Health Care Service Corporation

Conduct complex internal investigations into misconduct and violations of business ethics or company policies and prepare detailed reports for senior management. | Bachelor's degree with 4-6 years investigative experience including 3 years in compliance, strong communication skills, and proficiency in PC tools like Workday and Excel. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary BASIC FUNCTION HCSC is looking for a dynamic individual to join its Corporate Compliance team! This position is responsible for conducting complex or high risk internal investigations of concerns of misconduct or potential violations of the code of business ethics and conduct and/or company policies. Will be preparing detailed summary reports and making recommendations to senior management for corrective action, including disciplinary action up to and including termination. Also engaged in performing investigations and analyses on areas identified as moderate to high risk in the annual risk assessment and monitoring corrective action plans for HCSC and subsidiary operations; as well as providing guidance on conflicts of interest and interpretation of company policies. This position provides mentoring to the Compliance Investigator II position in the absence of the senior manager and may assume some duties of the senior manager as needed. NOTE: this role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation will NOT be offered; sponsorship is not available either now or in the future. JOB REQUIREMENTS Bachelor’s degree AND 4 years’ experience involving researching/investigating inquiries OR 6 years’ experience involving researching/investigating inquiries. 3 years experience investigating compliance related issues. Knowledge of audit/investigative policies and procedures and compliance regulations. Strong verbal and written communication skills to document investigations, compose summaries and conduct interviews. Ability to lead the work of team members and communicate with management as well as work independently with all levels of management. Ability to listen and accurately document information reported. Proven leadership ability with organizational, decision-making and analytical skills. PC proficiency to include Workday, Word, Excel and Access. PREFERRED REQUIREMENTS Bachelor Degree in Finance, Accounting, Computer Science, Criminal Justice, Business, Health Care Administration or Education Law Enforcement background. Knowledge of corporate policies and organizational structure. Knowledge of the Corporate Integrity and Compliance Program and regulations. Certified Fraud Examiner (CFE) designation. Certified Compliance & Ethics Professional (CCEP) designation or Human Resources Professional designation. Juris Doctorate, Paralegal or other legal experience. Investigation, auditing or related experience with a focus on corporate ethics and compliance. Familiarity with external governmental agencies (i.e., EEOC, Department of Human Rights etc. NOTE: this role is HYBRID/FLEX and requires in-office visibility three days per week, working from home the other two days. Relocation will NOT be offered; sponsorship is not available either now or in the future. #LI-TP1 #LI-HYBRID Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. HCSC Employment Statement: 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. Base Pay Range $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location.

Guide leaders on corrective actions, conduct investigations, and develop HR policies to promote positive employee relations. | Bachelor's degree or 4-6 years HR experience in employee relations with strong knowledge of employment laws and interpersonal skills. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for identifying and mitigating enterprise wide risk through guiding business leaders on effective solutions for addressing corrective action, conflict resolution, and leaves and accommodations; conducting thorough investigations into employee concerns; assisting leaders in identifying solutions related to people care that will enable them to drive business results; leading the development and administration of HR policies, procedures, and tools to effectively support business leaders to promote positive employee relations. We cannot consider candidates: from the following states New York, California, Hawaii or Alaska. Required Job Qualifications: Bachelor’s Degree or 4-6 years in human resources, preferably, employee relations, or closely related field; Counseling, coaching, and conflict resolution skills. Understanding of HR policies and procedures and federal and state employment and labor laws. Ability to identify issues and implement creative solutions. Clear and concise verbal, written, and interpersonal skills with all levels of management and employees. Establish and maintain solid working relationships and networks with various levels of employees and management. Preferred Job Qualifications: Demonstrated experience in Employee Relations, including issue resolution, investigations, and stakeholder consultation. Proven background supporting a large, complex enterprise, including work across multiple states and jurisdictions. Exceptional influencing, leadership, and communication skills, with the ability to engage effectively at all organizational levels. Strong public speaking, presentation, and professional writing skills. Must have working knowledge of the Microsoft Office Suite (e.g., Outlook, Word, Excel, PowerPoint). #LI-Remote INJLF (Indeed) #LI-AS1 This is a Work from Home Role Sponsorship is not available. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. HCSC Employment Statement: 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. Base Pay Range $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Analyze, document, organize, and publish internal policies and procedures while facilitating consensus and improving content organization. | Requires 5+ years of corporate content management and technical writing experience, strong research and communication skills, and ability to work independently and collaboratively. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for analyzing, documenting, organizing, and publishing policies, procedures and guidelines for internal operations divisions. Leading facilitation work with internal and external customers to gain acceptance and consensus; supporting efforts to improve content taxonomies and content organization. Staging and publishing new and revised records on approval applications. Securing cooperation of appropriate levels of authority. Consulting with local content owners to ensure standards, templates, and publishing protocol are followed; and supporting content organization and standardization efforts that lead to improved search efficiency and improved usability. Required Job Qualifications: • Bachelor’s degree AND five (5) year experience with corporate content management, knowledge management and policy and procedural research, writing and storage OR 10 years’ experience with corporate content management, knowledge management and policy and procedural research, writing and storage. • Three (3) years’ learning and development experience in a corporate or business setting. • Strong research skills including gathering and analyzing data from multiple sources (subject matter experts, project managers) to develop Web content, and possibly training materials and online help content) • Experience with documenting software projects. • Proven technical writing and editing skills. • Proven ability to create creative, unique, and relevant online content for the web. • Proven ability to be effective in a position requiring a high degree of self-direction, initiative, sound decision-making, good organizational skills and must be able to meet aggressive tight deadlines. • Strong customer services focus and detailed oriented. • Clear and concise verbal and written communication skills. • Consulting and analytical skills. • Sound inductive and deductive reasoning. • Work with others to analyze information and evaluate results to identify appropriate solutions. • Develop solutions to meet individual and departmental goals. • Strong and proven presentation, interpersonal, organizational and analytical skills. • Strong technical writing and content skills and to relay complex technical information must be conveyed in a clear and convincing way. • Ability to function effectively as part of a team. • Ability to maintain discretion and confidentiality. • Ability to understand and follow directions. • PC proficiency to include Word, Excel, PowerPoint, EPPS, NICE and other document and web-based application or tools. Preferred Job Qualifications: • Bachelor’s degree or Master’s degree in Library and Information Sciences or Communications. • Two (2) years’ healthcare insurance operations experience. • Aptitude to learn HCSC operations and technical terminology. • Ability to work with multiple internal and external customers, senior management, subject matter experts. • Familiarity emerging content/knowledge organization models and practices in the industry. #LI-LO1 #LI-Remote Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. HCSC Employment Statement: 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. Base Pay Range $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location.

Manage complex enterprise-wide programs including budget, schedule, and risk management to ensure milestone achievement. | Bachelor's degree with 6+ years healthcare/IT or 10+ years project management experience, knowledge of SDLC and program management tools, strong leadership in matrix environments. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible managing one or more highly complex or enterprise-wide programs consisting of multiple projects; being accountable for end-to-end delivery of a complex program (could include multiple projects), including managing the cost / budget, schedule & dependencies, resources, scope, quality, and risk; developing the program strategy, supporting business case and various enterprise-wide high-level project plans; providing a strong blend of HR and business acumen to drive the design, development and implementation of strategic programs. Responsible for driving deliverables and activities by removing barriers, escalating risk/issues, building consensus, and driving decisions, as well as tracking key program milestones and recommending adjustments to program leadership and team. Required Job Qualifications: * Bachelor degree and 6 years of Health Care industry and/or IT work experience OR 10 years managing projects and some experience managing complex programs. * In-depth knowledge of business area and/or industry/technology included in scope. * Leadership experience in multi-discipline, high-performance work teams/groups. * Ability to work both independently or in a team environment on multiple initiatives in a fast paced environment. * Experience in developing and reviewing program/project budgets and cost/expense information. * Experience delivering action plans to allocate resources across programs. * Experience in negotiations and managing conflict; organizational / political savvy. * Experience in facilitation skills, with strong verbal and written communication. * Experience in project management lifecycle, project/program management, and portfolio management methodologies and tools. * Good judgment and quick business decisions. * Ability to influence (direct / indirect reports, project stakeholders, and leaders) and manage in a matrix organization * Ability to handle ambiguity, with the agility and flexibility to adapt to constantly changing priorities * Structured, organized and methodical in execution; takes ownership and accountability for outcomes, drives for results and drives certainty in delivery * Develops trusted relationships and demonstrates deep Interpersonal skills * Experience with the entire software development lifecycle from inception to development to testing to production deployment and maintenance; deep understanding of common software delivery models – OWF, Scrum, XP * Knowledge of Clarity PPM system and expertise in Microsoft Suite, including Excel, PPT, Word, Project * Regular in-person attendance at the designated facility of the job posting. Preferred Job Qualifications: * Extensive experience in project delivery and working in complex programs * Consulting experience. * Health Care or Insurance Industry experience. * Previous Solution Delivery Methodology or CMMI experience. * PMP Certification preferred. This is a Flex (Hybrid) role: 3 days in office; 2 days work from home. Sponsorship is not available. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. HCSC Employment Statement: 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. Base Pay Range $112,200.00 - $202,600.00 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Lead application architecture alignment and support technical design activities. | Bachelor's degree with 5-9 years IT experience and expertise in Python-based Data Science frameworks, Azure AI, and cloud integration. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for ensuring alignment of project specific designs with application architecture roadmap. Supporting project and/or product teams on functional and technical design activities. Defining the interaction between application packages, databases, and middleware systems to optimize product functional coverage. Acting as subject matter expert (SME) for products that require integration into the application. NOTE: This hybrid role can be located in CHICAGO IL, TULSA, OK, HELENA, MT, ALBUQUERQUE, NM, or RICHARDSON, TX ~ relocation will not be offered; sponsorship is not available. Required Job Qualifications: * Bachelor degree and 5 years Information Technology experience OR Technical Certification and/or College Courses and 7 year Information Technology experience OR 9 years Information Technology experience. * Experience in application and/or product feature design. * Experience in application configuration * Experience in application development platforms and/or languages (HTML/CSS/Java/Python/ReactJS). * Experience in Python-based Data Science frameworks (LangChain, LangGraph, LangFuse). * Experience in Azure AI Foundry services and components. * Experience in vector database for RAG-based solutions . * Experience in cloud computing (SaaS / PaaS). * Experience in DevOps and/or continuous deployment and/or integration process and tools (Harness, jenkins, Github, Jira). * Experience in integration technologies ( Mulesoft/Databricks). * Experience in iterative and/or agile and/or scrum development. * Experience in solution architecture. * Application domain knowledge. * Prototyping. * Problem solving / analytical thinking. * Teamwork and collaboration. Preferred Job Qualifications: * Bachelor degree in Computer Science or Information Technology * Product-specific application architecture. * Ability to tie together solutions across systems. * Experience in Observability Frameworks and Framework Operationalization. #LI-BS1 #LI-Hybrid #INCR Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. HCSC Employment Statement: 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. Base Pay Range $112,200.00 - $202,600.00 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Manage and ensure compliance with employment laws and affirmative action programs while supervising staff and partnering with legal and business units. | Requires 5+ years HR or compliance experience, management skills, strong knowledge of employment laws, and ability to handle sensitive investigations and data analysis. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for 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 (i.e. Affirmative Action (AA), Title VII, ADA, ADEA, FMLA, FLSA and immigration law) 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. This position is responsible for direct management of HCSCs Affirmative Action Program (AAP), Administrative Charges and HCSC's Immigration program and serving as corporate liaison with local, state, or federal agencies. Required Job Qualifications: • Bachelor's degree in business administration, Human Resources or related field and at least 5 years of professional experience in HR, Legal or Compliance roles managing employment compliance programs; or 9 years of experience in HR Compliance. • 1 year of management or leadership experience • Advanced skills in Microsoft Office Suite (e.g., Outlook, Excel, PowerPoint) and functional knowledge of HRIS system data and reporting • Experience leading crossjurisdictional, crossfunctional projects that translate legal requirements into practical, scalable business operations • Proven ability to interpret complex data and legal information and convey it clearly and concisely • Investigation experience including planning, document requests, and witness interviews • Demonstrated success independently planning and executing work to meet deadlines in a fast-paced environment • Excellent attention to detail and strong data analytic skills and project management skills • Strong understanding of federal and state employment laws and regulations, including Title VII, ADA, FMLA, and FLSA. • Ability to manage multiple projects and activities simultaneously, with a strong ability to prioritize, organize and work effectively with minimal supervision • Experience working with in-house and external counsel • Ability to work independently as well as in a team environment • Ability to communicate effectively with all stakeholders, management, and attorneys to ensure a seamless response to new compliance obligations • Ability to meet deadlines • Ability to use discretion and exercise independent and sound judgment; deals courteously/effectively with others • Ability to handle sensitive matters and maintain confidentiality • Flexibility to adjust hours and work the hours necessary to meet operating and business needs Preferred Job Qualifications: • Minimum of 2 years of experience drafting position statements in response to EEOC/state agency charges #LI-Remote #LI-AS1 Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan. HCSC Employment Statement: 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. Base Pay Range$92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

Lead multiple HR teams to deliver engaging employee experiences and develop HR staff. | Requires 12 years experience, 5 years management, strategic leadership, and process improvement skills. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This role will be responsible for leading five journey teams and a small team of HR Liaisons. It will be responsible for creating a culture of collaboration between journeys and HR Liaisons and among other areas of HR to effectively deliver engaging and inclusive employee journeys. This includes delivery of a high-quality, tailored experience across journeys for business leaders. They will also lead, inspire, coach, and develop the Journey Owners and HR Liaisons as well as the broader teams. Job Requirements: • Bachelor's degreeand 12years of experience • 5 years management experience • Experience delivering people programs and/or supporting employee services • Experience redesigning processes and driving continuous improvement • Data-driven strategic decision making • Leadership and organizational skills • Executive level communication and influence skills • Comfort with change, nimble ways of working • Collective ownership mindset • Continuous improvement mindset • Service orientation and customer obsession • Desire to understand key stakeholder needs and proactively deliver • Innovation acumen and ability to drive repeatable processes while using technology to improve • Overseeing the annual budget and allocating resources for various projects and operational needs. • Translating needs and initiatives into compelling business cases. • Conducting cost-benefit analyses to justify investments and ensure ROI. Preferred Job Requirements: • Six sigma certification Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan. HCSC Employment Statement: 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. Base Pay Range$146,700.00 - $272,400.00 Exact compensation may vary based on skills, experience, and location.

Review AI-generated transcripts and behavioral insights from service calls to identify and escalate incorrect or misleading information. | Bachelor's degree, 2 years in health insurance operations, experience with AI/ML systems and call quality monitoring, familiarity with HIPAA, and strong analytical and communication skills. | At Luminare Health , 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This role is responsible for reviewing A-I generated transcripts, summaries, and behavioral insights from member/provider service calls to identify and escalate instances of incorrect or misleading information shared with the caller. Required Experience • Bachelor's Degree and 2 years of experience in health insurance operations, with strong knowledge of medical benefits, claims processing, and member communications. • Experience with AI/ML systems, transcription tools, or customer service analytics platforms. • Experience in call quality monitoring or auditing strongly preferred. • Strong analytical and critical thinking skills with a high attention to detail. • Comfort interpreting and validating AI-generated content (transcripts, summaries, and sentiment/behavioral scoring). • Familiarity with HIPAA and related compliance standards. • Excellent written and verbal communication skills. Preferred Experience • Background in health plan regulatory compliance, training, or quality improvement. Certification in healthcare claims or auditing (e.g., CPC, CPMA) is a plus. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! EEO Statement: 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. Pay Transparency Statement: At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for associates. 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: $48,500.00 - $91,000.00 Exact compensation may vary based on skills, experience, and location.

Manage specialty diabetes cases through care coordination, member education, and liaison with healthcare providers to promote quality and cost-effective outcomes. | Must be a licensed RN with 4 years clinical practice including 3 years specialty diabetes experience, current CDE/CDCES certification, and knowledge of clinical care coordination and management. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position's primary focus is the management of members with specialty (Diabetes) diagnoses. This position will be responsible for performing all functions of case management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing specialty care. The primary nurse case administrator performs care coordination; identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes quality and cost- effective outcomes; and serves as liaison to physicians and members. Provide education/local resource information and encourage member (self) education functioning in a clinical care advisory role. The primary nurse case administrator assesses members for case management, introduces members to our website tools, educates members regarding their specific condition, and facilitates the coordination of care for identified members. JOB REQUIREMENTS: • Registered Nurse (RN) with current, valid, unrestricted license in state of operations • 4 years clinical practice experience of direct clinical care, to include 3 years of recent Specialty (Diabetes) clinical experience • Knowledge of specialty diagnosis drugs, adjunct therapies and treatment protocols including side effects and complications • Current certification in one of the following: CDE/CDCES • PC proficiency to include Word, Excel, and database experience • Clear and concise verbal and written communication skills • Knowledge of UM/CM/DM activities and standardized criteria set • Familiarity of ancillary services including HHC, SNF, Hospice, etc. • Verbal and written communication skills; analytical skills; sound clinical judgment • Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. • Knowledge of drugs and treatment protocols including side effects and complications • Knowledge of diets relating to assist members • Knowledge of Problem Solving, Healthy Coping and establishing SMART goals. • Current Certified Specialists must maintain their certification PREFERRED JOB REQUIREMENTS: • RN Compact license required • Experience in managing complex or catastrophic health cases • Inpatient and Outpatient experience preferred. • 1-year experience in Care Management in a health insurance/managed care setting • Current CCM certification • Knowledge of medical management policies and procedures • 1-year education experience in Specialty area "This role will telecommute full time TX. Applicants in AR and LA will also be considered so long as they are within a 250-mile radius from posted location and hold a current compact nursing license." #LI-Remote #LI- DP1 #CA #INAK Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan. HCSC Employment Statement: 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. Base Pay Range$69,200.00 - $146,700.00 Exact compensation may vary based on skills, experience, and location.

Negotiate renewals or sell products and services to existing customers while understanding customer needs and providing support. | Must have or obtain state General Lines Agent Life, Health, and HMO license, 2-4 years healthcare management or related experience, strong customer service and communication skills, and ability to travel. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This position is responsible for ensuring continued and increased growth by negotiating renewals or selling products and services to existing customers, understanding customer needs, and providing customer support. Ability and willingness to travel, including overnight stays. JOB REQUIREMENTS: *Must have state General Lines Agent Life, Health, and HMO license or obtain General Lines Agent Life, Health, and HMO license within required time frame per state regulations. *4 years experience in a health care management field, claims processing, customer service or marketing/ sales involving decision making, self-direction, and finance/product analysis OR Bachelor degree and 2 years health care management, customer service or marketing/sales experience. *Health care management work experience including PPO and HMO. *Customer Service oriented; detail oriented. *Written and verbal communications skills. *Ability to travel *Experience addressing customer needs and make sound decisions; building strong customer relations. *Experience analyzing reports. PREFERRED JOB REQUIREMENTS: *Bachelor Degree. Compensation: $55,800.00 - $83,600.00 Exact compensation may vary based on skills, experience, and location HCSC Employment Statement 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. To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

Lead actuarial valuation and financial reporting for Medicare Supplement products, manage actuarial team, and ensure compliance with regulatory and financial standards. | Bachelor's degree in actuarial or related field, FSA or 4 years ASA-level actuarial experience, 7+ years in health insurance actuarial roles, strong communication and PC skills. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This position leads HealthSpring Supplemental Benefits (HSB)’s Valuation team and related ongoing financial reporting functions. HSB is a profitably growing division selling Medicare Supplement and other Supplemental Health and Life products. Current annual revenues are $1.5B, with total liability/DAC balances of approximately $1B. Responsibilities • Serve as Appointed Actuary for HSB Legal Entities, coordinating all annual actuarial statement deliverables. • Establish monthly balances for claim and policy liabilities/assets including IBNR, UEP, ALR, and DAC. • Determine and explain drivers of earnings variances related to premium, claims, and reserves on a monthly cycle. • Complete testing related to Stat and GAAP reporting requirements including Annual Statement reporting, Cash Flow Testing, DAC Recoverability Testing, and Loss Recognition Testing. • Update and implement reserving/financial processes to coincide with new product and Medicare Supplement charter launches. • Own and execute Sarbanes-Oxley controls and other governance processes. • Lead project management of FASB Long Duration Targeted Improvements including methodology/process changes, understanding impacts, annual unlocking and communication of impacts. • Lead actuarial valuation team and effective ongoing management of valuation functions. Coach and develop talent across team of actuaries and financial analysts. • Partner with other leaders in Actuarial team and across HSB to drive towards successful outcomes and achievement of strategic objectives. Develop and provide unique insights that support and enable achievement of such goals. Required Job Qualifications • Bachelor degree in Actuarial Science, Mathematics, Statistics or Economics. Other Bachelor (or higher) Degrees may be considered. • Fellow of the Society of Actuaries (FSA) and Membership in the American Academy of Actuaries (MAAA). In place of attainment of FSA, 4 years of actuarial experience in the health insurance field at the ASA level may be substituted. Compliance with all the membership requirements for each professional designation. • At least 7 years of actuarial experience in the health insurance or related field. • Verbal and written communications skills to prepare effective documentation, facilitate training and development, and participate in presentations. • PC proficiency to include Word and Excel. Preferred Job Qualifications • Experience with valuation • Experience with Medicare Supplemental health and life product • This is a hybrid role, in the designated office 3 days/week Compensation: $130,800.00 - $242,800.00 Exact compensation may vary based on skills, experience, and location HCSC Employment Statement 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. To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

Serve as a strategic HR consultant partnering with business leaders on workforce planning, organizational change, talent initiatives, and cultural transformation. | Bachelor's degree, 7+ years HRBP or HR generalist experience, knowledge of employment laws, strategic thinking, data-driven decision making, and strong relationship building. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary BASIC FUNCTION As the Senior HRBP you will serve as a strategic thought partner to our leaders. You will become deeply embedded in their business priorities, influencing decisions related to organizational design, leadership effectiveness, and talent initiatives. You will partner with the HRBP Director in gathering appropriate information to respond to the HR needs of the division(s) supported. Identify opportunities to support business objectives with people implications; and participate in facilitating HR / business related change, and cultural transformation initiatives across assigned business units. NOTE: This is a hybrid role (3 days on-site per week). Relocation is not available, sponsorship will NOT be offered ~ JOB REQUIREMENTS: • Bachelor's degree and 7 years of HRBP or HR generalist experience OR 11 years in a similar role. • Experience directly partnering with business leaders on talent, culture, and organizational change. • Knowledge of federal, state and local employment and labor laws. • Strategic thinker, problem solving and analytical skills. • Experience using and presenting data to inform decision-making (Excel proficiency a must). • Strong relationship building skills and ability to influence without authority. • Keen attention to detail and follow through. • Self-driven, autonomous, and a team player. ~ KEYRESPONSIBILITIES ~ • Serves as a strategic HR consultant with emphasis in supporting the creation and implementation of the divisions' Workforce Plans. • Acts as subject matter expert in tools, technologies and methodologies to support business customers; and provides indirect leadership and mentoring of peers. • Exhibits a general knowledge of all areas of HR to include Compensation, Talent Acquisition, Benefits, Workforce Relations, Talent Management, and Learning and Development. • Embeds with client group to maintain strong knowledge of current and future challenges and opportunities. • Proactive to the business needs through directly working with the Centers of Excellence in gathering pertinent information required in supporting the workforce and the HR strategies of the division. • Leverages data to diagnose organizational health and influence decisions around team effectiveness, retention, engagement, and performance. • Identify opportunities in which HR can partner to support business objectives with people implications. • Facilitates cultural transformation and complex transitions, including restructuring, and cross-functional change, ensuring strong change management. • Maintains complete confidentiality of company business and demonstrate strong attention to detail. • Maintains communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. • Complies with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and all applicable corporate and departmental policies. PREFERRED JOB REQUIREMENTS: • Master's Degree • Professional HR certification • Experience in technology organizations, supporting Information Technology, Information Security, Engineering, Digital Solutions, AI/Automation and/or Product #LI-TP1 #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. 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. HCSC Employment Statement: 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. Base Pay Range $90,900.00 - $164,200.00

Manage and develop network strategy for Government Programs and Provider/Vendor Networks, lead contract negotiations, and manage direct staff. | Bachelor's degree with 4+ years healthcare administration/managed care experience, expertise in managed care contracting and benefits administration, leadership and negotiation skills, and ability to travel. | At HCSC, 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. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for managing, developing and maintaining the network strategy for Government Programs, Provider/Vendor Networks; ensuring new and renewed contracts meet enterprise pricing and methodology standards, meet/exceed CMS & or State Network Adequacy requirements. This position is responsible for management of direct staff. This position is responsible for leading contract negotiations and developing and maintaining relationships with providers/vendors. REQUIRED QUALIFICATIONS: • Bachelor's degree and 4 years health care administration/managed care experience OR 8 years health care administration/managed care experience • 4 years' experience in managed care contracting, benefits administration or underwriting experience including contract negotiations • Leadership skills • Verbal and written communication skills to interact with all levels of corporate personnel and assigned providers • Analytical skills and reporting experience • Planning skills • Negotiation skills • Experience consistently meeting deadlines and working well under pressure • PC proficiency including Word, Excel, PowerPoint and databases • Experience developing and analyzing reports • Team player and people oriented • Ability and willingness to travel, including overnight stays PREFERRED JOB QUALIFICATIONS: • Experience working with providers. • Triwest/ Tricare experience. • Experience working with Government Program products and knowledge of the CMS Stars rating system. • Experience and skilled in developing contract standards for pricing and methodology. • Experience working with Government Programs risk and capitated based provider contracts. #LI-Hybrid #LI-DR2 Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: 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. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan. HCSC Employment Statement: 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. Base Pay Range$90,900.00 - $164,200.00