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:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

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