Full-Time

Health Coordinator Govt Prog

Posted on 11/19/2024

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$17.2 - $28.81Hourly

Junior, Mid

Remote in USA

Must reside in the Chicagoland Area.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Customer Service
Requirements
  • 1 year of college and 2 years experience with automated systems OR 3 years experience with automated systems.
  • 1 year experience with managed care system(s).
  • Experience coordinating member needs, providing assistance to members, and analyzing member needs.
  • Knowledge of medical terminology.
  • Knowledge of managed care claims systems.
  • PC proficiency including Microsoft Office applications.
  • Customer service skills.
  • Verbal and written communication skills including interpersonal skills to assist and educate members and coordinate care with community partners, physician offices, developing written correspondence to members and to other department personnel, and to support department personnel and functions.
  • College coursework or at least one (1) year of experience in social work and/or clinical psychiatry
  • Certified Recovery Support Specialist certification (CRSS)
  • Previous experience with the Medicaid and Medicare population
Responsibilities
  • Contacting Members, Clinical Staff, Community Partners And Physicians On Case And/Or Care Management.
  • Contact Members To Inform And Educate Them On Our Medical Management Programs.
  • Conducting Research, Performing Data Entry, Responding To Inquiries From Members, Assist With The Completion Of Health Risk Assessments, And Receive Member Calls Regarding Quality Of Care And Supporting The Clinicians In The Government Programs Department With Their Provider And Member Activities.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC's plans work by collecting premiums from members, which fund the healthcare services they provide. In addition to insurance, HCSC invests in health and wellness programs aimed at lowering healthcare costs and enhancing the health outcomes of its members. What sets HCSC apart from other health insurance providers is its long-standing experience in the industry and its commitment to compassion and innovation in healthcare. The company's goal is to empower people to lead healthier lives while maintaining a focus on quality care.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • The new Houston office will create numerous job opportunities, fostering local economic growth and community development.
  • The acquisition of Cigna's Medicare businesses will expand HCSC's product offerings and geographic reach, benefiting current and future members.
  • Recognition as one of the 'Best Places to Work in IT' and having a CEO listed among the 'Most Influential People in Healthcare' highlight HCSC's strong leadership and positive work environment.

What critics are saying

  • The $231,900 fine from the Illinois Department of Insurance for an inaccurate provider directory could damage HCSC's reputation and trust with members.
  • The integration of Cigna's Medicare businesses may pose operational challenges and potential disruptions.

What makes HCSC unique

  • HCSC's strategic expansion into local communities, such as the new Houston office, emphasizes its commitment to economic growth and local workforce development, setting it apart from competitors.
  • The acquisition of Cigna's Medicare businesses significantly enhances HCSC's capabilities and reach in the growing Medicare market, providing a competitive edge.
  • HCSC's collaboration with Feeding America to address root causes of hunger showcases its holistic approach to community health, beyond traditional healthcare services.

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