Preferred Qualifications: * PharmD * 1+ years experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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** The Senior Contract Analyst and Negotiator position is responsible for working with the Procurement Contract Managers and Senior Contract Managers in the facilitation, negotiation completion and execution of agreements with suppliers and other service providers conducting business with HCSC. The Senior Contract Analyst and Negotiator establishes and maintains positive relationships with HCSC internal business partners and other stakeholders, while facilitating the expeditious negotiation of contracts in the best interest of HCSC. **Required Job Qualifications:** + Bachelor's Degree, plus minimum of 8 years of experience drafting and negotiating contract documents, such as business arrangements and/or professional services and/or consulting services and/or outsourcing services and/or legal regulatory contracts and/or contracts for data sharing and/or contracts for software licenses, support, and maintenance and/or reviewing and drafting contract terms and conditions for master agreements and sub-agreements, such as statements of work **_or_** order forms. + Proven ability to work independently in a fast-paced environment. + Excellent interpersonal, writing and communication skills. + Highly organized team player with a strong attention to detail. + Ability to prioritize and manage multiple contract negotiations, while meeting project timelines. + Proven subject matter expertise and proven record of success in contract analysis and negotiations across multiple sourcing events. + Leadership skills to mentor junior Contracting Analysts and Negotiators. **Preferred Job Qualifications:** + Law (Juris Doctor) degree; legal, contract management, **or paralegal experience.** + Experience reviewing and drafting terms and conditions (as a buyer or seller) for master agreements, sub-agreements, such as statements of work and order forms, non-disclosure agreements, evaluation agreements, and contract addendums required by government regulations, as applicable. + Knowledge of the principles and practices of the purchasing process, contract administration, strategic sourcing, negotiation and purchasing systems. + Experience negotiating agreements in a health care industry setting. + Experience negotiating supplier agreements, which are subject to regulatory requirements. + Experience using an automated contract management system. + Experience using an automated electronic signature system or tool. + Experience using Outlook, Microsoft Word, and other Microsoft applications. + Establish and promote strong collaborative relationships with internal business owners and other HCSC stakeholders. + Lead and facilitate internal discussions between Procurement category teams and internal business partners and HCSC stakeholders during contract negotiations, with a goal of issue resolution. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote** \#LI-AS1 \#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** $102,000.00 - $184,300.00 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.