Application Developer - Java Blue Cross Blue Shield of KansasApplication Developer - JavaTopeka, KansasThis role collaborates closely with business analysts to ensure a clear understanding of requirements, works alongside other developers to ensure seamless integration of code, and coordinates with application testers to support their testing efforts and address any bugs. Lead Developer - Minimum of 8 years of application development experience with a thorough knowledge of at least one programming language and familiarity with other languages.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerHutchinson, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerDodge City, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerWichita, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerPittsburg, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Senior Multimedia Designer Blue Cross Blue Shield of KansasSenior Multimedia DesignerTopeka, KansasWhile the formal title is Senior Multi-Media Designer, this role is ideal for a senior-level graphic designer who brings exceptional design craft, strong conceptual thinking and a passion for building brands through typography, color, layout, visual systems and compelling storytelling. We welcome candidates from agency, in-house, nonprofit, corporate, retail, marketing/product development, education or other brand-building environments who bring strong graphic design expertise and a standout portfolio.
RPA Solution Designer Blue Cross Blue Shield of KansasRPA Solution DesignerTopeka, KansasRemoteAdditionally, this position leads the evaluation and adoption of emerging technologies such as artificial intelligence (AI), machine learning (ML), process/task mining, intelligent document processing (IDP), and agents to enhance RPA capabilities. Partner with Information Technology and Services to drive optimal use of RPA systems and software, ensuring automation solutions integrate seamlessly with application programming interfaces (APIs), databases, and cloud services.
Application Developer - Java Blue Cross Blue Shield of KansasApplication Developer - JavaTopeka, KansasThis role collaborates closely with business analysts to ensure a clear understanding of requirements, works alongside other developers to ensure seamless integration of code, and coordinates with application testers to support their testing efforts and address any bugs. Lead Developer - Minimum of 8 years of application development experience with a thorough knowledge of at least one programming language and familiarity with other languages.
Regional Sales Manager Blue Cross Blue Shield of KansasRegional Sales ManagerHutchinson, KansasStrong human relation skills, including the ability to motivate people, Strong verbal, written and interpersonal communication skills required, including the ability to understand and communicate complex concepts and develop sound financial business cases. Under the direction of the Director of External Sales, the Regional Sales Manager leads sales and retention activities of sales staff for all product lines within designated region.
Application Developer - Java Blue Cross Blue Shield of KansasApplication Developer - JavaTopeka, KansasThis role collaborates closely with business analysts to ensure a clear understanding of requirements, works alongside other developers to ensure seamless integration of code, and coordinates with application testers to support their testing efforts and address any bugs. Lead Developer - Minimum of 8 years of application development experience with a thorough knowledge of at least one programming language and familiarity with other languages.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerTopeka, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerLawrence, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Medicaid & ACA Manager Blue Cross Blue Shield of KansasMedicaid & ACA ManagerSalina, KansasThe Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses related to morbidity shifts, affordability, benefit design, etc.
Credentialing Enrollment Specialist Blue Cross Blue Shield of KansasCredentialing Enrollment SpecialistTopeka, KansasResponsible for the prompt, courteous, accurate, and timely handling of incoming telephone calls, emails, and written correspondence from professional providers, or their designees, covering all lines of business regarding their credentialing application. Complete primary source verification including license, board certification, Medicare/Medicaid sanction activity (OIG), National Practitioner Data Bank, professional liability coverage, and accreditation status.
Strategic Intelligence Analyst Blue Cross Blue Shield of KansasStrategic Intelligence AnalystTopeka, KansasSupport the corporate strategy development and planning process by collecting data, conducting analyses, and interpreting data from internal and external sources to provide actionable strategic insights that support decision-making at the enterprise and cross-divisional levels. Conduct ongoing research into industry and market trends, assessing external forces, risks, and key performance indicators while staying current on emerging innovations, tools, and technologies that inform strategic decision-making.
Risk Adjustment Coding and Outreach Speciallist Blue Cross Blue Shield of KansasRisk Adjustment Coding and Outreach SpeciallistTopeka, KansasRemoteUnder the direction of the Supervisor, Risk Adjustment Coding and Outreach, this position will be responsible for the ICD-10-CM diagnosis code capture for Affordable Care Act (ACA) and Medicare Risk Adjustment initiatives to include CMS required Medicare and Commercial Risk Adjustment and Risk Adjustment Data Validation (RADV) audits. Performs medical record review to capture of all relevant diagnosis codes included in the CMS and HHS Hierarchical Condition Categories (HCC) conditions for Commercial and Medicare Risk Adjustment Payment system.
Community Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerSalina, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
System Administrator Blue Cross Blue Shield of KansasSystem AdministratorTopeka, KansasThis position works closely with other security engineers, IT teams, and business units to enforce security policies, respond to incidents, remediate security vulnerabilities, and support compliance with regulatory requirements. This role involves deploying, maintaining, and troubleshooting security tools, managing IT and vendor risk, monitoring system performance, and implementing security best practices.
Community Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerTopeka, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
System Administrator Blue Cross Blue Shield of KansasSystem AdministratorTopeka, KansasThis position works closely with other security engineers, IT teams, and business units to enforce security policies, respond to incidents, remediate security vulnerabilities, and support compliance with regulatory requirements. This role involves deploying, maintaining, and troubleshooting security tools, managing IT and vendor risk, monitoring system performance, and implementing security best practices.
Community Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerTopeka, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
Systems Console Spec (Days) Blue Cross Blue Shield of KansasSystems Console Spec (Days)Topeka, KansasResponsible for filling out a UCR and Incident ticket on all hardware/software problems and maintaining the logbook for various Customer Engineers. Responsible for correctly printing all reports, filling out the order forms and printing and voiding all checks for various systems.
Clinical Quality Nurse Consultant Blue Cross Blue Shield of KansasClinical Quality Nurse ConsultantTopeka, KansasThe Clinical Quality Nurse Consultant serves as a clinical liaison between Blue Cross Blue Shield of Kansas (BCBSKS), providers, and members to support quality improvement, care coordination, and value-based care initiatives across all lines of business. Support clinical quality improvement and value-based care initiatives by partnering with providers and internal teams to improve quality outcomes across assigned populations and lines of business.
Service Unit Quality Assurance Blue Cross Blue Shield of KansasService Unit Quality AssuranceTopeka, KansasEnters employee accuracy data into the Service Unit Accuracy database so reports can be used for performance evaluations and reporting accuracy levels for employees, the unit, and department. Serve on cross departmental or cross divisional teams/meetings as needed for supervision regarding quality, additional education, and coaching.
Solutions Architect Blue Cross Blue Shield of KansasSolutions ArchitectTopeka, KansasThis position collaborates closely with business stakeholders, development teams, and external vendors to translate complex requirements into actionable architectural designs ensuring the successful delivery of solutions across various platforms. Technical Expertise: Provide deep technical security knowledge in areas such as infrastructure architecture (cloud and on-prem),, software development, networking, data management, and integration, ensuring alignment with business objectives.
Solutions Architect Blue Cross Blue Shield of KansasSolutions ArchitectTopeka, KansasThis position collaborates closely with business stakeholders, development teams, and external vendors to translate complex requirements into actionable architectural designs ensuring the successful delivery of solutions across various platforms. Technical Expertise: Provide deep technical security knowledge in areas such as infrastructure architecture (cloud and on-prem),, software development, networking, data management, and integration, ensuring alignment with business objectives.
Provider Network Operations Specialist Blue Cross Blue Shield of KansasProvider Network Operations SpecialistTopeka, KansasProvides guidance to providers and internal stakeholders on enrollment processes, network participation, and the importance of maintaining accurate provider data, including use of self-service tools for validation. Performs intake, screening, eligibility review, and timely processing of applications, changes, and terminations while maintaining accurate provider records within Provider Network Solutions systems.
Claims Specialist Blue Cross Blue Shield of KansasClaims SpecialistTopeka, KansasThe AICK Claims Specialist will administer, review, and approve or deny all types of claims, for the products marketed by AICK, to include Waiver of Premium, Term Life, Accidental Death & Dismemberment, Short Term Disability, Long Term Disability, Living Benefit Rider, Ordinary Life, Yearly Renewable Term, all Voluntary Life and Accidental Death & Dismemberment coverage. Compile and report required financial and operational data, including Schedule F for the Annual Statement, management reports (e.g., claim processing time, paid claims, closed claims), and other required reporting (FICA, W-2/W-3).
Team Leader Blue Cross Blue Shield of KansasTeam LeaderTopeka, KansasCreate and maintain effective working relationships with assigned staff, management of key business units, vendors, consultants/contractors, and other operational units within Information Services. Ability to understand, anticipate, and address resource needs in order to meet client demand for services and appropriately staff projects.
Senior Group Consultant Blue Cross Blue Shield of KansasSenior Group ConsultantWichita, KansasRequires the ability to acquire and understand Blue Cross and Blue Shield Association rules and regulations concerning groups and prospects that Blue Cross and Blue Shield of Kansas can write in our Plan area. When appropriate, recommend benefit changes and/or new product sales to meet the needs of our clients and assist in developing sales aids and recommend improvements in sales materials, where applicable.
Solutions Architect Blue Cross Blue Shield of KansasSolutions ArchitectTopeka, KansasThis position collaborates closely with business stakeholders, development teams, and external vendors to translate complex requirements into actionable architectural designs, ensuring the successful delivery of solutions across various platforms. Collaboration with Teams: Work with cross-functional teams, including developers, operations, and security experts, to implement solutions and troubleshoot any issues that arise during the development and deployment stages.
Corporate Financial Analyst II or III Blue Cross Blue Shield of KansasCorporate Financial Analyst II or IIITopeka, KansasKey responsibilities include preparing annual budgets and monthly forecasts, developing and reporting on operational and financial performance metrics, communicating financial results to finance leadership, divisional leaders and key stakeholders. 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.
Clinical Quality Nurse Consultant Blue Cross Blue Shield of KansasClinical Quality Nurse ConsultantTopeka, KansasThe Clinical Quality Nurse Consultant serves as a clinical liaison between Blue Cross Blue Shield of Kansas (BCBSKS), providers, and members to support quality improvement, care coordination, and value-based care initiatives across all lines of business. Support clinical quality improvement and value-based care initiatives by partnering with providers and internal teams to improve quality outcomes across assigned populations and lines of business.
Community Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerTopeka, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
Corporate Financial Analyst II or III Blue Cross Blue Shield of KansasCorporate Financial Analyst II or IIITopeka, KansasKey responsibilities include preparing annual budgets and monthly forecasts, developing and reporting on operational and financial performance metrics, communicating financial results to finance leadership, divisional leaders and key stakeholders. 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.
IDR Administrative Specialist Blue Cross Blue Shield of KansasIDR Administrative SpecialistTopeka, KansasDemonstrated verbal and written communication and human relation skills with the ability to interact positively at all levels with internal and external peers. The Specialist supports operational efficiency by maintaining accuracy, timeliness, and compliance with internal guidelines and externally driven requirements, including regulatory changes.
Service Unit Quality Assurance Blue Cross Blue Shield of KansasService Unit Quality AssuranceTopeka, KansasEnters employee accuracy data into the Service Unit Accuracy database so reports can be used for performance evaluations and reporting accuracy levels for employees, the unit, and department. Serve on cross departmental or cross divisional teams/meetings as needed for supervision regarding quality, additional education, and coaching.
Manager Association Health Plans and National Special Accounts Blue Cross Blue Shield of KansasManager Association Health Plans and National Special AccountsTopeka, KSmaintaining strong relationships with clients and business partners, participating and executing in corporative initiatives, and ensuring. - Manage assigned operational budgets, expenses, personnel records, reporting within company systems and other duties as assigned.
NewSystems Console Spec (Days) Blue Cross Blue Shield of KansasSystems Console Spec (Days)Topeka, KansasResponsible for filling out a UCR and Incident ticket on all hardware/software problems and maintaining the logbook for various Customer Engineers. Responsible for correctly printing all reports, filling out the order forms and printing and voiding all checks for various systems.
System Administrator Blue Cross Blue Shield of KansasSystem AdministratorTopeka, KansasThis position works closely with other security engineers, IT teams, and business units to enforce security policies, respond to incidents, remediate security vulnerabilities, and support compliance with regulatory requirements. This role involves deploying, maintaining, and troubleshooting security tools, managing IT and vendor risk, monitoring system performance, and implementing security best practices.
NewSystem Administrator Blue Cross Blue Shield of KansasSystem AdministratorTopeka, KansasThis position works closely with other security engineers, IT teams, and business units to enforce security policies, respond to incidents, remediate security vulnerabilities, and support compliance with regulatory requirements. This role involves deploying, maintaining, and troubleshooting security tools, managing IT and vendor risk, monitoring system performance, and implementing security best practices.
NewCommunity Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerWichita, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
NewCommunity Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerTopeka, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
NewCommunity Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerTopeka, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
NewCommunity Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerSalina, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
NewSystem Administrator Blue Cross Blue Shield of KansasSystem AdministratorTopeka, KansasThis position works closely with other security engineers, IT teams, and business units to enforce security policies, respond to incidents, remediate security vulnerabilities, and support compliance with regulatory requirements. This role involves deploying, maintaining, and troubleshooting security tools, managing IT and vendor risk, monitoring system performance, and implementing security best practices.
NewCommunity Health Program Manager Blue Cross Blue Shield of KansasCommunity Health Program ManagerLawrence, KansasThe Community Health Program Manager will play a pivotal role in designing, implementing and managing programs aimed at preventive health, social determinants of health, and community health for all Kansans. Continuous Improvement: Stay informed about industry trends and best practices in preventive health, social determinants of health, and health equity, as well as other relevant health trends which could impact Kansans.
Sr. Budget Consultant Blue Cross and Blue Shield of Massachusetts IncSr. Budget ConsultantBoston, MA$128,070–$156,530 / yearBeyond core financial management, you will serve as a key advisor in administrative spending forums, spearhead high-priority cost-saving initiatives (including directing efforts for our Smart Savings subcommittee), and lead our participation in annual Blue Cross Blue Shield benchmarking. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
Associate Director, Actuarial Blue Cross and Blue Shield of Massachusetts IncAssociate Director, ActuarialBoston, MA$185,850–$227,150 / yearAn employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. Financial Reserving and Valuation: Lead the quarterly and annual actuarial reserving process, including the calculation of reserves for Incurred But Not Reported (IBNR) and other statutory reserves.
Director, Government Legislative Affairs Blue Cross and Blue Shield of Massachusetts IncDirector, Government Legislative AffairsBoston, MA$198,360–$242,440 / yearDirectly advocate for the Company's interests in legislative hearings, regulatory sessions, and one-on-one meetings with legislators, regulators, and staff on issues impacting health care and the insurance industry, including behavioral health and substance use disorder treatment, prescription drug pricing and transparency policy, provider payment policy, municipal health reform, and utilization management tools. In-depth demonstrated knowledge and understanding of the health care and health insurance industry, including specific issue-area expertise in public policy related to behavioral health, substance use disorder, prescription drug pricing and transparency policy, provider payment policy, municipal health reform, and utilization management tools.