Jobs at Health Care Service Corporation

Provides strategic leadership for the Stop Loss product, including vision, roadmap, prioritization, product development, profitability, revenue growth, customer acquisition, and retention. Serves as product owner, partners with IT, Operations, Sales, Account Management, and Marketing, evaluates strategic opportunities, oversees budgets and resources, and develops business cases and ROI analyses. Leads cross-functional initiatives, mentors staff, and presents product strategies to senior leadership.

Ten-week infrastructure engineering internship supporting IT infrastructure initiatives, troubleshooting, research, data analysis, project deliverables, and cross-functional solutions. Interns learn infrastructure processes, tools, cloud platforms, automation, and operating systems while contributing to departmental improvements and presenting final project results to leadership.

Participates in a ten-week internship supporting business and technical projects. Conducts research, analyzes data, develops recommendations, collaborates with cross-functional teams, supports initiatives improving business and member outcomes, and presents project results to leadership. Maintains confidentiality and complies with HIPAA and corporate policies while developing analytical, organizational, communication, and problem-solving skills.

Drafts account-specific contracts and booklet documents, reviews non-standard language requests, resolves issues, coordinates staff training, conducts accuracy audits, and leads daily team operations. The role consults with staff, escalates concerns to management, and serves as a liaison between employees and leadership. Candidates need contract-drafting experience, strong judgment, communication and problem-resolution skills, deadline management, and Microsoft Office proficiency.

Creates reports, datasets, analytics, and actionable insights for business decision-makers. Gathers reporting requirements, analyzes complex internal and external data, identifies trends, supports strategic initiatives, consults with users, and interfaces between business and data teams. Leads functional teams and projects, presents findings, and develops reporting tools aligned with business needs.

Participates in a 12-month healthcare payer leadership development program, supporting strategic projects across business and functional areas. Develops skills in strategic planning, analytics, communication, leadership, and project management while working with senior executives and cross-functional teams. Participants receive mentorship, networking opportunities, enterprise development, and exposure to healthcare priorities including value-based care, pharmacy, network strategy, and individual and family markets.

Manages existing client relationships to support business growth and retention. Responsibilities include negotiating renewals, identifying opportunities for additional products and services, understanding customer needs, providing account support, analyzing reports, and building strong customer relationships. The role requires a state General Lines Agent Life, Health, and HMO license, healthcare management or customer service/sales experience, strong communication and decision-making skills, and travel as needed.

Supports the strategy, design, growth, and optimization of Medicare Advantage provider Value-Based Care programs and alternative payment models. Evaluates performance, develops contracting strategies and documentation, interprets analytical and market insights, and prepares executive recommendations. Leads complex workstreams, manages multi-million-dollar projects, collaborates with senior stakeholders, and drives strategic decisions across healthcare programs.

Leads large, complex projects or programs across claims, Medicaid, or value improvement portfolios. Accountable for end-to-end delivery, budgets, schedules, dependencies, scope, risks, stakeholder relationships, and business outcomes. Coordinates technical and business teams through software development lifecycle activities, removes delivery barriers, manages issues and changes, and drives efficiencies in a matrix environment.

Participates in implementing, maintaining, and analyzing actuarial models, studies, and systems for pricing, underwriting, statistics, reserving, and forecasting. Runs basic models, analyzes results, develops presentations and documentation, and learns health insurance and actuarial business concepts through technical and enterprise new graduate development programs.

Participate in a formal ten-week internship supporting business objectives and member-focused solutions. Analyze data, conduct research, develop recommendations, contribute to project deliverables, collaborate with cross-functional business and technical teams, support improvement initiatives, and present project results to leadership. Maintain confidentiality and comply with HIPAA and corporate policies while developing business, technical, analytical, and communication skills.

Leads financial balancing, reconciliations, premium and claims reporting, payments, journal entries, auditor communications, and financial reporting system changes. Oversees department controls, approves reconciliations and journal entries, coordinates system implementations for new products and corporate transactions, and manages financial processes and reporting quality.

Manages financial and IT audits, audit coordination, regulatory and government audits, and independent auditor systems work. Oversees information systems internal controls, negotiates audit findings, prepares reports for senior management and the audit committee, and leads audit staff and diverse projects. The role requires expertise in internal auditing, risk assessment, controls consulting, audit standards, and project management.

Manages professional provider contracting, credentialing, data maintenance, and network participation activities. Builds relationships with healthcare providers, supports data integrity and quality initiatives, researches credentialing and network issues, and provides provider training and education. Analyzes operational and provider performance data, coordinates issue resolution across departments, participates in provider meetings, and supports network, claims, reimbursement, and healthcare administration processes.

Owns enterprise analytics standards, governance, and the end-to-end dashboard development lifecycle. Serves as the subject matter expert for Power BI, AI-enabled analytics, and the MEE Data Agent platform. Establishes scalable operating models, reusable assets, automation, and modern development practices to improve productivity and quality. Partners with business, product, analytics, and technology teams to embed generative AI, drive platform adoption, and expand self-service analytics across the organization.

Supports the design and implementation of financial and management reporting and analytics. Oversees business intelligence strategy, KPI alignment, report rationalization, data governance, and reporting automation. Partners with finance and actuarial teams to improve reporting efficiency, consistency, quality, timeliness, and risk management. Requires business intelligence, relational database, project management, strategy, change management, process improvement, and reporting experience, with Oracle reporting expertise preferred.

Facilitates instructor-led, virtual, and video-conference training using adult learning principles and effective classroom management. Assesses business learning needs, recommends solutions, supports knowledge transfer and speed to proficiency, and mentors new Performance Specialists. Partners with stakeholders and subject matter experts, leads projects, and provides coaching and facilitation guidance across multiple learning modalities.

Leads five employee journey teams and HR liaisons to deliver inclusive, high-quality employee experiences. Responsibilities include supporting HR integration and M&A, developing people programs, redesigning processes, driving continuous improvement, coaching leaders, managing budgets and resources, building business cases, and using data and technology to improve employee services and organizational effectiveness.

The IT Business Consultant validates healthcare business and technology solutions through requirements analysis, test strategy development, UAT, end-to-end testing, defect analysis, and process validation. The role collaborates with business, product, operations, technology, and vendor teams to ensure solutions meet Medicare, CMS, regulatory, and compliance requirements. Responsibilities include testing healthcare workflows involving claims, enrollment, providers, members, benefits, and digital platforms, while supporting Agile delivery and large-scale transformation initiatives.

Leads complex pharmacy program and product delivery from design through implementation and stabilization. Oversees delivery staff and pharmacy product portfolios while coordinating with Product, Business, Operations, and Technology teams. Ensures operational readiness, cross-functional solution development, governance, executive reporting, and achievement of business objectives. Requires enterprise implementation, project management, staff leadership, stakeholder communication, and healthcare or pharmacy delivery experience.