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The position is responsible for leveraging security data from internal sensors (IDS, routers, SIMS, firewalls, hosts) and external sources (Industry portals, the DoD, US CERT, partners, etc) to implement effective mitigations through the review of security event data for threat and potential attack activity; conducting incident handling, root cause analysis, tool tuning, developing and monitoring
Posted 3 days ago
To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose The position is responsible for identifying technical security vulnerabilities by conducting application analysis, netw
Posted 3 days ago
This position is responsible for leading Health Care Service Corporation's (HCSC) merger and acquisition (M&A) activities, overseeing HCSC's strategic venture investments, optimizing subsidiary governance, and leading the long term balance sheet and capital forecasting activities for the company. Responsible for analyzing the strategic and financial rationale behind potential acquisitions and dive
Posted 3 days ago
The position is responsible for the business analysis and process design/implementation for one or more end to end processes within SDO; documenting the detailed end to end process including its technological underpinnings; supporting operational process owners to modify, monitor, continually improve, and standardize in scope processes to achieve best in class efficiency, timeliness, quality and o
Posted 3 days ago
This position is responsible for the SDO process improvements in any of the following areas eligibility, enrollment & billing, claims administration and member/provider services across one or more lines of business. Partnering with operational process owners to establish strategic goals and process measures. Modifying, monitoring, continually improving, and standardizing in scope processes to
Posted 3 days ago
To do everything in our power to stand with our members in sickness and in health. Our IT team unleashes the power of this purpose through technology. We come to work every day to make a difference, and we deliver the highest quality and best solutions to our members. Job Purpose This position is responsible for designing enhancements and new business applications and/or information systems soluti
Posted 4 days ago
This position is responsible for assisting PDL with end to end delivery of portfolio programs and projects to ensure successful execution and alignment with business needs; ensuring program and project performance metrics are met to deliver key business value; providing technical insight to assist with troubleshooting of delivery issues. Required Job Qualifications Bachelor's Degree and 5 years
Posted 4 days ago
This is a union position. BASIC FUNCTION This position is responsible for researching and responding to telephone and written inquiries in a prompt, accurate and objective manner. JOB REQUIREMENTS High School Diploma or GED. 1 year customer service experience in a health care or health insurance environment. Experience evaluating customer situations, making decisions, and responding quickly to que
Posted 4 days ago
BASIC FUNCTION This position is responsible for supervising and overseeing day to day operations of Customer Service units. JOB REQUIREMENTS Bachelor Degree and 2 years business experience OR 3 years business experience and 3 years experience in a leadership position with sound decision making skills in a customer service environment. Experience in developing/leading and inspiring employees. Clear
Posted 4 days ago
BASIC FUNCTION This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes qua
Posted 4 days ago
BASIC FUNCTION This position is responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes qua
Posted 4 days ago
Health Care Service Corporation
- Richardson, TX / Chicago, IL / Albuquerque, NM
POSITION CAN BE LOCATED EITHER IN THE CHICAGO (IL) HQ, RICHARDSON (TX) HQ, OR ALBUQUERQUE (NM) HQ BASIC FUNCTION This position is responsible for developing and executing a variety of communications to meet the needs of multiple audiences through interaction with key stakeholders, subject matter experts and management at all levels of the organization; drafting, editing and supervising the product
Posted 4 days ago
Health Care Service Corporation
- Oklahoma City, OK / Richardson, TX / Chicago, IL / 1 more...
There are two positions associated with this posting. These positions can be based in any of these locations qualified applicants need to be based a commutable distance to Chicago, IL, Albuquerque, NM, Oklahoma City, OK or Richardson, TX. BASIC FUNCTION This position is responsible for facilitating clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with clinical practice
Posted 5 days ago
POSITION IS LOCATED IN THE CHICAGO, IL. HQ BASIC FUNCTION This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. Works with internal departments and external vendors to evaluate and resolve pharmacy related issues. JOB REQUIREMENTS Verbal and written communication skills Managed care customer service experience Demon
Posted 5 days ago
POSITION IS LOCATED IN THE CHICAGO HQ BASIC FUNCTION This position is responsible for performing pharmacy program quality improvement activities including but not limited to reviewing and supporting formulary (drug list) and Utilization Management (UM) programs. This position is responsible for performing comprehensive medication reviews of individual member drug use as well. JOB REQUIREMENTS Reg
Posted 5 days ago
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