Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary ***This is a hybrid opportunity that will work from the office 3 days a week. Must live in a commutable distance to the listed office.***This position is responsible for driving delivery, contingency planning, business results, and strategic planning for highly complex program(s) consisting of multiple projects or initiatives in support of assigned line of business strategy. Oversees the day-to-day activities of project delivery and contingency execution strategy, vendors relationship management, and business partner engagement while managing various enterprise-wide projects or initiatives. Ensures integration between partner teams and serves as a functional business liaison in the development and implementation of program scope, timing, and budgets as needed, based on the needs of the business. Responsible for tracking key program milestones and recommending adjustments to program leadership and team.
Job Requirements:
Bachelor degree and 3 years of business requirement experience OR 7 years of business requirements experience in health insurance operational functions or relevant experience
Knowledge of and experience in payer operations
Implementation experience
Clear and concise interpersonal, verbal and written communication skills
PC proficiency with Microsoft applications including access, excel, word and power point
Preferred Job Experience (HIGHLY PREFERRED):
1-2 years project management experience and ability to lead multiple projects
Knowledge of claims systems (Claims, BlueChip, ITS)
Know how the different BCBS organization interact (Network, HCM, Customer Service, etc.)
Understanding of proper "Coding Guidelines" (ICD-10, etc.)
We encourage people of all backgrounds and experiences to apply.
Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.
*Sponsorship will not be provided for this role.*
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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