Sr IT Product Manager-IL

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Sr IT Product Manager
This position is responsible for assisting the IT Product Manager with lifecycle management of an IT product (application family); triaging inbound requests for the product manager (i.e. bug fixes or new projects); acting as a proxy for the IT Product Manager to interact with project teams and assisting the IT Product Manager with the with the tactical activities related to product management.

Required Job Qualifications:

* Bachelors Degree and 4 years product management experience, OR 8 years Information Technology, including 4 years product management experience.
* Experience in application development platforms and/or languages (HTML/CSS/Java/ASP.Net/PHCSC/Ruby/C).
* Experience in cloud computing (SaaS / PaaS).
* Experience in DevOps and/or continuous deployment and/or integration process and tools (Bamboo, jenkins, RallyDev, Jira).
* Experience in integration technologies (Tibco/Informatica/CAS).
* Experience in iterative, agile and/or scrum development.
* Experience in knowledge of product-specific application architecture.
* Experience in solution architecture.
* Ability to tie together solutions across systems.
* Application domain knowledge.
* Program and/or project management.
* Ability to influence.
* Ability to prioritize and make trade-off decisions.
* Adaptability and/or ability to manage change.
* Creative thinking.
* Leadership — Effectively leads teams & people.
* Problem solving / analytical thinking.
* Teamwork and collaboration.Preferred Job Qualifications:
* Bachelors or Masters degree in Computer Science, MIS, or Information Technology

Required: Java Full Stack and hands on experience, Microservices, Spring, Rest, DB2

Information Architect-IL/TX

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Information Architect

Coordinate new development activities and ensure they are consistent and well integrated with the established enterprise information architecture, using metadata management and/or a repository to promote reuse and standards adoption. Understand data retention and audit requirements and their impact on enterprise information architecture. Experience designing and implementing high performance data structures. Experience in data modeling, including logical and physical model design. Experience in database design methodologies, database architectures; ETL tools and related integration technologies. Translate strategic requirements into a usable enterprise information architecture, which may include an enterprise data model, associated metamodel, common business vocabulary, ontologies and taxonomies, which will then be used to guide enterprise solution development and achieve consistency of information assets across the application portfolio. Oversee mapping of enterprise information architecture models to package application models, to determine impact or assess suitability of vendor solutions to enterprise information architecture requirements.

Required: Minimum of 10 years of Data Modeling Experience

BI Developer

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BI Developer

Supports analyses of the programs using both clinical and administrative data sources. Organize extracts and analyzes data to perform rigorous analyses and appraisals. Makes recommendations based on analyses. Helps lead and guide the preparation and delivery of effective summaries of information, presentations, reports and communications for various internal and external audiences. Coordinates collaboration with internal and external teams as well as vendors to accomplish project goals. Builds and maintains valuable business relationships in a cross-functional, fast-paced environment.

Helps lead and guide the overall management and execution of analytic activities on a project-specific basis across all Blue Distinction program initiatives. The scope of this function includes, but is not limited to:
• Storing, retrieving, validating and managing clinical / administrative data
• Maintaining clinical/program management data quality and accuracy
• Conducting statistical and methodological appraisal and summaries
• Performing analysis and synthesis of data
• Making recommendations based on data analysis and synthesis
• Design and create analysis and reports that include summaries, graphs, slides, diagrams and summary tables
• Program maintenance

Interacts with staff and Vendors to collect information and support analytic activities. Collects and analyzes data on health care markets, competitors and health plan performance; contributes to design and completion of project analyses. Summarizes the results of analyses in reports, notes, spreadsheets and charts; contributes to development of presentation slides. Provides data driven recommendations and process improvements

Helps lead and guide technology initiatives across the Blue Distinction programs. The scope of this function includes, but is not limited to:
• Report development
• Data cleaning
• Data reconciliations
• Testing

Minimum experience:
• Undergraduate degree with emphasis on statistics and analytic methods.
• Minimum of 5 years business experience in quantitative and qualitative analysis, data collection, synthesis and reporting.
• Excellent technical proficiency with office oriented tools (e.g. Microsoft Office), with particular emphasis on Excel and PowerPoint, as well as analytic, query and reporting tools (e.g. R, SAS, SQL, Tableau)
• Ability to work independently to generate, synthesize and analyze data, reports and tables and identify key findings.

Minimum skills:
• Excellent verbal and written communication skills, problem solving and organizational abilities.
• Positive communicator with strong relationship skills to interact effectively with internal staff, Plan stakeholders, and external partners, increasing awareness of value.
• Advanced problem solving skills.

Deliverable:
Synthesis  of cost and quality data in support of programs. Includes development and execution of statistical models and report development (Tableau)

Resolution of of data and business issues with BDSC designations.

Additional Skills: Tableau, SAS, Statistical Analysis, Healthcare Provider Networks / Programs

Portfolio Manager

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IT Project/Portfolio Manager

The Project/Portfolio Manager will be responsible for the oversight and administration of the project/portfolio. This includes working with the management and staff, partnering with key participants across the enterprise, such as technology partners, strategy and execution, and technology business management as well as other department leads to assess, oversee project commencement and prioritization; perform project resource planning; continuous monitoring and reporting on project status; participate in the department’s change management process; identify potential projects that best align with the strategic priorities and play an integral role in the annual budgeting process. The Project Manager will also work to develop and implement best practices, processes, and toolsets for effective portfolio/project management, and will help educate staff on best practices and effective project execution.

 

Project/Portfolio responsibilities include: oversight of our upcoming demand via intake process, assisting IT management with continuous portfolio management (status, projections, resource planning, new request monitoring), ongoing budget reviews (actual vs budget analysis, projections, periodic reporting), projected cost in the future across the portfolio, Perform analysis to understand resource commitments, burn rates and total program costs at completion and working directly with development teams to resolve conflicts and highlight portfolio changes. Individuals in this role can operate fairly autonomously in some areas but there is still a considerable amount of supervision required. This role requires a high level of collaboration across multiple teams and roles.

Principal Accountabilities:

  • Act as a key point of contact for intake process. This includes working with IT executive teams, facilitating the estimation process. There is some representation required of the teams ability to meet the new requests or represent tradeoffs/ incremental resource needs but this is mostly handled by more senior members of the team.
  • Facilitate the project forecasting process for assigned teams and provide revised forecasts and variances to management on a monthly basis. This includes timely reporting of actuals to forecast as well as key project changes, variances, and risks. Ensure all team managers and Executive Directors are aware of the impacts and can justify changes appropriately.
  • Coordination of the annual budget process and working across teams to meet submission timelines and requirements. Ensure alignment across areas. Provide management with reports and work with more senior members of the team on recommendations and outcomes throughout the process.
  • Maintaining & Improving the existing Portfolio Management Processes including Reporting , Automation, Project Administration, Workday and JIRA.
  • Work with Finance Teams to balance budget specifically around professional fees. This includes managing the pro fee forecasts, working with the teams to enforce exit plans for those running over budget, escalating issues to management, and ensuring resources are aligned to appropriate funding.
  • Perform project scheduling, resource planning, leveling and management (forecast impacts on staffing where project scope may have changed) – as well as effective use of metrics, and reporting for Technology initiatives
  • Establish clear lines of communication with stakeholders to keep them informed on progress, budget, and issues and to ensure the priorities are understood.
  • Ensure resource, financial, and operational objectives for the initiatives are met by partnering with Portfolio Management, Execution Management, Release Management and contributing recommendations by collecting metrics to optimize and improve processes for IT management
  • Work with all levels of leadership to ensure project initiatives are managed and maintained; develop executive level presentations of the portfolio and project budget.
  • Recalibrate the portfolio as necessary when the demands of the business dictate a change in delivery or scope of work.

Skills and Software Requirements:

  • PM should be highly engaged, assertive, entrepreneurial in spirit with respect for processes, accountability and decision traceability as well as aspire towards leadership. Excellent written, verbal, interpersonal, leadership, facilitation, negotiation and presentational skills absolutely required.
  • Minimum of 3-5 years’ industry experience in large scale implementations preferably in the professional services sector, with an emphasis on enterprise information systems across multiple functions.
  • Minimum of 3-5 years’ experience in portfolio, program and/or project management with a successful project management track record in full life cycle information technology implementation projects, with proven record of execution to time and budget.
  • Solid experience with portfolio demand management and resource staffing management
  • Thorough knowledge and related work experience of the project management process, theory and lifecycle, including Waterfall and Agile methodology, as well as Project Delivery Framework and SDLC.
  • Knowledge and understanding of standard project management tools (for example, Microsoft Project, Clarity, PPM), with a thorough understanding of Resource Allocation and Portfolio/Project Management best practices.
  • Proficient in Excel. Ability to understand and augment Pivot Tables. Use of advanced concepts including SQL and macros considered a plus
  • Experience with generating reports using PowerBI is a big plus
  • Deep experience with SQL and data modeling

 

PS Recruiter I-IL

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Recruiter

BASIC FUNCTION:
This position is responsible for providing qualified internal/external candidates applying for corporate non-exempt and exempt positions to Recruiters and Administrative Specialists for review; screening, scheduling, conducting, and documenting pre-qualification interviews of internal/external candidates applying for corporate non-exempt and exempt positions within our ATS; removing internal/external candidates applying for positions who do not meet minimum requirements from the staffing process and communicating to them using communications generated from our ATS as well as working to ensure compliance with EEO/Diversity policies

???????Required: Prior experience as recruiting coordinator or 2 years HR experience

PS Utilization Review Nurse (LPN)-TX

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Utilization Review Nurse (LPN)

 

BASIC FUNCTION:

This position is responsible for performing discharge care coordination and review activities for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. Review service requests, collect clinical and non-clinical data, verify eligibility, determine benefit levels in accordance to contract guidelines, conducting initial and concurrent review, prepare reports on quality of care, identify and report cases, and provide information regarding utilization management requirements and operational procedures to members, providers and facilities.

ESSENTIAL FUNCTIONS:

  1. Determine efficiency, effectiveness and quality of medical/surgical services, including appropriateness of hospital admissions, length of stay, level of care and discharge planning.
  2. Serve as liaison between providers and Medical and Network Management Divisions.
  3. Review service requests by receiving incoming calls, faxes, cases queued and return recorder messages to hospitals, providers and members.
  4. Determine contract eligibility and benefit coverage related to precertification and/or concurrent review requests based upon information provided by hospital personnel, members and providers.
  5. Determine contract eligibility and benefit coverage related to emergent referral requests.
  6. Collect clinical and non-clinical data and enter information into the medical management system.
  7. Utilize Medical Review Criteria, Medical Policy guidelines and internally developed review criteria to determine medical necessity, appropriateness of setting, including length of stay and type/duration of service.
  8. Identify provider contract status and provider network status including facility and physician contract status.
  9. Determine network status.
  10. Conduct research and obtain medical information to complete the referral/certification request.
  11. Utilize all Medical Management System applications to research and/or pend the precertification and referral authorization process.
  12. Pend/complete certifications and/or referral authorization requests according to established policies and procedures.
  13. Refer all requests that fail clinical review criteria to physician advisor.
  14. Provide verbal and written notification of referrals and preauthorization determinations according to established policies/procedures.
  15. Assess all cases for quality of care and report quality care issues when identified.
  16. Identify and refer cases for inclusion clinical programs.
  17. Report member and provider complaints according to established policies and procedures.
  18. Provide information regarding UM requirements and operational procedures to members, providers and facilities.
  19. Consult with supervisor/Medical Director regarding complex or difficult cases.
  20. Provide professional customer service at all times to internal and external customers.
  21. Follow facility procedures including checking in with designated facility personnel.
  22. Document referral and precertification information according to UM policies and procedures; include plan of care/treatment, patient condition and outcomes of care for appeals and cases failing clinical review criteria.
  23. Maintain knowledge of current regulatory agency standards (TDI, AAHCC/URAC, NCQA) and adhere to regulations and corporate procedures.
  24. Maintain knowledge of clinical and technological advances in medical/surgical care, including pharmacological therapy.
  25. Maintain knowledge of contract interpretation and containment measures (eligibility, extended care benefits and claims processing procedures). 
  26. Must successfully complete the UM System Competency Verification Program and maintain competency with UM systems, regulatory agency standards, tele-servicing skills, documentation requirements, advancements in medical/surgical care including pharmacological therapy, CPT-4 and ICD-10 coding.
  27. Communicate and interact effectively and professionally with co-workers, management, customers, etc.
  28. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
  29. Maintain complete confidentiality of company business.
  30. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

PS Accounts Payable Processor-IL

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Accounts Payable Processor

Reviews and processes invoices for Corporate Real Estate that include operations and construction billing. Records invoices in various systems including Filemaker and FM Interact and track projects until completion. Performs a variety of routine and non-routine accounting activities in accounts payable or a related financial for example reclasses and project reconciliations. Has knowledge of commonly used concepts, practices and procedures related to accounting and accounts payable.

Required: 3 years of accounts payable experience, ability to process invoices, complete project close outs

Preferred: Accounting experience a plus, ability to review large sets on financial data.

PS Recruiter I-IL

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Recruiter

Evaluate candidates' resumes against position requirements. Schedule and conduct structured phone interviews with candidates using interviewing scripts. Document information in system in a timely manner.

Designer

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Designer

Location: Chicago, IL

Duration: 12 months

Responsibilities:

  • Works under the direction of the Creative Director to develop holistic design systems, including page layouts, site grids, typography, iconography and colors
  • Demonstrates strong asset prep and prototyping experience using tools such as Sketch and InVision
  • Implements website accessibility standards
  • Has a strong knowledge of technology and user interface theory
  • Experienced in mobile app design and familiar with design systems such as Google Material Design and Apple’s Human Interface Guidelines
  • Designs solutions that meet or exceed the project’s stated objectives
  • Maintains high quality on creative deliverables
  • Assists creative lead in research and presentation materials
  • Presents work internally
  • Receptive to constructive criticism

 

 

Qualifications & Skills:

  • 5+ years design experience, preferably in a digital agency working with large global brands
  • Exceptional portfolio that includes strong system design thinking
  • Working knowledge of service and e-commerce design
  • Strong working knowledge of design and layout applications
  • Ability to multi-task and work efficiently under pressure with careful attention to detail is a must
  • Passion for design and eagerness to collaborate with other creative people
  • Self-motivated, organized, and accountable
  • Demonstrated strong skills in leading design software (Adobe Suite, InVision, Sketch)
  • Financial/Futures industry experience is a plus
  • Experience in working with a global team

 

Project Manager

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Project Manager

Location: Chicago, IL

Duration: 4-5 months

What you will do:

  • Serves as point of contact for management, prioritization, and coordination of marketing campaigns, digital advertising campaigns, and our site-wide personalization efforts
  • Serves as point of contact for our external advertising agency to manage all paid media campaigns
  • Communicates status of project/campaign work to appropriate teams, as well as time/bandwidth reporting to head of digital marketing
  • Fully understands impending requests and service level agreement timing; builds a work plan to coincide with launch schedules
  • Collaborates with team members, cross-departmentally, to acquire all project information required to deliver work
  • Participates in strategy, planning and concept meetings as required
  • Maintains production schedules in collaboration with marketing teams and drives projects to achieve scheduled due dates
  • Displays a willingness to learn about our internal systems and business
  • Establishes a strong understanding of our brand and goals to ensure projects are hitting their targets
  • Communicates clear direction and information to ensure teams understand project scope, timing and requirements
  • Strong ability to manage/optimize process workflows and maintain service level agreements across different groups

 

 

What you have:

  • College degree in marketing or related field
  • 3+ years of project coordination/management experience
  • Working knowledge of agile and project management tools like Workfront and Smartsheets
  • Experience using project management methodology, including the ability to identify and resolve issues, manage risk, develop detailed task-based work plans and specifications, perform resource allocations and lead team meetings.
  • Experience with software development life cycles, web development processes and the delivery of solutions with creative and engineering components, advertising projects, digital strategy projects.
  • Ability to develop and demonstrate an understanding of the client’s business, needs, expectations, and requirements.
  • Strong knowledge of one or more of the following: web development processes and the delivery of solutions with creative and technology components, advertising, digital marketing, print, and strategy.
  • Strong computer skills are required in MS Office (particularly Excel), internet, email, and phone systems.
  • Strong organizational and time management skills.
  • Strong team player; ability to assist with facilitating teams and clients.
  • Ability to interact at all levels of the company and with external parties in a professional manner maintaining effective communication, both written and spoken.
  • Ability to be highly organized, accurate, timely and able to prioritize.
  • Ability to tolerate stress and be adaptable, flexible, persistent, versatile and handle multiple projects simultaneously and re-prioritizations.
  • Ability to organize information, have attention to detail, accurately follow procedures, maintain confidential information and remember important pieces of information.
  • Ability to maintain self-motivation and to work independently and in team environments