Found in: S US – 9 hours ago
Chicago, United States Health Care Service Corporation Full time
Job ID: FIW-1049150 Description:
**POSITION IS FOR THE CHICAGO OFFICE, WITH A HYBRID/FLEX WORK SCHEDULE**
Project Management (not IT related), Utilization Management, Care Management PREFERRED
BASIC FUNCTION:
This position is responsible for monitoring Medicaid and related regulations and policy changes impacting operations; participating in audits; supporting tracking and submission of Medicaid State Contract(s) related deliverables, including fulfillment of internal and contractual reporting requirements; working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicaid program are met; and assisting MCO in coordination of the contract with the State/CMS enterprise-wide.
JOB REQUIREMENTS:
*Bachelor Degree in Business OR 2 years experience with health insurance.
*1 year of experience with health insurance benefits and/or operations.
*Knowledge of Medicaid and Medicare product(s).
*Verbal and written communication skills.
*Experience presenting trends and findings in meetings with management.
*Experience organizing multiple tasks and responsibilities.
*Experience analyzing data reports.
*Experience developing and running queries in a database.
PC proficiency to include Microsoft Word, Excel, PowerPoint, and Outlook.
#LI-Hybrid
*CB
DICE 14
*CA
Relocation assistance will not be provided for this position.
Sponsorship will not be provided for this position.
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.
Requirements: Expertise
- Government Programs, Regulatory & Compliance
Government Programs, Regulatory & Compliance Job Type
- Full-Time Regular
Full-Time Regular Location
- IL – Chicago
IL – Chicago
BCBSTX complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.