Health Care
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
#INCR
#LI-BS1
#LI-Hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .
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. (https://hcsc.recsolu.com/app/collect/form/pmPA8v_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 1-866-977-7378 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.
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
#INCR
#LI-BS1
#LI-Hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .
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. (https://hcsc.recsolu.com/app/collect/form/pmPA8v_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 1-866-977-7378 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.