Senior Medical Policy Research Consultant Blue Cross Blue Shield of MinnesotaSenior Medical Policy Research ConsultantEagan, MinnesotaRemoteThis position is responsible for researching and analyzing the medical literature, clinical practice guidelines, and federal and state coverage decisions with the intent of developing medical policies for BCBSM and our national business, and researching new technologies and reviewing existing technologies for presentation to internal technology assessment groups, BCBSM committees and external stakeholders when applicable. Demonstrated ability to analyze findings from the current medical literature and develop written conclusions regarding medical technology assessment in the areas of: clinical effectiveness, measurable health outcomes, and safety and appropriateness.
Senior Medicaid Program Health Manager OR Medicaid Program Health Manager Blue Cross Blue Shield of MinnesotaSenior Medicaid Program Health Manager OR Medicaid Program Health ManagerEagan, MinnesotaRemoteYou will support the design, development, implementation, and evaluation of programs that improve the delivery of health care services and the health of our members, partnering with leadership and cross-functional teams to advance strategic priorities and help the business effectively manage change. By monitoring key metrics, identifying risks and opportunities, and delivering clear, data-driven reporting, you will help the enterprise anticipate and support RFP and pursuit cycles, maintain compliance, and meet year-over-year performance expectations.
Senior Business Analyst - Utilization Management/Behavioral Health Blue Cross Blue Shield of MinnesotaSenior Business Analyst - Utilization Management/Behavioral HealthEagan, MinnesotaRemoteWorking closely with product leaders, clinical partners, and business stakeholders, you will translate complex behavioral health clinical and operational insights into actionable business requirements, impact analyses, and implementation plans that support enterprise priorities. Develop and present data-driven business cases to support Utilization Management initiatives, evaluating clinical evidence, utilization trends, and potential cost-saving opportunities in partnership with Product, Clinical, and Operational stakeholders.
NewHealth Data Analyst Blue Cross and Blue Shield of LouisianaHealth Data AnalystBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Experience with Microsoft applications (e.g., Microsoft Excel, Access, Word, PowerPoint, SQL Server Management Studio), Experience using programming or scripting languages for data extraction and analysis.
CW Operational Reporting & Data Analyst Intern Blue Cross and Blue Shield of LouisianaCW Operational Reporting & Data Analyst InternBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Degree program(s) / Current Status: Junior or senior level undergraduate, Master’s level or recent graduate in desired area of Information Management Systems, Computer Science, and Business Administration or related degree.
Behavioral Health Case Manager Blue Cross and Blue Shield of LouisianaBehavioral Health Case ManagerPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. The Behavioral Health Case Manager will collaborate with internal teams, external providers, family members, and community resources to support members in optimizing care and improving health outcomes.
Principal Data Engineer Lead Blue Cross Blue Shield of MinnesotaPrincipal Data Engineer LeadEagan, MinnesotaRemoteThis position is responsible for providing technical and resource leadership for enabling data analytics which includes leading or executing user story development, data design and architecture, data integration development, testing or BI application delivery in the BCBSMN data warehouse framework including surrounding enablement environments. The lead principal position will collaborate and/or partner with business areas, project teams, IT technical teams, as well as outsourced vendors to ensure high quality delivery of data architecture and data integration applications focusing innovation and creativity enabling value add to the business on large scale efforts.
NewRemote Member Experience Advocate Blue Cross Blue Shield of MinnesotaRemote Member Experience AdvocateEagan, MinnesotaRemoteHandle incoming calls in a fast-paced call center environment, with occasional outbound calls and offline follow-up tasks such as provider outreach and research. Ability to communicate clearly with varied internal contacts, actively listen to clarify needs, and ensure accurate and timely information exchange.
Manager Account Advisor, Major Accounts Blue Cross Blue Shield of MinnesotaManager Account Advisor, Major AccountsEagan, MinnesotaRemoteInitiates, leads and/or participates as a subject matter expert in cross-functional projects at both an enterprise and market segment level to ensure that product or service design, implementation, performance improvements and new program initiatives adequately address the unique needs of customers. Provides ad hoc support in performing the Account Advisor role as needed, including consultation on client-specific deliverables, travel in support of client, broker, or member meetings or other tactical needs to support efforts in executing against client requirements.
Healthcare Price and Transparency Data Analyst Intern Blue Cross and Blue Shield of LouisianaHealthcare Price and Transparency Data Analyst InternBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus.
Principal Program Manager Blue Cross Blue Shield of MinnesotaPrincipal Program ManagerEagan, MinnesotaRemoteThis role drives performance on HEDIS hybrid and chart review measures by monitoring quality rates, identifying improvement opportunities, managing escalations, and ensuring the accuracy of clinical reviews through robust quality assurance and over-read processes. Experience managing complex projects which may involve multiple team members, task assignment, working with internal or external clients, managing teams and customer relationships, and managing project deliverables.
NewCW Audit Intern Blue Cross and Blue Shield of LouisianaCW Audit InternBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus.
NewEnrollment Compliance Specialist Blue Cross and Blue Shield of LouisianaEnrollment Compliance SpecialistBaton Rouge, LouisianaNecessary Contacts: To do this job effectively the incumbent has to be in contact with: CMS, Information Technology, Marketing, Legal, Underwriting, Pharmacy Services, Other Party Liability, Research, Claims Units, Customer Service, MTM, other Benefits Specialists and other departments within BCBSLA as needed, other plans, outside consultants, agents, brokers, group leader and subscribers as needed. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
HR Business Partner Blue Cross Blue Shield of MinnesotaHR Business PartnerEagan, MinnesotaRemoteThe HRBP will collaborate closely with Human Resource Business Partner (HRBP) leadership, HR peers, Employee Relations (ER), Total Rewards, HR operations, organization effectiveness, and Talent Acquisition to support designated areas effectively. Provide advice and guidance on performance management, talent management, succession planning, compensation, coaching, talent reviews, and lower-tier employee relations issues.
Lead Software Quality Assurance Engineer (Remote - Louisiana) Blue Cross and Blue Shield of LouisianaLead Software Quality Assurance Engineer (Remote - Louisiana)RemoteWork Experience 7 years of related quality assurance testing experience, required, along with the following: Professional systems or programming background; database technologies and SQL; testing web, client-server, infrastructure, business process, or mainframe applications; testing systems installation and maintenance; and experience with Microsoft TFS/ Azure DevOps, preferred. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Medicaid Market Partner Blue Cross Blue Shield of MinnesotaMedicaid Market PartnerEagan, MinnesotaRemoteAs a Medicaid Market Partner, you are the frontline market presence for the Medicaid P&L, serving as a trusted, in-person relationship owner with counties and fostering collaborative partnerships. By identifying emerging needs and market trends, you bring critical market intelligence back into the business, translating insights into actionable strategies for the Medicaid leadership.
Senior Client & Account Operations Analyst Blue Cross Blue Shield of MinnesotaSenior Client & Account Operations AnalystEagan, MinnesotaRemoteThe role is responsible for managing client and account operational tasks for their clients, which could include commercial client and account renewal and maintenance, onboarding, benefit management or document generation. Leads thorough documentation and data collection of all business/client account requirements for new, expanding, and renewing business to ensure accuracy and adherence to business, client and/or member deadlines and performance guarantees.
Manager, Accreditation Manager Blue Cross Blue Shield of MinnesotaManager, Accreditation ManagerEagan, MinnesotaRemoteManage an accreditation team, with accountability for the full associate lifecycle, including workforce decisions, performance and talent management, employee relations, policy compliance, and cost control. The position manages accreditation-related risks, monitors compliance activities, coordinates readiness assessments, and oversees documentation and reporting to support successful survey outcomes.
NewCW IT Audit Intern Blue Cross and Blue Shield of LouisianaCW IT Audit InternBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Degree program(s) / Current Status: junior or senior level undergraduate, Master’s level or recent graduate in desired area of Information Systems and Decision Sciences (ISDS), Computer Science, Data Analytics, Accounting orFinance.
NewDigital Product Manager Blue Cross and Blue Shield of LouisianaDigital Product ManagerBaton Rouge, LouisianaPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Necessary Contacts: To do this job effectively the incumbent has to be in contact with all levels of Blue Cross management, Marketing personnel, vendors, Strategic Communications staff as well as key subject matter experts both internal and external.
Manager, Compliance Oversight Blue Cross Blue Shield of MinnesotaManager, Compliance OversightEagan, MinnesotaRemoteThe Manager, Compliance Oversight will lead a team responsible for conducting compliance assessments and monitoring activities across internal operations and external partners, including First Tier, Downstream, and Related Entities (FDRs) and subcontractors supporting Medicare, Medicaid, and ACA programs. The ideal candidate brings 7+ years of audit and compliance experience, including leading compliance assessments, audits, monitoring programs, or regulatory reviews, along with 3+ years of people leadership.
Executive Recruiting Manager Blue Cross Blue Shield of MinnesotaExecutive Recruiting ManagerEagan, MinnesotaRemoteSuccess in this role comes from identifying exceptional leadership talent, building trust with stakeholders and candidates, and delivering a thoughtful, high-quality search experience from initial strategy through hire. As the in-house executive talent acquisition recruiter, you will own end-to-end searches for senior leadership positions and play a key role in building the talent pipelines that support long-term business success.
Risk Adjustment Actuary Blue Cross Blue Shield of MinnesotaRisk Adjustment ActuaryEagan, MinnesotaRemoteThe Risk Adjustment Analytics team partners across legal, compliance, provider, and actuarial functions to support a broad range of risk adjustment work, including forecasting, pricing, audit support, and strategic initiatives. This position serves as a key technical leadership role on the team, guiding actuarial assumption development and analysis that support enterprise decision-making.
Principal Healthcare Analyst - Quality & Stars Blue Cross Blue Shield of MinnesotaPrincipal Healthcare Analyst - Quality & StarsEagan, MinnesotaRemoteOur Quality Analytics team is seeking a Principal Healthcare Analyst - Quality & Stars to support a growing, high-impact function focused on healthcare quality performance and reporting. This position requires strong technical and analytical expertise, with a focus on modern data tools such as Databricks and Power BI, along with the ability to translate complex healthcare data into actionable insights.
Account Advisor I - Call Center Blue Cross and Blue Shield of LouisianaAccount Advisor I - Call CenterBaton Rouge, LARemotePursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._. + Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure proper benefits and/or payments are applied correctly; researches multiple computer systems/applications to verify data/information accuracy.
Strategic Account Manager Blue Cross and Blue Shield of LouisianaStrategic Account ManagerBaton Rouge, LAManages, plans and implements a block of highly, complex, large group accounts to meet specified targets and service accounts to expand the business and meet corporate and divisional sales/renewal objectives by acting as a consultant to strategic accounts, retaining and selling all lines of business (health and ancillary) and retaining, servicing and upgrading existing group accounts, and working closely with the assigned account executive as the primary project manager to develop tactical plans and execute the account strategy developed. + Analyzes client needs in order to develop, design and recommend or implement product improvements or additions and makes presentations to producers and existing customers by providing a comprehensive analysis of benefits and rates, introducing and selling ancillary products to increase product offering in group health accounts and recommending additional coverage to existing groups and brokers to increase to specified targets and divisional and/or corporate goals.
Senior Enterprise Data Analyst Blue Cross and Blue Shield of MinnesotaSenior Enterprise Data AnalystEagan, MNRemote$90,800–$120,300 / yearThe incumbent will also be relied upon as a Business Intelligence power user and a data steward for the enterprise, providing services to a variety of customers, like Network Management, Sales and Marketing, Finance, Actuary and Underwriting, Audit and the Operations Division. Responsibilities include working with customers to understand business requirements, data management and stewardship for a variety of data sources, data analysis and the application of analytical techniques to ensure that the data is answering the right question.
Senior IT Operations Center Engineer Blue Cross and Blue Shield of LouisianaSenior IT Operations Center EngineerBaton Rouge, LA5 years years of related work experience, with a background in one or more of the following areas of specialty as specified:Linux operating system software (Red Hat Linux preferred)SAN/NAS infrastructure (Pure storage or Isilon preferred)Backup systems (Avamar/Datadomain preferred)Virtual Infrastructure (VMware preferred)Research and development application and system softwareNetwork/server/telecommunications systems softwareHas used current system software management technology and tools. The Senior IT Operations Center Engineer plans, installs, monitors and maintains the integrity, security, availability, reliability and performance of primary and auxiliary technical architecture for corporate computerized systems as related to infrastructure software/hardware; provides an extended level of technical support and timely assistance to clients of computerized systems; evaluates, tests, and recommends new computerized system products.
NewEnrollment Compliance Specialist Blue Cross and Blue Shield of LouisianaEnrollment Compliance SpecialistBaton Rouge, LANecessary Contacts: To do this job effectively the incumbent has to be in contact with:CMS, Information Technology, Marketing, Legal, Underwriting, Pharmacy Services, Other Party Liability, Research, Claims Units, Customer Service, MTM, other Benefits Specialists and other departments within BCBSLA as needed, other plans, outside consultants, agents, brokers, group leader and subscribers as needed. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._.
NewAssociate Actuary Blue Cross and Blue Shield of LouisianaAssociate ActuaryBaton Rouge, LACommunicates pricing changes to Underwriting, Marketing, Information Technology and Actuarial Systems departments and oversees testing of systems output to ensure that the correct price is implemented for each member and that benefit options are accurately quoted. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._.
NewProvider Relations Representative - Louisiana Blue Cross and Blue Shield of LouisianaProvider Relations Representative - LouisianaBaton Rouge, LAPartners with internal departments, including Provider Relations Leadership, Network Development and Contracting, Network Operations, Provider Reimbursement, Claims Operations, EDI and eBusiness Solutions, Medical Management, Quality Improvement, Customer Service, Sales/Marketing, and Business Engineering teams to resolve issues and improve organizational performance. The role proactively identifies provider concerns, investigates root causes, coordinates solutions across departments, and delivers provider education on health plan policies, procedures, products, reimbursement methodologies, electronic transaction capabilities, and strategic initiatives.
NewClaims Specialist II Blue Cross and Blue Shield of LouisianaClaims Specialist IIBaton Rouge, LANecessary Contacts: In order to effectively fulfill this position, the Claims Specialist II must be in contact with personnel in other Units:Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. + Reviews, researches, and makes necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.
Behavioral Health Case Manager Blue Cross and Blue Shield of LouisianaBehavioral Health Case ManagerBaton Rouge, LAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._. The Behavioral Health Case Manager will collaborate with internal teams, external providers, family members, and community resources to support members in optimizing care and improving health outcomes.
Lead Provider Payment Integrity Analyst Blue Cross & Blue Shield of Rhode IslandLead Provider Payment Integrity AnalystProvidence, Rhode Island$92,700–$139,100 / 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.
Medicare Outside Sales Representative Blue Cross & Blue Shield of Rhode IslandMedicare Outside Sales RepresentativeProvidence, Rhode Island$58,800–$88,200 / yearPermitted 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.
Case Mgr - DSNP Blue Cross & Blue Shield of Rhode IslandCase Mgr - DSNPProvidence, Rhode Island$73,600–$110,400 / 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.
Manager Data & Integration Platforms Blue Cross & Blue Shield of Rhode IslandManager Data & Integration PlatformsProvidence, 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.
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.
Principal Treasury Analyst Blue Shield of North CarolinaPrincipal Treasury AnalystNorth CarolinaCash Flow, Cash Flow Management, Cash Management, Cash Operations, Finance, Finance Strategy, Financial Accounting, Financial Analysis, Financial Modeling, Financial Products, Financial Reporting and Analysis, Investment Management, Treasury 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.
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.
Manager, IT Solution Delivery (Clinical Data Exchange & Epic Payer Platform) Blue Shield of North CarolinaManager, IT Solution Delivery (Clinical Data Exchange & Epic Payer Platform)Durham, North CarolinaData Integration, Data Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information Technology (IT) Projects, Information Technology (IT) Services, Information Technology Infrastructure Library (ITIL), Information Technology Management, IT Leadership, IT Service Management (ITSM), People Management, Performance Analysis, Solutions Delivery, Technical Solutions, Technology Solution Delivery _____________________________________________________________________. As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members.
Staff UX Designer Blue Shield of North CarolinaStaff UX DesignerDurham, North CarolinaJOB 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. Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.
DSNP RN Care Manager Blue Cross & Blue Shield of Rhode IslandDSNP RN Care ManagerProvidence, Rhode IslandActive and unrestricted RN license issued by a state participating in the Nurse Licensure Compact (NLC), or unrestricted Registered Dietician License, independent license to practice behavioral health in RI such as Licensed Psychologist, Licensed Clinical Social Worker, or Licensed Mental Health Counselor. 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.
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.
Senior Product Developer- Diversified Business Blue Shield of North CarolinaSenior Product Developer- Diversified BusinessDurham, North CarolinaPresents product and program designs and business cases across multiple levels of the organization and the Diversified Business Group’s portfolio of asset companies to secure approval, resources, budget, and stakeholder buy-in. 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.
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.
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 Business Systems Analyst Blue Shield of North CarolinaPrincipal Business Systems AnalystNorth CarolinaProvide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive technical solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment. Leads and directs discussions with the business and IT on projects and initiatives to elicit and document business requirements and prepare appropriate functional specifications while considering technical capabilities of the system/application and ensuring an integrated approach is used.
Senior Technical Software Architect Blue Cross & Blue Shield of Rhode IslandSenior 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.
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.