Health Care Service Corporation

Network Operations

• Manage overall performance/HEDIS quality measures
• Manage Medicare Annual Wellness Visit/Attestation completion
• Manage provider relationship management
• Support operations and systems, including the Population Health platform and Salesforce updates
• Collaborate with cross-functional internal and external stakeholders
• Maintain professional provider data to support value-based care initiatives, membership, and network operations
• Build relationships with the provider community
• Promote high-quality initiatives to support data integrity
• Lead specialized operational and provider support duties requiring independent initiative and problem-solving
• Participate in internal provider meetings and work groups
• Research problems related to provider performance, engagement, data, and network participation

Network Ops Coordinator II

Infrastructure Engineer

• Participate in HCSC's formal internship program and support business objectives and member-focused solutions
• Work with cross-functional business and technical teams
• Contribute to infrastructure project work, analyze information, and support solution development
• Learn and apply organizational processes, programs, and technologies with increasing independence
• Create, drive, and deliver entry-level IT infrastructure initiatives
• Review infrastructure playbooks and suggest modifications
• Gain understanding of infrastructure processes
• Perform basic troubleshooting
• Learn tools used by Infrastructure teams
• Own components of project work and deliverables with guidance from a mentor and manager
• Conduct research, analyze data and information, and develop recommendations for business decisions
• Collaborate with cross-functional teams
• Support departmental initiatives improving business outcomes and member and client experience
• Develop and deliver a final internship presentation to department leadership covering the project, results, and recommendations

Infrastructure Engineer Intern

Business Analyst

• Participate actively in HCSC’s formal internship program
• Support business objectives and member-focused solutions
• Work closely with cross-functional business and technical teams
• Contribute to project work and analyze information
• Support development of solutions addressing organizational needs
• Learn and apply organizational processes, programs, and technologies
• Demonstrate increasing independence and ownership of assigned deliverables
• Own components of project work and deliverables with guidance from an assigned mentor and manager
• Conduct research, analyze data and information, and develop recommendations informing real business decisions
• Collaborate with cross-functional teams
• Support departmental initiatives improving business outcomes and member and client experience
• Develop and deliver a final internship presentation to department leadership covering the project, results, and recommendations
• Maintain confidentiality and comply with HIPAA, Diversity Principles, Corporate Integrity, and applicable compliance policies

Business Analyst Intern

Pharmacist

• Direct the development, maintenance, and ongoing oversight of clinical and operational programs and processes for enterprise pharmacy government programs of Medicare and Medicaid
• Oversee CMS Stars and Medicaid Quality Withhold programs
• Manage Medicare and Medicaid operational and reporting activities
• Develop programs for prescribers and networks of pharmacies
• Monitor pharmacy cost and utilization trends
• Develop clinical programs emphasizing disease management and clinical outcomes
• Develop and maintain reimbursement methodologies for pharmaceuticals
• Oversee contracted pharmaceutical benefit managers (PBMs)
• Ensure the overall effectiveness of government pharmacy operations and programs
• Collaborate with HCSC management, professional staff, and external healthcare providers to improve healthcare quality, optimize health outcomes, and improve cost of care

Clinical Pharmacy Manager

Consultant

• Create reports, insights, and analytics in support of the division
• Create report and analysis specifications based on business needs
• Provide consultation to users and lead cross-functional teams to address divisional issues
• Produce datasets and reports for analysis using system reporting tools
• Research and assist in analyzing data related to strategic initiatives and broader research needs
• Interface between business and divisional data teams to generate actionable tools for analysis and reporting
• Build customer relationships and deepen understanding of divisional data
• Analyze complex business problems using internal and external data sources to provide insight to decision makers
• Identify and interpret trends and patterns in datasets to locate influences

Analytics and Reporting Consultant

Learning and Development

• Participate in a 12-month Leadership Development Program in the health care payer space
• Support strategic projects across multiple business and functional areas
• Work on projects related to Value Based Care, Pharmacy, Network Strategy, Individual and Family Markets and enterprise priorities, depending on placement
• Develop strategic thinking, communication, leadership and project management capabilities
• Interact with and present projects to senior-level executives
• Participate in executive mentorship and networking across functional areas
• Develop innovative approaches to health care challenges
• Perform strategic planning, analysis, communication and leadership work
• Complete project work within a highly matrixed organization
• Participate in HCSC’s enterprise New Grad experience during the first year
• Complete formal orientation and enterprise development activities
• Connect with peers and company leaders across HCSC
• Perform meaningful role-specific work during the 12-month program

Early Careers New Grad – Leadership Development Program

• Support a broad array of strategic, analytical projects and divisional planning
• Assist with development of the business plan and strategy for Retail Markets
• Perform ad hoc analytic projects
• Interface with various business teams to achieve goals and desired outcomes
• Develop a thorough understanding of business needs and coordinate them with overall HCSC strategy
• Participate in executive mentorship, networking, project presentations and exposure to multiple business areas
• Develop innovative approaches to health care challenges
• Develop strategic planning, analysis, communication and leadership capabilities
• Complete project work throughout a highly matrixed organization
• Participate in HCSC’s enterprise New Grad experience and 12-month Leadership Development Program

Leadership Development Program, Early Careers New Grad

• Support the strategy, design, growth, and optimization of Medicare Advantage provider Value-Based Care programs and alternative payment models
• Integrate analytical findings, market insights, and business needs to inform VBC program strategy and design
• Evaluate program performance and identify strategic enhancements
• Develop VBC contracting strategies
• Develop VBC contract templates and program documentation
• Create executive-ready recommendations and presentations
• Independently lead complex workstreams and drive recommendations forward

Senior Business Consultant

Actuary

• Participate in implementation, maintenance and basic analysis of models, studies and systems using actuarial principles
• Support pricing, underwriting, statistics, reserving, forecasting and other actuarial functions
• Run, build and analyze results of basic models
• Develop oral and written presentation skills
• Learn basic business and actuarial concepts
• Participate in the Actuarial Student Program for role-specific technical and professional development
• Participate in HCSC’s six-month Enterprise New Grad Program
• Complete formal new employee orientation
• Attend professional development sessions
• Gain exposure to HCSC business areas, leaders and career paths
• Network and share learning with new graduate peers across the enterprise
• Participate in approximately four hours of virtual programming each month during the six-month program

Actuarial Analyst – Early Careers New Grad

• Support pharmacists, pharmacy coordinators, and pharmacy programs or initiatives
• Conduct member outreach and care coordination
• Resolve pharmacy-related issues
• Collaborate with internal departments, external vendors, providers, pharmacies, and members
• Evaluate and resolve pharmacy-related issues
• Facilitate access to care
• Provide high-quality member support for pharmacy programs and initiatives
• Promote medication adherence
• Address medication access barriers
• Facilitate referrals and connect members to appropriate resources
• Document interactions accurately and meet productivity goals

Pharmacy Technician Representative

Human Resources

• Provide timely, accurate, and customer-focused HR support to active employees
• Assist with processing HR transactions, including benefits, salary, and employment status changes
• Respond to employee questions through phone, chat, and AskHR cases
• Provide guidance on benefits, leaves of absence, payroll, HR policies, training, and work-life programs
• Escalate complex or sensitive inquiries to the appropriate HR team
• Ensure accurate and efficient resolution of employee inquiries

HR Service Center Representative I

Operations

• Provide assistance to pharmacists and pharmacy coordinators in resolving claims, pricing, and coding issues
• Work with internal departments and external vendors to evaluate and resolve pharmacy-related issues

Pharmacy Operations Representative

• Partner with operational SMEs and leaders to design, develop, deliver, and evaluate learning solutions
• Improve employee performance, speed to proficiency, and support business objectives
• Consult with stakeholders to identify performance gaps
• Conduct training needs analyses
• Create engaging instructor-led and digital learning experiences
• Measure learning effectiveness
• Serve as a learning and development expert driving instructional excellence, continuous improvement, and operational readiness across the organization

Senior Training Specialist

Customer Support

• Support administrative care management duties
• Conduct member and provider outreach
• Support healthcare initiatives and activities, including educational and quality campaigns
• Assist with scheduling care manager and member appointments
• Respond to member inquiries
• Perform data entry and research
• Support members' non-clinical needs
• Manage low-risk members for health-related social needs, education, and basic member outreach screenings/inquiries