Lead Technical Software Architect Blue Cross & Blue Shield of Rhode IslandLead Technical Software ArchitectProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Senior Data Modeler Blue Shield of North CarolinaSenior Data ModelerDurham, North CarolinaData Analysis, Data Architecture Development, Database Design, Data Designing, Data Dictionary, Data Engineering, Data Governance, Data Governance Framework, Data Mining, Data Model Design, Data Modeling, Data Science, Data Warehousing (DW), Enterprise Data, Requirements Analysis _____________________________________________________________________. Data Modeling on Snowflake platform: Play a key role in designing the Silver and Gold analytical layers in Snowflake to build trusted analytical platform serving various business capabilities for different departments within the payer industry.
Clinical Quality Management Analyst Blue Shield of North CarolinaClinical Quality Management AnalystDurham, North CarolinaClinical Decision Support (CDS), Clinical Quality Management, Clinical Research, Health Care, Healthcare Operations, Healthcare Policies, Health Information Technology (HIT), Medical Knowledge, Patient Safety, Quality Improvement _____________________________________________________________________. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information.
Director Payment Integrity Blue Cross & Blue Shield of Rhode IslandDirector Payment IntegrityProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Lead Total Cost of Care Implementation Manager Blue Cross & Blue Shield of Rhode IslandLead Total Cost of Care Implementation ManagerProvidence, Rhode IslandAssigned vendors will include varying degrees of complexity in areas such as eligibility, engagement, file exchanges, contracting and financial arrangements, member/client communications, billing, and training of member-facing teams, This includes but is not limited to the activities of multiple on-going implementations, daily vendor interaction and communication, timeline and critical task management, coordination across multiple resources and stakeholders working closely with the Enterprise Project Management Office (EPMO). Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Case Mgr - DSNP Blue Cross & Blue Shield of Rhode IslandCase Mgr - DSNPProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Principal Strategic Advisor, Provider-Side Care Delivery Strategy Blue Shield of North CarolinaPrincipal Strategic Advisor, Provider-Side Care Delivery StrategyDurham, North CarolinaDemonstrated experience (8+ year) developing implementation‑ready, provider‑side strategies across health systems and ambulatory care settings, including adding and scaling high‑margin services and service lines and developing strategies to support and maximize service line economics through levers such as RCM, pricing, cost structure, and demand generation. About The Care Delivery Services Team: Within our Diversified Business Group, the Care Delivery Services team leads strategy co development, execution support, and alliance management for CuraCor Solutions’ care delivery assets, including FastMed and Alo | Avance Care.
Manager, Financial Planning & Analysis Blue Shield of North CarolinaManager, Financial Planning & AnalysisNorth CarolinaCost Analysis, Finance Strategy, Financial Analysis, Financial Forecasting, Financial Management, Financial Performance, Financial Performance Analysis, Financial Planning and Analysis (FP&A), Financial Resources, Operating Budgets, Operational Performance, People Management, Strategic Planning _____________________________________________________________________. Ensures that reporting and analysis of budgets, forecasts, cost allocations, staffing, and benchmarking are in alignment with and support business financial models to be achieved by working in close collaboration with appropriate Finance departments.
NewLead Health Data Analyst Blue Cross & Blue Shield of Rhode IslandLead Health Data AnalystProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Lead Strategic Finance Analyst Blue Cross & Blue Shield of Rhode IslandLead Strategic Finance AnalystProvidence, Rhode Island$102,300–$163,700 / yearTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Actuary Blue Cross & Blue Shield of Rhode IslandActuaryTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Principal Pricing Advisor Blue Shield of North CarolinaPrincipal Pricing AdvisorNorth CarolinaFinance, Finance Strategy, Financial Advising, Financial Analysis, Financial Execution, Financial Planning and Analysis (FP&A), Operational Process Improvements, Portfolio Management, Process Improvements, Resource Management, Strategic Planning, Strategic Thinking, Strategy Development, Wealth Management _____________________________________________________________________. Provides ongoing monitoring of market conditions, competitive pricing trends, profitability performance, and customer purchasing behaviors to ensure pricing strategies remain aligned with organizational goals and evolving market dynamics.
Senior Business Systems Analyst Blue Shield of North CarolinaSenior Business Systems AnalystDurham, North CarolinaThe ideal candidate will have direct experience managing monthly HEDIS data loads, data quality validation, production support, vendor data integration, and cross-functional delivery of HEDIS initiatives in partnership with ETL and Data Engineering teams. Demonstrate deep knowledge of the monthly HEDIS data load lifecycle, including claims, enrollment, pharmacy, provider, laboratory, EMR, supplemental, and vendor data ingestion processes, and ensure successful execution of monthly, quarterly, and annual production schedules.
Temporary No Surprises Act (NSA) Operations Specialist Blue Cross & Blue Shield of Rhode IslandTemporary No Surprises Act (NSA) Operations SpecialistProvidence, Rhode IslandPermitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults.
Senior IT Category Manager Blue Shield of North CarolinaSenior IT Category ManagerNorth CarolinaCategory Management, Category Sourcing, Process Improvements, Procurement, Sourcing Strategies, Sourcing Techniques, Strategic Sourcing, Supplier Relationship Management, Vendor Compliance, Vendor Management, Vendor Negotiations, Vendor Relationship Management, Vendor Risk Management _____________________________________________________________________. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information.
Financial Analyst – Financial Monitoring & Analysis Blue Shield of North CarolinaFinancial Analyst – Financial Monitoring & AnalysisDurham, North CarolinaAcquisitions, Business Development, Business Strategy Development, Business Valuations, Corporate Development, Corporate Development Strategies, Financial Analysis, Financial Performance, Financial Statement Modeling, Market Research, Market Research Analysis, Mergers and Acquisitions (M&A), Private Equity, Stakeholder Management, Strategic Planning, Strategy Development, Venture Capital _____________________________________________________________________. CuraCor Solutions is seeking a results-oriented, organized, analytical, and intellectually curious finance professional, who wants to make a strong impact in driving financial optimization across multiple organizations as part of the Financial Monitoring & Analysis (“FMA”) team within our Diversified Business Group.
Lead Strategic Finance Analyst Blue Cross & Blue Shield of Rhode IslandLead Strategic Finance AnalystProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Senior Medical Economics Analyst Blue Cross & Blue Shield of Rhode IslandSenior Medical Economics AnalystProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Sr Infrastructure Design Engineer Blue Shield of North CarolinaSr Infrastructure Design EngineerNorth CarolinaData Center Design, Data Center Infrastructure Design, Data Center Networks, Data Center Operations, Data Infrastructure, Information Technology (IT) Services, Information Technology Architecture, Information Technology Infrastructure Library (ITIL), IT Service Management (ITSM), Network Infrastructures _____________________________________________________________________. Independently partner and consult with varied technical, business, project and management staff to identify and plan, assess data center and cloud infrastructure designs, physical data center requirements and impacts and resolve design problems.
Data Warehousing Analyst Blue Cross & Blue Shield of Rhode IslandData Warehousing AnalystProvidence, Rhode IslandPermitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia. Work with business stakeholders to understand business requirements for changes to business processes, policies and information systems to shape their needs into documentation (System Requirement Specification, Source to Target Mapping) that developers and testers can use to create the proper technical solution.
Senior Facets Developer Blue Shield of North CarolinaSenior Facets DeveloperNorth CarolinaThe Senior Facets Developer partners closely with business stakeholders, architects, analysts, and engineering teams to deliver innovative solutions that improve operational efficiency, member experience, and business outcomes. . This role provides deep expertise in Facets, Enrollment Administration Manager (EAM), and related enrollment platforms, ensuring high-performing, scalable, and reliable solutions that support critical business functions.
Senior Data Visualization Analyst Blue Cross & Blue Shield of Rhode IslandSenior Data Visualization AnalystProvidence, Rhode IslandThe Sr Data Visualization Developer leads initiatives to design, develop, and maintain intuitive business intelligence dashboards and self‑service analytics tools that enable business partners to access timely, actionable insights. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
NewManager of Under 100 Sales Blue Cross & Blue Shield of Rhode IslandManager of Under 100 SalesProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Responsible for leading the sales and account management strategy and execution for the Under 100 commercial market, inclusive of Small Group (
Senior Communications Advisor - Stakeholder Engagement Blue Shield of North CarolinaSenior Communications Advisor - Stakeholder EngagementDurham, North CarolinaThe Senior Communications Advisor, Stakeholder Engagement is a senior individual contributor role responsible for shaping, modernizing, and executing communications that support the full range of external stakeholder audiences within the Stakeholder Engagement function — including providers, regulators, brokers, agents, consultants, and employer groups. Communication, Communication Strategy Development, Marketing Communications (MarCom), Media Communications, Media Management, Media Relations, Message Development, Public Relations (PR), Social Media Communications, Strategic Communication Planning _____________________________________________________________________.
Senior AI/ML Scientist Blue Shield of North CarolinaSenior AI/ML ScientistNorth CarolinaArtificial Intelligence (AI), Benchmarking, Best Practices Development, Data Analysis, Data Science, Data Visualization, Deep Learning Algorithms, Machine Learning (ML), Machine Learning Methods, Predictive Algorithms, Prescriptive Analytics, Reinforcement Learning, Statistical Models, Statistics _____________________________________________________________________. Senior AI/ML scientist will combine statistical expertise, programming skills, and data science knowledge to create impactful self-learning applications and collaborate with multidisciplinary teams to integrate AI technologies into real-world systems and solutions to achieve business goals.
Medicare Outside Sales Representative Blue Cross & Blue Shield of Rhode IslandMedicare Outside Sales RepresentativeProvidence, Rhode IslandPermitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults.
Business Solutions Developer Blue Shield of North CarolinaBusiness Solutions DeveloperNorth CarolinaThe Business Solutions Developer creates technical solutions to address moderately complex business capability needs by utilizing at least one technical application; including but not limited to: Business Objects, Access, Crystal Reports, SQL, VBA, etc. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information.
Lead Provider Payment Integrity Analyst Blue Cross & Blue Shield of Rhode IslandLead Provider Payment Integrity AnalystProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Case Manager - Behavioral Health Blue Cross & Blue Shield of Rhode IslandCase Manager - Behavioral HealthProvidence, Rhode IslandTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Senior Data Visualization Analyst Blue Cross & Blue Shield of Rhode IslandSenior Data Visualization AnalystProvidence, Rhode Island$93,600–$140,400 / yearThe Sr Data Visualization Developer leads initiatives to design, develop, and maintain intuitive business intelligence dashboards and self‑service analytics tools that enable business partners to access timely, actionable insights. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
NewDirector Payment Integrity Blue Cross & Blue Shield of Rhode IslandDirector Payment IntegrityProvidence, Rhode Island$116,900–$187,100 / yearTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Senior Medical Economics Analyst Blue Cross & Blue Shield of Rhode IslandSenior Medical Economics AnalystProvidence, Rhode Island$93,600–$140,400 / yearTo further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
Lead Total Cost of Care Implementation Manager Blue Cross & Blue Shield of Rhode IslandLead Total Cost of Care Implementation ManagerProvidence, Rhode Island$102,300–$163,700 / yearAssigned vendors will include varying degrees of complexity in areas such as eligibility, engagement, file exchanges, contracting and financial arrangements, member/client communications, billing, and training of member-facing teams, This includes but is not limited to the activities of multiple on-going implementations, daily vendor interaction and communication, timeline and critical task management, coordination across multiple resources and stakeholders working closely with the Enterprise Project Management Office (EPMO). Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia.
New["Internal Auditor, Principal","Internal Auditor, Principal"] Blue Shield of California["Internal Auditor, Principal","Internal Auditor, Principal"]ReddingLocations Oakland, CA, United States CA, United States Long Beach, CA, United States El Dorado Hills, CA, United States Lodi, CA, United States Rancho Cordova, CA, United States Redding, CA, United States San Diego, CA, United States Woodland Hills, Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions.
New["Internal Auditor, Consultant","Internal Auditor, Consultant"] Blue Shield of California["Internal Auditor, Consultant","Internal Auditor, Consultant"]San DiegoIn this role, you will: Independently execute end-to-end internal audits, including performing effective risk assessments, planning, assessing the design of controls, testing the effectiveness of controls and reporting results to management. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions.
New["AI Auditor, Senior","AI Auditor, Senior"] Blue Shield of California["AI Auditor, Senior","AI Auditor, Senior"]LodiRequires a minimum of 5 years of prior related experience in internal audit, IT audit, technology risk, compliance, fraud detection, investigations, information security, data governance, data analytics, model risk management, or related assurance functions. The AI Internal Audit Consultant will help evaluate AI activity, system usage, data flows, prompts, outputs, logs, access patterns, process documentation, and control evidence to identify suspicious behavior, potential compliance violations, fraud indicators, or inappropriate use of AI tools.
NewFinancial/Operational Auditor, Senior (Kansas City, MO area) Blue Cross and Blue Shield of Kansas CityFinancial/Operational Auditor, Senior (Kansas City, MO area)Kansas City, MOAny of the following certifications: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), Certified Information Systems Auditor (CISA) or other recognized certifications. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis.
NewFraud Investigator-Kansas City, MO area Blue Cross and Blue Shield of Kansas CityFraud Investigator-Kansas City, MO areaKansas City, MO3 years' experience conducting healthcare FWA investigations at a health insurer; experience analyzing claims data to identify FWA trends and patterns using tools such as Excel and business intelligence platforms (e.g., Power BI, Business Objects). Knowledge of major BCBSKC business systems (e.g., Facets, ITS Host and Home) and operational processes (e.g., Claims Processing, Pharmacy, Provider Contracting/Relations, Member Services, Customer Service).
NewFinancial Reporting Analyst I Blue Cross and Blue Shield of Kansas CityFinancial Reporting Analyst Imissouri, MO$64,400–$80,500 / yearThis role may review supporting analysis and prepare journal entries and analysis as needed to adjust from GAAP to STAT reporting, as well as assist in preparation and coordination of annual/quarterly financial and regulatory audits. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
NewFinancial Reporting Analyst I Blue Cross and Blue Shield of Kansas CityFinancial Reporting Analyst IFlorida, FL$64,400–$80,500 / yearThis role may review supporting analysis and prepare journal entries and analysis as needed to adjust from GAAP to STAT reporting, as well as assist in preparation and coordination of annual/quarterly financial and regulatory audits. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
NewFinancial Reporting Analyst I Blue Cross and Blue Shield of Kansas CityFinancial Reporting Analyst IKansas, KS$64,400–$80,500 / yearThis role may review supporting analysis and prepare journal entries and analysis as needed to adjust from GAAP to STAT reporting, as well as assist in preparation and coordination of annual/quarterly financial and regulatory audits. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
NewCategory Manager Blue Cross and Blue Shield of Kansas CityCategory ManagerTopeka, KS$85,600–$107,000 / yearThe Category Manager provides guidance to business areas, supports supplier segmentation initiatives, ensures compliance with Vendor Management Office (VMO) policies and regulatory requirements, and contributes to enterprise governance and strategic initiatives. Proven ability to establish and maintain effective relationships with internal and external stakeholders, facilitate strategic discussions, and deliver clear, actionable insights to executive audiences that support informed decision-making and business outcomes.
Customer Experience Representative Blue Cross and Blue Shield of Kansas CityCustomer Experience RepresentativeKSHowever, if an employee is trained to handle direct enrolled calls-excluding calls that are strictly service-only-they will be required to obtain and maintain an active insurance license issued by the Kansas Department of Insurance. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
Customer Experience Representative Blue Cross and Blue Shield of Kansas CityCustomer Experience RepresentativeTopeka, KSHowever, if an employee is trained to handle direct enrolled calls-excluding calls that are strictly service-only-they will be required to obtain and maintain an active insurance license issued by the Kansas Department of Insurance. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
Customer Experience Representative Blue Cross and Blue Shield of Kansas CityCustomer Experience RepresentativeMOHowever, if an employee is trained to handle direct enrolled calls-excluding calls that are strictly service-only-they will be required to obtain and maintain an active insurance license issued by the Kansas Department of Insurance. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.
Finance Business Partner Blue Cross and Blue Shield of Kansas CityFinance Business PartnerTopeka, KS$73,920–$92,400 / yearThis role works with departments, sub-divisions, and less complex divisions within the organization by spreading financial acumen; telling compelling, data-driven stories to spur action; bridging the knowledge gap between finance and operations; and assisting in the creation of financial planning and analysis's (FP&A's) decision support tools. Conduct in-depth analyses of financial data (grow and utilize data science capabilities) to highlight trends, risks, leading indicators, business statistics, and opportunities for improvement.
Manager Divisional Finance & Decision Support Blue Cross and Blue Shield of Kansas CityManager Divisional Finance & Decision SupportTopeka, KS$116,000–$145,000 / yearSupport management in creating an annual operating plan that aligns with the company's strategic goals, and perform regular forecasting to provide visibility into business performance and drive timely decision-making. Work closely with the FP&A team to manage the annual budgeting process, ensuring business leaders have the financial data and insights needed for effective budget planning and resource allocation.
NewEDI Technical Analyst (Claims) - Hybrid Blue Cross Blue Shield of ArizonaEDI Technical Analyst (Claims) - HybridPhoenix, ArizonaIntermediate knowledge of data mapping techniques, data analysis software, computer operating systems, Microsoft Applications and Suites, Windows Server, and Microsoft SQL databases. In this full-time role, you will support Trading Partner EDI and flat files by developing documentation, analyzing data and system processes, testing files and applications, and providing end-user support and training.
Physician - West Valley (Onsite) Blue Cross Blue Shield of ArizonaPhysician - West Valley (Onsite)Phoenix, ArizonaProsano Health Solutions, in partnership with Blue Cross Blue Shield of Arizona, has launched an Advanced Primary Care model with a clear mission: To Inspire Health and Make it Easy . Our Advanced Primary Care model is focused on providing a signature patient experience which will raise the bar in both the delivery of care, and by ensuring health equity is top of mind.
Sr. Mgr - Data Platform, Business Intelligence - Hybrid Blue Cross Blue Shield of ArizonaSr. Mgr - Data Platform, Business Intelligence - HybridPhoenix, ArizonaThis leader manages data engineers, analysts, and technical leads, drives Snowflake integration and ETL development, and enables self-service analytics capabilities while maintaining strong data governance and integrity. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.