Blue Cross Blue Shield Of Illinois Work Values

Daily Duties at Blue Cross Blue Shield Of Illinois:

1. Supervise and monitor Care Coordination staff in the evaluation and review of cases against established criteria for acceptance into the case management program and review of services covered under the members’ benefit plan. Oversee staff engaged in communicating company policy to providers on medical management, covered levels of care, and benefits in order to satisfy program strategies and ensure program effectiveness. 2. Interface and communicate with internal staff, peers, managers, physicians, account management, and the FSUs in process improvement and delivery of effective customer service. 3. Work closely with staff on unusual or complex cases. Communicate with provider/employer group to discuss sensitive issues and concerns as appropriate. 4. Direct special projects, data collection, and utilization management activities as assigned. 5. Provide input on departmental Policy and Procedure while supporting and coaching staff. 6. Monitor staff process and workflow, perform random spot-check audits, and identify areas of improvement. Provide staff with performance feedback on a quarterly basis and as appropriate. 7. Assist in developing short and long term goals and objectives for the Medical Management department. 8. Limited travel for appropriate job activities (education, training, and skill development) as required by management or Corporation, including travel to accounts/clients. 9. Support Corporate Diversity Program; monitor and manage operations of assigned team. 10. Comply with HIPAA, Diversity Principles, Corporate Integrity and Compliance Program policies, federal and state laws, regulations, URAC UM/CM and NCQA accreditation standards. 11. Maintain complete confidentiality of company business. 12. Maintain communication with management regarding developments within areas of assigned responsibilities and performs special projects as required or requested.

What they like about Blue Cross Blue Shield Of Illinois:

The social vibrance of a hiring firm is very important to you. Your ability to make and maintain friendships there is a critical part of your decision. You would likely be dissatisfied with a workplace that is quiet, cold, or otherwise not particularly social. When you investigate a new hiring company, ask recruiters, managers, and potential co-workers about the social life and opportunities there. This is especially important when you are relocating; moving dramatically alters your social sphere both inside and outside the workplace.

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These are some of the questions we asked our climbers about their experiences with Blue Cross Blue Shield Of Illinois: