Sr Sup Govt Member Care Job Listing at HCSC in Downers Grove, IL (Job ID R0031114)

Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary This Position Is Responsible For Supervising Staff Involved In A Variety Of Medical Management Operations. Responsible For Hiring, Training, Performance Reviews, Pay Administration, Change Management And Ensuring Staff Meet/Exceeds Goals And Initiatives. Implement Processes, Procedures And Initiatives And Monitor Results, Ensure Delivery Of Effective Customer Service, Ensure Department Is Meeting Account Contracts Requirements, And Work Across The Organization In Delivery Of Services To The Customer. Ability And Willingness To Travel Including Overnight Stays.

100% REMOTE

Job Qualifications:

• Bachelor's degree OR clinical licensure (RN, LISW, LMSW, LPC, RD, etc.) with unrestricted, current clinical license in the state of operations.
• 3 years of experience in one or more of these fields: managed care operations, case management, customer quality of care in clinical settings, public or government health sponsored programs)
• Knowledge of/experience with managing Medicaid benefits/programs, i.e. traditional Medicaid, dual eligible populations
• Leadership experience and skills
• Knowledge of medical terminology and procedures
• Knowledge of accrediting body requirements (i.e., NCQA, EQRO)
• Verbal, written and interpersonal communication skills.
• Analytical skills and sound judgment.
• PC proficiency to include Microsoft suite of applications.
• Ability and willingness to travel including overnight stays.

Preferred Job Qualifications:

• Case Management Certification
• 1 year supervisory/management experience
• Experience in program development and driving results of managed care or related program(s).
• Bilingual, English/Spanish a plus

*CA

#LI-REMOTE

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

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.

 Apply on company website