Strategy Consultant jobs at HCSC - 32 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 The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. Required Job Qualifications: * Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. * 3 years of experience leading with large and complex multi-million dollar projects. * Experience communicating with senior management from multiple divisions. * Experience developing and delivering presentations. * Problem resolution experience and skills. * Knowledge of strategic planning techniques and industry trends * Experience interpreting business and financial information * Negotiations skills. * Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. * Organizational skills. * Experience managing multiple complex projects successfully. * Detail oriented. * PC proficiency to include Microsoft Office products Preferred Required Job Qualifications: * Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. * Proven analytical thinking and the ability to move from strategy to action. * Prior internal or external consulting experience preferred. * Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. * Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote. * Location: Richardson, TX or Chicago, IL. * Sponsorship: Sponsorship is not available. #LI-Hybrid #LI-JR2 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 $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location.

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 UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Support internal clinical, financial and quality data analysis to support value-based care agreements with various provider types at a national and local level Create and support standard financial, utilization and quality reporting in accordance with contracting guidelines Support ad-hoc analysis through gathering claims, financial, or membership data and summarizing key findings clearly with limited guidance Support internal data analysis and other deliverables through data troubleshooting and data validation with guidance Understand conceptual strategies and be able to present key deliverables, answer questions, participate in discussions, and make recommendations via meetings and emails Lead projects to completion by contributing to the analysis and creation of financial reporting or the automation of reporting Proactively manage routine processes and anticipating customer needs through independent prioritization Serve as a resource to executive leadership in support of value based contracting strategy Solve complex and ambiguous problems with broad impact on the business through critical thinking and resourcefulness 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: 3+ years of experience in an analytics capacity with evidence of proactive critical thinking and creative problem solving Experience in the healthcare insurance industry with exposure to medical claims data Intermediate or higher level of proficiency in MS Excel and Pivot Tables Beginner or higher level of proficiency with coding in Snowflake, Toad, Snowsight, SQL, or SAS Demonstrated highly effective verbal and written communication skills for a variety of audiences Demonstrated ability to effectively manage multiple priorities Preferred Qualification: Demonstrated familiarity with SMART or other claims platform *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $72,800 to $130,000 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.

Become a part of our caring community and help us put health first Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses' most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana's largest businesses. Humana is seeking a team member, with prior management consulting experience or professional experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will deconstruct issues and challenges, perform targeted research and analysis, support core strategy operational work, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While deep diving into key areas, you will also have a bird's-eye view of the business unit's overall strategy. Your role be instrumental in synthesizing the strategic and operational choices being made across the business unit into coherent plans to drive growth and profitability, while simultaneously improving the lives and health of Humana's members. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana's executive Management Team, and corporate, functional, and business unit leaders. Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, monitoring segment-wide operational performance, and refreshing the strategy for Humana's sales organization. Use your skills to make an impact Key responsibilities include: Delivering high quality analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations Managing and delivering analysis and workstreams within high-profile, high-impact strategy projects Developing high quality, insightful, and clear analysis and deliverables for Humana's executive management team and Board of Directors Developing hypotheses to be validated or refined through targeted research and analysis Conducting interviews and working sessions with stakeholders across the company Conducting industry, market, competitor, and financial analysis Working collaboratively with fellow team members and leaders across the company Leading critical processes to prepare leadership for interactions with Humana's executive Management Team and Board of Directors Being a steward of the strategy team's operating model, norms and ways of working Coordinating and overseeing key meetings to ensure key topics and decisions are communicated to leadership in a timely manner Defining and developing opportunities for strategic alignment and consistent reporting across the business segment Partnering with key stakeholders to implement segment-wide tracking tools and databases Designing and monitoring key metrics and the reporting cadence across the organization Working across operational units to execute strategic planning process and quarterly refinement Required Qualifications Bachelor's degree 2+ years of full-time work experience with a leading management consulting firm and/or 3+ years of professional experience in a role that required core consulting skills Demonstrated ability to manage analysis and work streams Excellent verbal and written communication abilities Highly collaborative, flexible, team-oriented working style Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis Demonstrated ability working within a matrixed environment Preferred Qualifications MBA, MPH, PhD, or graduate degree in a management field Prior healthcare industry experience, preferably in the managed care or provider sector Reporting Relationships The role reports to a Director within the Strategy team, works collaboratively with leaders and members of rest of the team, and with senior leadership throughout the enterprise. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 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. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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.Application Deadline: 02-11-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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.

**Become a part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses' most important opportunities and challenges. These high-profile strategy projects place the team at the forefront of helping to define the future of Humana's largest businesses. Humana is seeking a team member, with prior management consulting experience or professional experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will deconstruct issues and challenges, perform targeted research and analysis, support core strategy operational work, and craft sound, logical solutions and recommendations. You will also shape implementation considerations, and work with business owners as appropriate to transition analysis into execution. While deep diving into key areas, you will also have a bird's-eye view of the business unit's overall strategy. Your role be instrumental in synthesizing the strategic and operational choices being made across the business unit into coherent plans to drive growth and profitability, while simultaneously improving the lives and health of Humana's members. While doing so, you will have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana's executive Management Team, and corporate, functional, and business unit leaders. Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare Advantage strategic plan, monitoring segment-wide operational performance, and refreshing the strategy for Humana's sales organization. **Use your skills to make an impact** **Key responsibilities include:** + Delivering high quality analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations + Managing and delivering analysis and workstreams within high-profile, high-impact strategy projects + Developing high quality, insightful, and clear analysis and deliverables for Humana's executive management team and Board of Directors + Developing hypotheses to be validated or refined through targeted research and analysis + Conducting interviews and working sessions with stakeholders across the company + Conducting industry, market, competitor, and financial analysis + Working collaboratively with fellow team members and leaders across the company + Leading critical processes to prepare leadership for interactions with Humana's executive Management Team and Board of Directors + Being a steward of the strategy team's operating model, norms and ways of working + Coordinating and overseeing key meetings to ensure key topics and decisions are communicated to leadership in a timely manner + Defining and developing opportunities for strategic alignment and consistent reporting across the business segment + Partnering with key stakeholders to implement segment-wide tracking tools and databases + Designing and monitoring key metrics and the reporting cadence across the organization + Working across operational units to execute strategic planning process and quarterly refinement **Required Qualifications** + Bachelor's degree + 2+ years of full-time work experience with a leading management consulting firm and/or 3+ years of professional experience in a role that required core consulting skills + Demonstrated ability to manage analysis and work streams + Excellent verbal and written communication abilities + Highly collaborative, flexible, team-oriented working style + Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis + Demonstrated ability working within a matrixed environment **Preferred Qualifications** + MBA, MPH, PhD, or graduate degree in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to a Director within the Strategy team, works collaboratively with leaders and members of rest of the team, and with senior leadership throughout the enterprise. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **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. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **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. Application Deadline: 02-11-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **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. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

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 Principal Marketing Strategy Consultant serves as the strategic operator and integrator for the DSVP of Marketing, driving alignment, coordination, and execution of the Marketing organization's highest priorities. This role partners closely with cross-functional marketing leaders and enterprise stakeholders to translate strategy into action, ensuring initiatives are clearly defined, aligned to business objectives, and delivered with rigor. Operating at the center of the Marketing organization, the Principal Consultant enables effective decision-making, accelerates execution, and ensures Marketing functions as a unified, high-performing team in support of enterprise goals. Required Job Qualifications: - Bachelor's degree / Master's Degree / MBA and 7 years of general industry experience or 3 years consulting experience at a top tier consulting firm - Strategy development/planning/implementation: Knowledge of corporate strategy and/or transformation core skill sets; experience formulating, planning, and/or implementing strategy and transformative efforts. - Analysis/synthesis/insight generation: Ability to conduct quantitative and qualitative analysis, provide insights and implications, inform decision making, and make recommendations/prioritize new opportunities to pursue. - Critical thinking/problem solving: Ability to proactively identify and resolve complex problems with some oversight. - Project management: Experience managing complex projects with some oversight. - Collaboration and interpersonal effectiveness: Ability to build strong connections with people and teams, drive results by working across the matrixed environment, and work directly with leadership with some oversight. - Communication skills: Ability to communicate effectively through verbal, written and visual channels. - Ability to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities. Preferred Job Qualifications: - Advanced degree such as MBA, MHA, MD, JD, or PhD - Experience in the healthcare industry, especially the health insurance sector - Experience with marketing \#LI-CH1 \#LI-Hybrid INJLFW **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** $112,200.00 - $202,600.00 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 assisting with leading cross-functional VBC Contract operations team responsible for contract modeling/simulations, program and contract level assessments, operational readiness activities all in alignment with network contracting, driving business validation. Assisting the leadership team with driving VBC business priorities, Executive Operational reporting, and operational excellence across all the markets. Collaborating with several cross-functional teams, strategies, network contracting, provider operations and actuarial analytics needs for the division and working with divisional leadership on future state strategies and business plans for functional areas. Working with enterprise areas to ensure there is alignment with the divisional strategy and operational imperatives. **Required Job Qualifications:** + Bachelor degree and 6 years experience in health care, health insurance, or strategic consulting environment OR Bachelor degree and 5 years consulting experience involving strategic planning, business development and financial management operations OR 8 years of experience strategic planning, market research, network management, or product development in health care industry. + Experience leading and formulating strategy with the ability to build strong connections with people and teams. + Drive results by working across departments in matrixed environment. + Interpersonal skills, including presentation, written and verbal communication. + Experience with business analytics and information synthesis. + Knowledge of strategic planning techniques and industry trends + Able to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities. + Work directly with corporate leadership. + Analytical, program management and problem solving skills. **Preferred Job Qualifications:** + Advanced degree such as Juris Doctor, MBA, or MHA. + Healthcare and Value Based Care knowledge. + Strong analytical, presentation, skills + Strong Microsoft Office Skills + Ability to present to Leadership complex modeling results. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** \#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** $92,700.00 - $167,500.00 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** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **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** $61,500.00 - $136,100.00 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 hybrid (3 days a week in the office) This Position Is Responsible For Provider Recruitment And Contracting Of Physicians, Physician Groups And Facilities Including Large Or Complex Groups/Facilities (Large Independent Hospital Systems, Integrated & Non-Integrated Systems, Value Based Contracting, Etc). Develop And Negotiate Contracts. Develop And Maintain Relationships With Providers. Ensure Strategic Coverage For Assigned Territory. Responsible For Education Of Providers And For Ongoing Provider Service. Provide Subject Matter Expertise To Improve Efficiencies And Results. Job Description 1.Work with internal departments to ensure appropriate implementation of executed agreements.2.Analyze financial reports to determine financial impact of negotiations.3.Develop and negotiate agreements with providers and facilities (including large independent hospital systems, integrated & non-integrated systems, value based contracting, etc.) within assigned territory of responsibility. 4.Responsible for maintaining a professional relationship with key provider groups. Ensure effective liaison and rapport is developed and maintained through meetings, correspondence and telephone calls.5.Ensure strategic objectives are being met with regard to physicians, physician groups and facilities needed for assigned territory(s). Ensure appropriate provider services including working across departments to resolve issues. 6.Oversee the servicing of facilities, large groups, and/or capitated entities to include assisting with eligibility and capitation issues, contracting issues, and bonus arrangements. Serves as a liaison between internal departments and the capitated entity.7.Work with delegated entities to ensure that providers are loaded correctly. Work closely with the delegation oversight department regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to provider inquiries in an effective and timely manner and assist in claims resolution and payment problems. Must work closely with the Pricing, Full Service Units, Utilization Management, Medical, Delegation Oversight, Core Credentialing, Provider Automation and other divisions within the company.9.Provide leadership regarding negotiation of rates for traditional and managed care business. Conduct and assist in the negotiation process and assure that providers are kept informed of pertinent changes in policies and procedures. Coordinate appropriate education/in-servicing is provided for providers. Education may pertain to managed care and areas where pertinent rulings/regulations could affect business.10.Explain corporate policies and procedures to contracted providers; counsel with provider's staff to ensure their familiarity with Blue Cross procedures.11.Establish and maintain relationships with assigned providers through personal visits, correspondence and telephone calls.12.Serve as a mentor/teacher regarding the activities of staff.13.Serve on local and corporate committees and task forces that require input from Network Management Department. Participate in trade association meetings, as required. 14.Transform fee for service contracts to fee for value.15.Develop reports and analyze performance outcomes. 16.Ensure all expenditures comply with corporate and divisional expense guidelines.17.Communicate and interact effectively and professionally with co-workers, management, customers, etc.18.Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.19.Maintain complete confidentiality of company business.20.Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. JOB REQUIREMENTS: *Bachelor Degree and 4 years provider contracting experience OR Master 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. **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. **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 Leading Client Facing Implementation Initiatives And Accountable For National/Key Account Operational Deliverables. Responsible For Leading Multi-Disciplinary Teams Representing Various Internal Operational Areas And For Account Installation Management. In Collaboration With Sales And Account Management, Provides Operational Consultation And Strategic Roadmap Development For Customers. Acts As Subject Matter Expert On Industry Best Practices And Strategic Trends In Product, Legislation And Account Implementation. Responsible For Cultivating And Maintaining Relationships With Key Internal And External Stakeholders. Drive The Identification Of Opportunities For Improving Efficiencies And Processes For The Implementation Operation And Client Experience And Lead Implementation Of Those Solutions. JOB REQUIREMENTS: * Bachelor degree and 5 years of experience in marketing, strategic consulting, project management, product management or account operations. * Enterprise implementation experience or external consulting experience. * Knowledge of health care regulatory and legislative process, health care market and products. * Knowledge of health care marketing, sales and claims adjudication. * Experience as a thought leader and experience leading cross-functional workgroups. * Financial and budget management experience relating to projects or operations. * Issue resolution experience and skills including business operations solutions and conflict management resolutions. * Project management experience including managing multiple projects concurrently. * Experience driving results to meet deadlines. * Analytical skills. * PC proficiency including Word, Excel, PowerPoint. * Clear and concise written and verbal communications skills including presentation and interpersonal skills in order to work across various departments and with various levels of management, handling sensitive or difficult situations and develop and deliver training to internal and external customers. PREFERRED JOB REQUIREMENTS: * Master degree. * Knowledge of state and federal legislature process. **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. **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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** UnitedHealth Group (UHG) is a diversified health care company, offering health care coverage and benefits services through UnitedHealthcare, and information and technology-enabled health services and innovation through Optum. We work to improve the health care system and advance the health and well-being of individuals and communities so that they can enjoy better, fuller lives. The UHG Corporate Strategy team, which reports up through the UHG Chief Strategy and Growth Office, is primarily focused on driving cross-enterprise growth strategy efforts that span the breadth of the UHG portfolio. We work with executive and product leadership to frame the market, identify market opportunities, build strategic plans, develop partnership processes, and drive actionable decisions. Team members have a solid understanding of competitive dynamics in healthcare, customer needs, regulatory impacts, and company capabilities. Team members have solid analytical problem-solving skills and can break down some of the company's most difficult challenges and exciting opportunities into discrete, solvable workstreams and projects. The Director, Corporate Strategy is an experienced business strategist who provides thought leadership, market analysis and project execution to guide enterprise growth and operational excellence. Join UnitedHealth Group (UHG) and you'll get an opportunity to do something extraordinary: make a real difference. We have modest goals: help over 100 million people live healthier lives. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations attract a certain type of person. Immensely talented. Brilliant. Compassionate. Driven. You'll find these people everywhere you turn here. You'll also find a world of career options fueled by your performance and limited only by imagination. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Deliver data-driven insights to support cross-UHG initiatives spanning growth strategy, operational excellence, and client / external party partnerships; work across Optum, UnitedHealthcare, and external parties + Analyze industry trends, customer needs, competitive threats, expansion opportunities and internal performance to support strategic projects + Enable actionable decision-making, corporate prioritization, corporate development, and strategy communication (Executive management, Board, investors, company) + Conduct internal and external primary and secondary research activities, financial modeling / growth projection analyses, and build and deliver presentations + Nurture and develop solid relationships with business unit leaders and corporate strategy teammates + Scoping, initiating, planning, executing, and closing strategy projects + Support the corporate planning process and ad hoc projects for executives 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:** + 3+ years of healthcare experience + 3+ years of strategy consulting experience and/or corporate strategy experience + 3+ years of conceptual, analytical, and financial modeling experience + 3+ years of experience leading project teams or workstreams + 3+ years of experience communicating data and strategic frameworks to executive audiences + Ability to travel up to 20% (may be required depending on projects) **Preferred Qualifications:** + Demonstrated career successes in working collaboratively + Demonstrated career successes in influencing across levels in a matrixed organization + Proven effective and proven business acumen *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $112,700 to $193,200 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._

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Advisory Consultant - Payer Strategy - Remote works within a team and serves a key role in contributing to client engagement problem solving and work product development. The Consultant structures and conducts analysis and creates content for assigned workstreams under direction from project lead and contributes to assisting more junior team members with their responsibilities. This role will support client communications around own workstream and at times those of more junior team members and successfully work under timelines for own work along with assisting junior team members with theirs, in accordance with overall project requirements. This role is a major contributor to team problem solving across full scope of each project. The Consultant will participate in various practice development projects, proactively anticipate challenges and risks in both own area and those of junior staff, make sound adjustments/recommendations to address issues, and play an active role in improving business processes, knowledge management, etc. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Structure approach/analysis for assigned workstream under direction and contribute to assisting more junior team members with their responsibilities * Contribute to client communications around own workstream and sometimes those of more junior team members * Major contributor to team problem solving across full scope of project * Knowledgeable on Optum data sets and tools and carries foundational understanding of health care industry dynamics * Maintain a comprehensive understanding of health care research, tools, and assets used by the practice to support client work * Participate in various practice development projects * Provide active role in improving business processes, knowledge management, etc. within the practice * Proactively anticipate challenges and risks in both own area and those of more junior staff and make sound adjustments/recommendations to address issues * Communicates effectively and accurately in writing and verbally to prospects, members and other team members 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: * 1+ years working in payer strategy, provider network, NCQA/URAC accreditation, provider data management, or value-based care * 1+ years of experience utilizing formal industry strategy frameworks * 1+ years of healthcare, payer (primary) or life sciences experience * Experienced in Quantitative/Qualitative Analytic execution and synthesis * Client relationship management experience * Proficiency in MS Office Suite - Word, PowerPoint, Excel * Demonstrated ability to anticipate challenges and provide solutions * Demonstrated ability to drill down to the root cause of issues and be creative in problem solving * Demonstrated ability to travel domestically, up to 50% Preferred Qualifications: * Healthcare, payer and/or provider, life sciences experience * Experience conducting strategy projects * Experience working in and successfully navigating a matrixed environment * Demonstrated ability to possess analytical reasoning and solution-focus problem solving * Demonstrated ability to participate in cross-functional teams * Demonstrated ability to work independently with minimal supervision * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $71,200 to $127,200 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Advisory Consultant - Payer Strategy - Remote works within a team and serves a key role in contributing to client engagement problem solving and work product development. The Consultant structures and conducts analysis and creates content for assigned workstreams under direction from project lead and contributes to assisting more junior team members with their responsibilities. This role will support client communications around own workstream and at times those of more junior team members and successfully work under timelines for own work along with assisting junior team members with theirs, in accordance with overall project requirements. This role is a major contributor to team problem solving across full scope of each project. The Consultant will participate in various practice development projects, proactively anticipate challenges and risks in both own area and those of junior staff, make sound adjustments/recommendations to address issues, and play an active role in improving business processes, knowledge management, etc. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Structure approach/analysis for assigned workstream under direction and contribute to assisting more junior team members with their responsibilities + Contribute to client communications around own workstream and sometimes those of more junior team members + Major contributor to team problem solving across full scope of project + Knowledgeable on Optum data sets and tools and carries foundational understanding of health care industry dynamics + Maintain a comprehensive understanding of health care research, tools, and assets used by the practice to support client work + Participate in various practice development projects + Provide active role in improving business processes, knowledge management, etc. within the practice + Proactively anticipate challenges and risks in both own area and those of more junior staff and make sound adjustments/recommendations to address issues + Communicates effectively and accurately in writing and verbally to prospects, members and other team members 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:** + 1+ years working in payer strategy, provider network, NCQA/URAC accreditation, provider data management, or value-based care + 1+ years of experience utilizing formal industry strategy frameworks + 1+ years of healthcare, payer (primary) or life sciences experience + Experienced in Quantitative/Qualitative Analytic execution and synthesis + Client relationship management experience + Proficiency in MS Office Suite - Word, PowerPoint, Excel + Demonstrated ability to anticipate challenges and provide solutions + Demonstrated ability to drill down to the root cause of issues and be creative in problem solving + Demonstrated ability to travel domestically, up to 50% **Preferred Qualifications:** + Healthcare, payer and/or provider, life sciences experience + Experience conducting strategy projects + Experience working in and successfully navigating a matrixed environment + Demonstrated ability to possess analytical reasoning and solution-focus problem solving + Demonstrated ability to participate in cross-functional teams + Demonstrated ability to work independently with minimal supervision *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $71,200 to $127,200 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._

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Develop and maintain highly optimized Tableau dashboards to support Risk Adjustment reporting and analytics * Write and manage efficient, scalable SQL code to support data pipelines and dashboard requirements * Perform ad-hoc analysis to support decision-making and business needs across Risk Adjustment initiatives * Maintain thorough documentation, including dashboard reference materials and development logs * Support the migration of existing reports and dashboards from Tableau to Power BI where needed * Troubleshoot data or performance issues related to dashboards and underlying queries * Collaborate cross-functionally with clinical, business, and analytics teams to translate requirements into actionable reporting solutions * Ensure data accuracy and quality through validation, QA checks, and proactive monitoring * Manage the full lifecycle of dashboard development-from requirements gathering to deployment and user support * Stay current on CMS Risk Adjustment guidelines to ensure accurate and compliant reporting 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: * High School Diploma/GED (or higher) * 4+ years of experience in healthcare analytics role including Tableau development * 4+ years of experience with SQL * 2+ years of experience with Power BI * 2+ years of experience with Snowflake Preferred Qualifications: * Bachelor's degree in quantitative field such as Statistics, Mathematics, Engineering Finance, Health Administration, or other related field * 6+ years of experience in healthcare analytics * Experience integrating Python scripts within Tableau using TabPy for advanced calculations and model-driven visualization * Risk adjustment experience * Knowledge of CMS regulations and Medicare Advantage risk adjustment methodologies such CMS-HCC model (Hierarchical Condition Category), and risk score calculation * Proficiency in Power BI, especially in the context of transitioning Tableau reports * Strong attention to details and accuracy * Strong problem-solving skills and analytical thinking across data visualization, analysis, and reporting. * Strong communication and documentation skills to support cross-team collaboration * Demonstrated commitment to data accuracy and a strong ability to present data through impactful visual storytelling. * Exposure to AI capabilities * Expert in Python or R * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and ensuring consistency and efficiency of major, complex, and strategic cross-divisional and enterprise-wide projects and initiatives from inception to completion. Provides oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines. Interacts with all levels of management including senior management. Supports the prioritization of transformational program activities and tracks progress to goals. Support writing and executing test cases based on business requirement hands on experience with SQL excel and test management **NOTE: This hybrid role can be located in CHICAGO IL, NASHVILLE, TN or RICHARDSON TX ~ relocation will not be offered; sponsorship is not available.** **Required Job Qualifications:** *** Bachelor's degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement,** project management, business operations or relevant health care industry experience * 3 years of experience leading with large and complex multi-million-dollar projects. * Experience communicating with senior management from multiple divisions. *** Experience developing and delivering presentations.** * Problem resolution experience and skills. * Knowledge of strategic planning techniques and industry trends * Experience interpreting business and financial information * Negotiations skills. *** Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.** * Organizational skills. * Experience managing multiple complex projects successfully. * Detail oriented. * PC proficiency to include MS Office products * Knowledge and/or experience with: + **· Medicare Part A/B/D** + · Provider workflows & Provider application - Symplr + · EDI formats - 837 I&P, 276/277, 270/271, 278, 834 + · Member Enrollment - Elements application + · Member Collaterals + · Provider Credentialing - sCRED application + · Claims Intake process + · Claims Adjudication logic - FACETS application + · EOB + · Provider Payments - 835 remittance files & EOP + · CMS reporting + · SalesForce + · Evolve/Broker *** Test case management tools such as Zephyr** * Agile tool such as Jira/Rally * SQL * Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge **Preferred Required Job Qualifications:** * Proven strategic thinking and execution * Ability to drive decisions, create optionality and determine impacts of options \#LI-BS1 \#LI-Hybrid \#INCR **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $82,700.00 - $149,300.00 Exact compensation may vary based on skills, experience, and location. **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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The essential functions of the EAP Management Consultant clinical position include providing strategic management consultation and organizational support to all levels of a customer's organizational structure and the clinical case management of employer-based referrals. The Management Consultant acts as an external champion who is recognized as a content expert in the areas of EAP, Behavioral Health, and Work / Life issues, providing consultation to key customer functions including Human Resources, Management/Supervisors, Occupational Health, Safety / Security, Unions and Legal. The Consultant responds to crisis calls and coordinates urgent, emergent care and Fitness for Duty evaluations ensuring public and workplace safety. Work Schedule: Full-Time: 40 HPW Work Location: San Francisco, CA (Remote) The EAP Management Consultant is a strategic partner for client customers around critical workplace issues involving behavioral disturbances, violations of company drug free workplace policies, workplace violence and other risk issues impacting the individual employee, the workplace and/or the community/general public. Primary Responsibilities: * Collaborates, consults and coaches client company HR, Occupational Health, and management leadership including senior executives, security and legal at all levels to address organizational, behavioral, and performance concerns, identify options and develop appropriate strategic action plans. Performs behavioral risk screenings for the organization and individual employee for a wide variety of workplace and individual behavioral issues impacting job performance Assures appropriate resources are engaged * Facilitates Federally mandated and regulatory Drug free Workplace and other safety sensitive initiatives such as DOT, NRC, Threats of Violence following pertinent regulatory and best practice guidelines * Conducts in-depth telephonic clinical assessment and referral, assesses members for risk factors when appropriate to ensure member's safety and intervenes appropriately on emergency calls while staying within the scope of EAP/MC services * Provides telephonic solution focused psychoeducation/consultation to management referred employees * Manage cases on referred employees using their clinical skills and judgment to identify underlying clinical issues that may impact on workplace performance, selecting providers with specific expertise to address the identified clinical concerns and / or determine the appropriate level of care * Reviews initial clinical assessment with providers and relays workplace and job performance concerns and expectations involving job performance, mental health, chemical dependency and other behavioral issues * Certifies and authorizes and/or coordinates necessary treatment or EAP services. Discusses treatment plans with provider and negotiates changes as per Level of Care guidelines and EAP best practices * Conduct organizational consultations to managers, supervisors, HRBP, and other organizational leaders to address any workplace concerns * Provides referrals to internal resources such as Work Life, Legal and Financial Services as well as Community Resources as appropriate * Provide backup support across workplace support teams and other EAP teams as needed * Coordinates care with emergency services, CIRS, care management team and other managed health organizations as clinically appropriate * Obtains supervision case consultation from supervisors on a regular basis regarding member care, high risk issues and protocols, policy and procedural changes and updates regarding existing, former, or new client groups * Quotes and explain benefit coverage to members and to providers. Follows appropriate benefit eligibility procedures * Follows internal ethical and regulatory privacy policies such as HIPPA, maintaining confidentiality and private health information of members. Follows state and federal licensing practices. Document necessary case information using same guidelines * Use UHG computer-based case management portals. Creates and maintains appropriate clinical records * Participate in staff meetings, case conferences, and in-service opportunities * Participates as directed in the Quality Assurance Program * Engages in projects and other activities as directed by the Management Consultant Supervisor Manager * Demonstrates a willingness to support and grow both the culture and mission of Optum and the UnitedHealth Group * Works cooperatively with MC team and other UHG departments You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Master's degree in counseling, Psychology, Social Work, or related field * Current, unrestricted, independent behavioral health license in the state of residence (LPC, LCSW, LMFT, PsyD / PhD Licensed Psychologist) * Active state of California independent license and must reside in the state of California * 3+ years post masters direct clinical experience in settings such as: EAP, managed care, private or public clinics * 3+ years of experience in mental health, chemical dependency, and workplace issues * Advanced knowledge of behavioral risk factors and have ability to assess a wide variety of workplace behavioral and performance issues * Demonstrated fluency in accessing appropriate referral within or outside the company * Solid interpersonal skills and the ability to work effectively among different levels of management and personnel Preferred Qualifications: * Certified Employee Assistance Professional (CEAP) * Training or work experience in EAP, workplace, and organizational dynamics * Familiarity with regulatory knowledge including Department of Transportation, Nuclear Regulatory Commission and Department of Defense * Fluent in both Spanish and English (spoken and written) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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 hourly pay for this role will range from $28.94 to $51.63 per hour 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 SummaryThe Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support clinical and business stakeholders. This role will be accountable for the analytical support and consultancy of internal/external customers, as well as advisory service for internal/external senior leaders. Required Job Qualifications: Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field Proficient at querying a wide variety of internal and external data sources to uncover meaningful insights and drive measurable business results Performance excellence in computer languages, such as SQL, R, Python and Teradata Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI High degree of business intelligence with proven experience working with analytic initiatives from conception to successful implementation, delivering actionable insights that influence strategic and operational outcomes Strong interpersonal skills that can be leveraged to deliver meaningful business focused presentations to our matrix partners and provide a clear interpretation of the analysis performed Demonstrate success working both independently and in cross-functional team settings Proven ability to work effectively in a matrixed environment and deliver quality outputs on tight deadlines Preferred Job Qualifications: Experience with CMS healthcare data (e.g., MMR, Claims, Eligibility, Provider) Experience with CMS payment methodologies (e.g., IPPS, OPPS, etc.) Familiarity with medical and pharmacy claims, ICD10, DRG, APC, HCPCS, and/or other CPT codes Experience with version control/collaborative tools, such as GitHub This is a Flex (Hybrid) role: 3 days in office; 2 days remote. Sponsorship is not available. #LI-PD1 #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$61,500.00 - $136,100.00 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 SummaryJob Purpose: This position is part of the Center for Responsible AI and AI Governance support function and is responsible for the execution of activities to support the enterprise AI Governance program. Responsible for creating and maintaining AI governance operational dashboards to track and monitor projects in the AI governance process. This role collects, organizes, analyzes, and reports information to management, and supports the evolution of the AI governance processes, policies, and procedures.Required Job Qualifications: Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree in related field OR 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights. Ability to create a dynamic and visually engaging dashboard leveraging data visualization tools such as Power BI. Excellent communication and presentation skills. Ability to work independently and as part of a team. Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life. Preferred Job Qualifications: Three (3+) year's experience in a data and analytics role where strong detail orientation was required. Two (2+) years of experience in data visualization and building dashboards, particularly with Power BI. Strong Proficiency in MS Excel, and PowerPoint. Project management skills, including planning, execution, monitoring, and closing projects, as well as needs assessment, solution design, and recommendations. Familiarity with AI and governance concepts. Effective time management, prioritization, and decision-making skills. Experience in defining success criteria and establishing metrics/KPIs. Understanding of IT/IS laws and regulations (e.g., HIPAA) and governance frameworks (e.g., NIST, COBIT, ITIL, HITRUST). 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$61,500.00 - $136,100.00 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 leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and ensuring consistency and efficiency of major, complex, and strategic cross-divisional and enterprise-wide projects and initiatives from inception to completion. Provides oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines. Interacts with all levels of management including senior management. Supports the prioritization of transformational program activities and tracks progress to goals. Support writing and executing test cases based on business requirement hands on experience with SQL excel and test management NOTE: This hybrid role can be located in CHICAGO IL, NASHVILLE, TN or RICHARDSON TX ~ relocation will not be offered; sponsorship is not available. Required Job Qualifications: * Bachelor's degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry experience * 3 years of experience leading with large and complex multi-million-dollar projects. * Experience communicating with senior management from multiple divisions. * Experience developing and delivering presentations. * Problem resolution experience and skills. * Knowledge of strategic planning techniques and industry trends * Experience interpreting business and financial information * Negotiations skills. * Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. * Organizational skills. * Experience managing multiple complex projects successfully. * Detail oriented. * PC proficiency to include MS Office products * Knowledge and/or experience with: * · Medicare Part A/B/D * · Provider workflows & Provider application - Symplr * · EDI formats - 837 I&P, 276/277, 270/271, 278, 834 * · Member Enrollment - Elements application * · Member Collaterals * · Provider Credentialing - sCRED application * · Claims Intake process * · Claims Adjudication logic - FACETS application * · EOB * · Provider Payments - 835 remittance files & EOP * · CMS reporting * · SalesForce * · Evolve/Broker * Test case management tools such as Zephyr * Agile tool such as Jira/Rally * SQL * Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge Preferred Required Job Qualifications: * Proven strategic thinking and execution * Ability to drive decisions, create optionality and determine impacts of options #LI-BS1 #LI-Hybrid #INCR Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $82,700.00 - $149,300.00 Exact compensation may vary based on skills, experience, and location.