Health Care Service Corporation

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

Government Programs Care Manager Support Specialist I

Learning and Development

• 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

General

• Design enhancements and new business applications and/or information systems solutions by integrating technical and business requirements
• Serve as technical designer to identify optimal solutions and produce technical specifications within the code environment
• Link business analyst needs and architect definitions to technical solutions
• Lead and support high-profile Utilization Management and Care Management initiatives
• Translate complex business and operational requirements into scalable technology solutions
• Apply healthcare interoperability standards and frameworks such as FHIR and Da Vinci
• Collaborate with external vendor partners and cross-functional teams, including engineering, infrastructure, and business stakeholders
• Support production operations and manage user incidents
• Participate in technical bridge calls
• Support scheduled after-hours and weekend maintenance activities to ensure system stability and performance

Systems Specialist

Director

• Direct, motivate, and maintain a dedicated and professional Account Management team
• Ensure the team meets or exceeds retention, client satisfaction, and profitability goals
• Deliver exceptional service to assigned accounts
• Provide strategic leadership for a single, highly complex national account
• Engage with clients at the executive level
• Drive long-term business outcomes and client retention
• Manage complex group health managed care accounts and executive-level client relationships
• Oversee annual budget development, resource allocation, and operational planning
• Translate business needs and strategic initiatives into business cases and actionable plans
• Conduct cost-benefit analyses and evaluate investments to drive business value and return on investment
• Travel as business needs require

Director of Enterprise National Account

• Lead, motivate, and develop a dedicated, high-performing Account Management team
• Ensure the team meets or exceeds retention, profitability, growth, and client satisfaction objectives
• Deliver exceptional service to assigned accounts
• Provide strategic leadership and foster strong client relationships
• Drive business results through effective account management practices
• Manage major and national managed care accounts
• Oversee annual budgets and allocate resources across projects and operational priorities
• Translate business needs and strategic initiatives into compelling business cases
• Conduct cost-benefit analyses to evaluate investments and ensure ROI
• Travel as business needs dictate

Director of Enterprise National Accounts

Project Manager

• Manage and lead major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion
• Oversee project teams, resources, budgets, timelines, coordination, and implementation
• Interact with all levels of management, including senior management
• Track project progress and updates, and monitor deliverables, milestones, and issues for accurate reporting
• Develop and maintain an audit tool for hundreds of groups to identify errors in group setup and go-live processes
• Evaluate internal projects for quality assurance and cost-effectiveness
• Help subject matter experts select the best data to share for project success with PBMs and other vendors
• Create process flows to streamline and document proper process channels for internal standard operating procedures
• Organize and participate in meetings and workshops to foster a shared project approach and track progress

Project Management Consultant

Marketing

• Lead marketing for direct-to-consumer growth for Medicare Advantage
• Develop and execute strategies to achieve application and call volume goals
• Focus on DRTV and digital marketing channels
• Optimize channel performance for member acquisition
• Lead cross-functional initiatives and drive organizational alignment
• Make data-driven decisions against growth, volume, and cost targets
• Communicate results clearly to executive leadership

Senior Segment Marketing Advisor – Medicare Advantage

Infrastructure Engineer

• Design, implement, and manage database assets in cloud environments
• Leverage enterprise automations and monitoring tools
• Customize cloud systems to meet performance, maintenance, and security requirements
• Set up automation for infrastructure-as-code provisioning of Cosmos DB, Azure SQL Database, Azure SQL Managed Instance, Azure Database for PostgreSQL, and related PaaS databases
• Set up standards for automation
• Establish best practices for PaaS database automation
• Work with database Subject Matter Experts to establish database automation standards and provision environments

PaaS Infrastructure Engineering Consultant – Cloud Automation, Tools

Customer Advocate

• Work on the phone in a call center approximately 90% of scheduled time
• Assist members and physicians by responding to telephone and written inquiries
• Respond to inquiries in a prompt, accurate, and objective manner
• Conduct research
• Evaluate customer situations and make decisions
• Respond quickly to questions

Customer Advocate II

Sales

• Execute the HealthSpring strategy for local topline sales agencies, directly contracted agents, and broker down-line sales within the managed market
• Drive profitable membership growth through broker, agency, provider, community partner, and Center of Influence relationships
• Recruit and cultivate new agency partnerships
• Conduct sales presentations
• Plan and execute community and sales events
• Train agents and brokers
• Monitor sales performance against goals
• Use Salesforce CRM, reporting tools, and data analysis to track activities, measure results, and identify growth opportunities
• Support lead management, business planning, brand promotion, and broker engagement efforts
• Ensure compliance with CMS Medicare Marketing Guidelines and organizational policies

Lead Associate, Medicare Broker Sales

Content Writer

• Write and lead activities associated with large, national Requests for Proposals
• Produce high-quality proposals for new and existing business opportunities under strict deadlines
• Collaborate with Sales, Account Management, Underwriting, and internal stakeholders on proposal strategy and competitive positioning
• Analyze RFPs, requirements, statements of work, terms and conditions, definitions, and submission instructions
• Write, edit, organize, package, proofread, and quality-assure proposal responses
• Coordinate assigned projects independently according to detailed customer specifications
• Assist with pricing proposals, standard program proposals, and ad hoc sales-cycle documents
• Maintain proposal-ready response materials, Responsive library content, and templates
• Support Sales and Account Management with product, process, and administrative-policy questions
• Lead or participate in resolution of RFP and proposal-process issues
• Interview subject matter experts to ensure response accuracy and completeness
• Provide writing and draft-review support for proposals and sales presentations
• Improve proposal-cycle processes and distribute process-improvement information
• Interact with technical staff, executives, customers, and other organizational stakeholders
• Manage multiple projects simultaneously
• Mentor, train, and assist junior Proposal Writers

Senior Proposal Writer

Analyst

• Develop reports based on internal and external databases using common programming languages
• Create pricing models for network negotiations and fee schedule updates used for claims adjudication
• Implement pricing information into the PREMIER Pricer system
• Validate and research report results using original operating systems and reporting databases
• Present reports to internal and external customers
• Respond to follow-up questions

Reimbursement Analyst I

• Analyze eligibility and benefits information
• Perform accurate data entry with high attention to detail
• Work in a fast-paced, customer service and production-driven environment
• Collaborate with team members, employees/members, providers, and clients
• Meet deadlines and provide strong follow-up
• Use proprietary systems and MS Excel/Word
• Identify potential problems and proactively take steps to remedy them
• Prioritize and adapt to business needs while supporting continued process improvement

Eligibility Analyst

• Write and lead activities associated with complex Requests for Proposals (RFPs) under strict deadlines
• Participate in resolving issues or concerns associated with the RFP process and ensure follow-through to resolution
• Coordinate assigned projects independently according to detailed customer specifications
• Assist internal departments with pricing proposals, standard program proposals and ad hoc documents supporting the sales cycle
• Support the Proposal Content Administrator in developing and maintaining proposal-ready response information and materials
• Write, edit, organize and package RFP responses in compliance with client requirements
• Support sales and account management staff with questions regarding products, processes and administrative policies
• Keep current with program, technical, product and service enhancements or changes
• Manage multiple projects simultaneously
• Communicate with Subject Matter Experts to answer client questions and accurately record new information in proposals
• Interact with technical, executive and other organizational staff
• Coordinate proposal kick-off meetings and ensure participants understand their roles and responsibilities
• Communicate effectively on unfamiliar topics to elicit technical and program information needed to answer client questions