Health Care Service Corporation

Project Manager

Health Care Service Corporation$76K — $138K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Associate or Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
  • 1-3 years of experience in healthcare operations, customer support, or revenue cycle environment
  • Basic understanding of claims processing or healthcare operations preferred
  • Strong organizational and time management skills
  • Detail-oriented with the ability to manage multiple tasks
  • Proficiency in Microsoft Excel and general office tools

Responsibilities

  • Support intake and tracking of provider-related issues
  • Ensure required documentation is complete for resolved issues
  • Route issues to appropriate teams and monitor progress
  • Assist in researching and gathering information for resolution
  • Follow up with internal teams for timely responses and issue closures
  • Maintain logs of issues, turnaround times, and resolution outcomes
  • Provide timely and professional communication to internal stakeholders

Benefits

  • Comprehensive health and wellness benefits
  • 403(b) savings plan with pension option
  • Minimum of 15 days of paid time off per year
  • Paid parental leave and disability insurance
  • Tuition reimbursement and other educational incentives
Full Job Description


Job Summary
Position Summary

The Operations Enablement & Shared Services Analyst supports the resolution of provider-related issues and contributes to the efficiency of revenue cycle operations. This role assists in the intake, review, documentation, tracking, and coordination of escalated issues impacting claims processing, reimbursement timelines, and provider experience.
Working under the guidance of senior team members, the Analyst helps ensure issues are accurately reviewed, documented, routed appropriately, and resolved within established timelines. This position plays an important role in maintaining workflow consistency, supporting data tracking, and contributing to overall operational performance.

Key Responsibilities
Issue Intake & Coordination
• Support intake and tracking of provider-related issues submitted through Salesforce and other interdepartmental platforms.
• Ensure required documentation is complete (issue summary, claim examples, supporting data)
• Route issues to appropriate teams and assist in monitoring progress through resolution; independently processes issues when necessary.
• Maintain accurate records and status updates within tracking systems
Issue Resolution Support
• Assist in researching and gathering information needed for issue investigation
• Support senior team members in root cause identification and resolution activities
• Follow up with internal teams to ensure timely responses and issue closure
• Escalate delays or risks to leadership as appropriate
Operational & Workflow Support
• Adhere to standardized workflows for issue intake and resolution
• Identify and flag process gaps or inefficiencies to leadership
• Assist with basic process improvement efforts to reduce manual work and improve consistency
Data Tracking & Reporting
• Maintain logs of issues, turnaround times, and resolution outcomes
• Support reporting on key metrics such as backlog, aging, and resolution timelines
• Assist in identifying trends related to claims issues or provider concerns
Stakeholder Support
• Provide timely and professional communication to internal stakeholders
• Support coordination across teams including claims, provider relations, and operations
• Help ensure a positive provider experience through accurate and timely follow-up
Compliance & Quality
• Ensure all documentation meets organizational standards and compliance requirements
• Participate in quality checks to ensure accuracy of issue tracking and resolution data

Required Qualifications
• Associate or Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
• 1-3 years of experience in healthcare operations, customer support, or revenue cycle environment
• Basic understanding of claims processing or healthcare operations preferred
• Strong organizational and time management skills
• Detail-oriented with the ability to manage multiple tasks
• Proficiency in Microsoft Excel and general office tools

Preferred Qualifications
• Exposure to revenue cycle management (RCM) or provider issue resolution
• Experience with systems such as Salesforce or claims platforms (e.g., Facets)
• Familiarity with healthcare terminology and workflows

Key Competencies
• Attention to detail and accuracy
• Strong organizational and follow-up skills
• Effective communication and teamwork
• Problem-solving and willingness to learn
• Ability to work in a fast-paced environment

Impact of the Role
This role supports the efficiency and effectiveness of issue resolution processes by ensuring accurate intake, tracking, and coordination of provider issues. By contributing to timely resolution and consistent workflows, the Analyst helps reduce delays, minimize rework, and support overall revenue cycle performance.
JOB REQUIREMENTS:
* Bachelor Degree with 3 years project management experience OR Technical Certification or College Courses with 4 years project management experience OR 8 years of project management experience.
* Experience with Project Management Methodologies (i.e. Project Management Institute - PMBOK).
* Knowledge of project financial tracking including monitoring and reporting on budget expenditures.
* Experience in negotiations, influence others and managing conflicts.
* Problem solving skills.
* Clear and concise verbal and written communication skills.
* Work independently and within a team environment.
* Analytical skills.
* Leadership skills, including meeting facilitation.
* Experience balancing multiple tasks simultaneously.
* PC proficiency to include Word, Excel, Project and Lotus Notes

PREFERRED JOB REQUIREMENTS:
* Project Management Professional (PMP®) Certification
* Experience with Lotus Notes.

(HR Strategy Enablement)

Required Job Qualifications:
  • Bachelor Degree with 4 years project management experience OR PMP Certification or College Courses with 5 years project management experience OR 8 years project management experience.
  • Familiarity and experience with Project Management Methodologies and demonstrable experience in project delivery and management of large and/or complex projects.
  • Experience in coaching and development
  • Advanced project management skills
  • Verbal and written communication skills, as well as meeting facilitation skills.
  • Ability to work independently and within a team environment.
  • Analytical thinking and problem solving skills; agility and flexibility to adapt to constantly changing priorities.
  • Ability to create integrated, milestone-driven critical path project plans.
  • Ability to multi-task and balance multiple competing priorities while meeting deadlines.
  • Ability to influence (direct / indirect reports, project stakeholders, and leaders), and manage in a matrix organization.


Preferred Job Qualifications:
  • Project Management Professional (PMP®) Certification
  • Human Resource acumen and HCSC experience
  • Comfort/poise with senior management
  • Leadership skills


Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Pay Transparency Statement:

At CareAllies, 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, a minimum of 15 days' of 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 full-time employees.

The salary 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:
$76,600.00 - $138,500.00

Exact compensation may vary based on skills, experience, and location.

About Health Care Service Corporation

Health Care Service Corporation (HCSC) is the largest customer-owned health insurer in the United States. HCSC offers a wide variety of health insurance products and related services, through its operating divisions and subsidiaries in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, Illinois.
Learn more about Health Care Service Corporation
Size
24,000 employees
Industry
Founded
1936

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