Health Care Service Corporation

• Provide leadership and strategic direction in solving business problems using advanced mathematical and statistical methods. • Build advanced time-series models to forecast trends in medical spend using hierarchical Bayesian models and temporal fusion transformers. • Ensure scientific rigor and reproducibility of model evaluation. • Optimize models for accuracy and interpretability. • Communicate findings to stakeholders from technical ICs to top leadership.

Role Description In today’s fast-paced and rapidly evolving healthcare landscape, responsive, agile, reliable, and scalable technology is critical to achieving HCSC’s business objectives. As part of its continued business and technology transformation, HCSC is focused on adopting and expanding innovative solutions that enhance member responsiveness while improving operational efficiency. Intelligent Automation combining Robotic Process Automation (RPA) with advanced analytics and AI offers a significant opportunity to strengthen business capabilities. The Intelligent Process Automation Lab (IPAL) is building a team of experts dedicated to expanding delivery capacity and driving automation initiatives. This role within IPAL is responsible for supporting and maintaining automations developed on the UiPath RPA platform. Key responsibilities include: - Enhancing existing solutions - Ensuring optimal performance - Maintaining adherence to defined specifications - Serving as a technical lead to identify effective solution approaches within the UiPath environment - Translating business requirements and architectural direction into scalable, high-quality solutions - Collaborating with stakeholders to ensure successful automation outcomes - Participating in an On-Call rotation as required Qualifications - Bachelor Degree and 4 years Information Technology OR Technical Certification and/or College Courses and 6 years Information Technology experience OR 8 years Information Technology experience - Experience in Intelligent Automation, including administering UiPath RPA solutions - Knowledge of application configuration and system setup - Familiarity with SDLC methodologies, including Agile, Scrum, and iterative development - Understanding of cloud technologies (SaaS, IaaS, PaaS) - Knowledge of Scripting Languages - PYTHON - Service Oriented Architecture (SOAP/REST) - Knowledge of web technologies such as C# and VB.Net - Experience with rapid prototyping and solution design - Requirements definition and management - System performance monitoring and optimization experience - Demonstrated conceptual, creative, and analytical thinking abilities - Strong problem-solving skills - Excellent written and verbal communication skills - Experience working with code repository tools such as GitHub Requirements - Bachelor’s degree and 4+ years Information Technology OR Technical Certification and/or College Courses and 6+ years Information Technology experience OR 8+ years Information Technology experience - Proven ability to execute and deliver results - Strong interpersonal skills with the ability to collaborate across business and teams (business stakeholders, process owners, infrastructure, analysts, developers) - Experience mentoring and guiding development teams - Familiarity with additional web technologies (HTML, CSS, ASP.NET, PHP, Ruby) - Hands-on development experience with RPA platforms (UiPath or similar) - 3+ years of RPA development experience and 4+ years of overall IT experience - Experience creating Solution Design Documents (SDDs) aligned to best practices (modularity, reliability, maintainability, reusability) - 2+ years of hands-on programming experience (e.g., .NET, Java, C/C#, VB, Python, SQL, web services, or related technologies) - Exposure to multiple automation environments such as desktop, web, Citrix, Salesforce, Microsoft products, mainframe, or legacy systems - Knowledge of object-oriented design principles - Ability to multitask and lead development efforts to meet delivery timelines - Relevant certifications (UiPath and/or programming languages) - Experience working with cloud platforms such as Microsoft Azure or comparable technologies - Experience within the healthcare insurance industry Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

• drive strategy and ensure clinical excellence in clinical programs, Stars, risk adjustment and total cost of care • strengthen partnerships with providers and health systems in the Market • work closely with Independent Physician Associations (IPA), health systems, aligned managed service organizations (MSO) and independent practices

• Responsible for the day-to-day supervision and management of a remote team of customer service representatives • Enable the team to deliver exceptional service • Achieve client service expectations • Manage staff development

Role Description This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Business Analyst needs and Architect definition to technical solutions. Ensure the integrity, security, scalability, and daily availability of the databases supporting the Illinois and Texas Blue Chip and IRIS CICS applications through proactive monitoring and management activities. Qualifications - Bachelor Degree and 4 years Information Technology OR Technical Certification and/or College Courses and 6 years Information Technology experience OR 8 years Information Technology experience. - Knowledge of application configuration - Knowledge of Big Data Analytics - HAVeN / HADOOP / Autonomy / Vertica - Knowledge of Cloud computing / SaaS / IaaS / PaaS technologies - Knowledge of Integration Technologies - Tibco/Informatica/CAS - Knowledge of Mobile technologies - Phonegap / iOS / Android / Java / HTML5 - Knowledge of Scripting Languages - BASH / PERL / PYTHON / RUBY - Service Oriented Architecture - SOAP / REST - Web Technologies - HTML/CSS/Java/ASP.Net/PHP/Ruby/C# - Rapid prototyping - Requirements definition & management - SDLC Methodology - Agile / Scrum / Iterative Development - System Performance management - Conceptual thinking - Creative thinking - Problem solving and analytical thinking - Strong oral/written communication skills Requirements - Bachelor Degree in Computer Science or Information Technology related - Ability to execute - VSAM File: - Backup and Restore - Forward Recovery - Conversions for filler expansion, key restructuring etc. - Reorganizations and free space tuning - Naming convention standards - Special loads and reports or extract - Logstream management and design - Master file copybook creation and copybook change management - Disaster Recovery support - Data flow and file design and access key design consulting - Creation and initialization of test databases - Test copies of production files - Ad hoc record fixes - Batch tuning consultation - CICS memory and CICS topology - CICS VR administration - Support / Maintain database related applications: - Blue Chip Term Up (GTUP) and Terminal Operator File (GTOF) transactions - Record locking “Exclusive Control” process - Early morning production file availability transaction (EAIN) - Key Range Verify program to ensure the integrity of partitioned files. - SDO authorization reports. Audit requests and reports. Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.

Role Description Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: - Conducting research - Spending approximately 85% of the scheduled time on the phone according to business need Qualifications - High school diploma OR GED - 6 months customer service experience OR 6 months experience in an office environment - Data entry and/or typing experience - Interpersonal, verbal and written communication skills - Analytical and organizational skills and independent decision making skills - Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks Requirements - 9 months customer service experience (preferred) - Experience working with various lines of business, i.e. CDHP, Medicare, Wellness, and Disease Management (preferred) - Knowledge of medical terminology and anatomy (preferred) - Proven ability to learn quickly and adapt to change (preferred) - Referral preference given to applicants able to take and meet testing criteria (preferred) Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Role Description This position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for assigned areas. Provides advanced clinical leadership across medical management programs, integrating traditional utilization review with strategic population health, value-based care, and provider-performance initiatives. Aligns medical policy expertise with forward-leaning clinical strategy to influence quality, Stars-related performance, affordability, risk adjustment accuracy, and market-level outcomes. Qualifications - Physician with a current and unrestricted physician license in a state or territory of the United States. - Maintain Board Certification as a M.D. or D.O. (by a specialty board approved by the American Board of Medical Specialties or the Advisory Board of Osteopathic Specialists). - 5 years of clinical experience. - Analytical and communication skills. - Strategic thinking skills. Requirements - Ability to travel. - 3 years Managed Care experience. - IPA (Independent Physician Association) MSO or Value Based Enablement Organization Experience. - Advanced skills in clinical interpretation, communication, data-driven strategy, and collaborative leadership. - Experience with Stars performance, risk adjustment education, or provider engagement. - Experience in matrixed environments and cross-functional clinical leadership. Benefits - Health and wellness benefits. - 401(k) savings plan. - Pension plan. - A minimum of 15 days of paid time off. - Paid parental leave. - Disability insurance. - Supplemental life insurance. - Employee assistance program. - Paid holidays. - Tuition reimbursement. - Other incentives. Company Description At CareAllies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Role Description Responsible for the day-to-day supervision and management of a remote team of designated inbound and outbound customer service representatives enabling the team to deliver exceptional service. Responsible for successful achievement of client service expectations, Luminare Health’s service objectives and staff development. Qualifications - High School Diploma or GED equivalent - Minimum of one year supervisory or lead experience in a call center - Minimum 3 – 5 years customer service experience in a call center - Minimum 3 years healthcare/health insurance, claims processing or provider billing experience - Demonstrated experience with managing client advocacy cases that require one or multiple interactions with the client, providers, insurer and community resources - Demonstrated Health Care Reform Knowledge/experience and Medicare/Medicaid benefit knowledge - Demonstrated ability to work in a fast paced, constantly changing environment independently with minimal supervision - Strong organizational skills - Proficient with Microsoft Office Suite - Excellent written and verbal communication skills, including the ability to adapt communication style to persons representing diverse personal, professional, cultural and socio-economic backgrounds - Possess excellent customer service skills including proper grammar, tonalities and clear diction Requirements - Associates Degree (preferred) - Bilingual English/Spanish preferred Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $42,200.00 - $79,300.00. Exact compensation may vary based on skills, experience, and location.

• Developing, modifying, and maintaining employment practices, policies and procedures to support regulatory processes and compliance for the enterprise • Consulting with the enterprise on federal, state and local EEO laws ensuring compliance with such laws • Evaluating selection criteria for reductions in force • Supervising staff • Providing applicable HR Regulatory Compliance training • Partnering with Legal, Corporate Compliance and other business units to resolve issues • Direct management of HCSCs Affirmative Action Program (AAP), Administrative Charges and HCSC’s Immigration program • Serving as corporate liaison with local, state, or federal agencies

• Providing assistance to pharmacists, pharmacy coordinators, and pharmacy programs or initiatives • Evaluating and resolving pharmacy issues • Providing member support for programs and initiatives