NewOutreach Pharmacy Specialist-1 BlueCross BlueShield of TennesseeOutreach Pharmacy Specialist-1Chattanooga, TennesseeRemotePreferred qualifications include proficiency with Microsoft Office products, including Outlook, Teams, Excel, Word, and Copilot, as well as a basic understanding of medications evaluated under Medicare's Star Ratings system and the impact of medication adherence on member outcomes. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewOutreach Pharmacy Specialist-1 BlueCross BlueShield of TennesseeOutreach Pharmacy Specialist-1Chattanooga, TennesseeRemotePreferred qualifications include proficiency with Microsoft Office products, including Outlook, Teams, Excel, Word, and Copilot, as well as a basic understanding of medications evaluated under Medicare's Star Ratings system and the impact of medication adherence on member outcomes. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Associate Software Engineer II BlueCross BlueShield of TennesseeAssociate Software Engineer IIChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Provides services to multiple project teams or management staff, provides guidance to less-experienced programmers, and may conduct presentations to provide end users with knowledge to maximize their use of developed systems.
NewSenior Cloud Engineer BlueCross BlueShield of TennesseeSenior Cloud EngineerChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Work with architecture and development teams to provide guidance for new system designs and determine if on premise or cloud environments are best suited to run the workload.
NewECF CHOICES Support Coordinator (Roane, Morgan, and Anderson Counties) BlueCross BlueShield of TennesseeECF CHOICES Support Coordinator (Roane, Morgan, and Anderson Counties)Chattanooga, TennesseeRN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable; Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred; Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP); Or in lieu of a degree, have 5+ years’ experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Senior AI Workflow Engineer BlueCross BlueShield of TennesseeSenior AI Workflow EngineerChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Our ideal candidates will also bring experience in healthcare (other payers, hospital systems, health tech companies) and/or experience working with finance teams .
Clinical Quality Assurance Auditor (Chattanooga or Nashville) BlueCross BlueShield of TennesseeClinical Quality Assurance Auditor (Chattanooga or Nashville)Chattanooga, TennesseeAnalyze clinical data to improve individual provider compliance with education; provide oversight for regional contract staff and coordinate the effort of retrieval of HEDIS and/or STARS records; complete medical record audits for HEDIS and/or STARS data collection or quality of care reviews as required. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
Sr. Identity & Access Management Engineer BlueCross BlueShield of TennesseeSr. Identity & Access Management EngineerChattanooga, TennesseeRemoteProvides input into Access Control design and implementation, Application Credentials, ABAC (Attribute-Based Access Control) and RBAC (Role Based Access Control) roles, User Access Policy Management, Privileged Access Management, User Entitlements, Workflow, and Rule centralization, while ensuring documentation is kept accurate with environment changes. Additionally, strong SQL query development skills, working knowledge of JSON/XML , and experience configuring certifications, access controls, and role-based models (RBAC, SoD rule creation, birthright access) will set you apart—especially if you’ve leveraged automation or AI to optimize identity workflows.
Enterprise Architect II BlueCross BlueShield of TennesseeEnterprise Architect IIChattanooga, TennesseeRemoteYou will be a strong candidate if you have deep expertise in Azure, M365, and Foundry, along with hands-on experience working with GenAI technologies, large language models (LLMs), and frontier model providers such as OpenAI and Anthropic. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Managing Director Commercial Operations BlueCross BlueShield of TennesseeManaging Director Commercial OperationsChattanooga, TennesseeRemoteSuccess in this role is defined by sustained improvements in service performance and experience, measurable operational efficiencies, strong regulatory outcomes, and the successful adoption of AI‑enabled workflows across omni‑channel service environments. Strong partnership with Technology, Digital, Data, Risk, and Compliance is essential to stabilize core service operations while advancing digital tools, self service capabilities, and AI enabled workflows that improve efficiency and effectiveness.
NewCare Coordinator - Davidson County BlueCross BlueShield of TennesseeCare Coordinator - Davidson CountyNashville, TennesseeRegistered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Software Engineer BlueCross BlueShield of TennesseeSoftware EngineerChattanooga, TennesseeRemoteYou will be a strong candidate for this role if you have experience publishing apps to both the Apple App Store and Google Play Store, working with native integrations such as push notifications, biometrics, and device APIs, and using tools like Postman or Fiddler for API debugging. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Sr. Identity & Access Management Engineer BlueCross BlueShield of TennesseeSr. Identity & Access Management EngineerChattanooga, TennesseeRemoteProvides input into Access Control design and implementation, Application Credentials, ABAC (Attribute-Based Access Control) and RBAC (Role Based Access Control) roles, User Access Policy Management, Privileged Access Management, User Entitlements, Workflow, and Rule centralization, while ensuring documentation is kept accurate with environment changes. Additionally, strong SQL query development skills, working knowledge of JSON/XML , and experience configuring certifications, access controls, and role-based models (RBAC, SoD rule creation, birthright access) will set you apart—especially if you’ve leveraged automation or AI to optimize identity workflows.
NewProvider Research Associate BlueCross BlueShield of TennesseeProvider Research AssociateChattanooga, TennesseeAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. This role involves the accurate transfer of provider data into various systems, utilizing sources such as contracts, the credentialing application tool, and workflow tools.
NewSenior Cloud Engineer BlueCross BlueShield of TennesseeSenior Cloud EngineerChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Work with architecture and development teams to provide guidance for new system designs and determine if on premise or cloud environments are best suited to run the workload.
Enterprise Architect II BlueCross BlueShield of TennesseeEnterprise Architect IIChattanooga, TennesseeRemoteYou will be a strong candidate if you have deep expertise in Azure, M365, and Foundry, along with hands-on experience working with GenAI technologies, large language models (LLMs), and frontier model providers such as OpenAI and Anthropic. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
ECF CHOICES Support Coordinator (Davidson & Wilson County) BlueCross BlueShield of TennesseeECF CHOICES Support Coordinator (Davidson & Wilson County)Nashville, TennesseeRN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable; Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred; Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP); Or in lieu of a degree, have 5+ years’ experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
Sr. Software Engineer- Salesforce BlueCross BlueShield of TennesseeSr. Software Engineer- SalesforceChattanooga, TennesseeRemoteThe following experience and skills will be helpful in this role: Certifications : Salesforce Developer Certifications (examples: Salesforce Certified Platform Developer I, Salesforce Certified Platform Developer II, Salesforce Certified OmniStudio Developer, S alesforce Certified Application Architect, etc.). All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewCHOICES Care Coordinator- Maury, Williamson, and Giles Counties BlueCross BlueShield of TennesseeCHOICES Care Coordinator- Maury, Williamson, and Giles CountiesNashville, TennesseeRegistered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Software Engineer - Integrations BlueCross BlueShield of TennesseeSoftware Engineer - IntegrationsChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. You’ll work across the full API lifecycle by partnering with application teams to design and deliver integration solutions, while also supporting production environments through incident response, release management, and deployments.
Procurement Consultant BlueCross BlueShield of TennesseeProcurement ConsultantChattanooga, TennesseeThe successful candidate embraces established procurement processes, collaborates effectively with stakeholders, continuously looks for ways to improve how work gets done, and consistently delivers compliant, cost-effective, and business-focused outcomes. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Principal AI Workflow Engineer BlueCross BlueShield of TennesseePrincipal AI Workflow EngineerChattanooga, TennesseeEmpowered to lead this work across clinical operations , you’ll report directly to our SVP & Chief Medical Officer and partner closely with care management, pharmacy and utilization management teams, as well as accreditation and medical policy teams to influence automation strategy, elevate operational efficiency, improve member clinical support, and imagine what’s possible beyond today’s tooling. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewClinical Quality Assurance Auditor - Knoxville BlueCross BlueShield of TennesseeClinical Quality Assurance Auditor - KnoxvilleChattanooga, TennesseeAnalyze clinical data to improve individual provider compliance with education; provide oversight for regional contract staff and coordinate the effort of retrieval of HEDIS and/or STARS records; complete medical record audits for HEDIS and/or STARS data collection or quality of care reviews as required. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
NewTransition of Care Nurse BlueCross BlueShield of TennesseeTransition of Care NurseChattanooga, TennesseeRemoteIn addition to the requirements for the role, strongly preferred are nurses with one of the following: a strong background in ICU, Transition of Care (TOC), Skilled Nursing Facilities (SNF), Long-Term Acute Care Hospitals (LTACH), Inpatient Rehabilitation, and Case Management. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
EIT Engineering Team Lead BlueCross BlueShield of TennesseeEIT Engineering Team LeadChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. The role is responsible for leading a team of engineers focused on designing, building, and scaling authentication solutions that support numerous partner/external-facing applications.
NewRemote Digital Experience Intern: Data & Campaigns BlueCross BlueShield of TennesseeRemote Digital Experience Intern: Data & CampaignsChattanooga, TNRemoteBlueCross BlueShield of Tennessee (BCBST) invites applications for the Digital Experience Internship on the Digital Experience Team. Ideal candidates are communications or marketing majors, with a GPA of 2.75+, and are in Eastern or Central Time zones.#J-18808-Ljbffr.
EIT Engineering Team Lead BlueCross BlueShield of TennesseeEIT Engineering Team LeadChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. The role is responsible for leading a team of engineers focused on designing, building, and scaling authentication solutions that support numerous partner/external-facing applications.
Managing Director Commercial Operations BlueCross BlueShield of TennesseeManaging Director Commercial OperationsChattanooga, TennesseeRemoteSuccess in this role is defined by sustained improvements in service performance and experience, measurable operational efficiencies, strong regulatory outcomes, and the successful adoption of AI‑enabled workflows across omni‑channel service environments. Strong partnership with Technology, Digital, Data, Risk, and Compliance is essential to stabilize core service operations while advancing digital tools, self service capabilities, and AI enabled workflows that improve efficiency and effectiveness.
Outreach Pharmacy Specialist-1 BlueCross BlueShield of TennesseeOutreach Pharmacy Specialist-1Chattanooga, TennesseeRemotePreferred qualifications include proficiency with Microsoft Office products, including Outlook, Teams, Excel, Word, and Copilot, as well as a basic understanding of medications evaluated under Medicare's Star Ratings system and the impact of medication adherence on member outcomes. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Associate Software Engineer II BlueCross BlueShield of TennesseeAssociate Software Engineer IIChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Provides services to multiple project teams or management staff, provides guidance to less-experienced programmers, and may conduct presentations to provide end users with knowledge to maximize their use of developed systems.
Outreach Pharmacy Specialist-1 BlueCross BlueShield of TennesseeOutreach Pharmacy Specialist-1Chattanooga, TennesseeRemotePreferred qualifications include proficiency with Microsoft Office products, including Outlook, Teams, Excel, Word, and Copilot, as well as a basic understanding of medications evaluated under Medicare's Star Ratings system and the impact of medication adherence on member outcomes. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewCare Coordinator - Davidson County BlueCross BlueShield of TennesseeCare Coordinator - Davidson CountyNashville, TennesseeRegistered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewMobile App Developer BlueCross BlueShield of TennesseeMobile App DeveloperChattanooga, TennesseeRemoteYou will be a strong candidate for this role if you have experience publishing apps to both the Apple App Store and Google Play Store, working with native integrations such as push notifications, biometrics, and device APIs, and using tools like Postman or Fiddler for API debugging. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Senior AI Workflow Engineer BlueCross BlueShield of TennesseeSenior AI Workflow EngineerChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Our ideal candidates will also bring experience in healthcare (other payers, hospital systems, health tech companies) and/or experience working with finance teams .
NewECF Choices Support Coordinator (Montgomery County) BlueCross BlueShield of TennesseeECF Choices Support Coordinator (Montgomery County)Jackson, TennesseeRN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable; Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred; Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP); Or in lieu of a degree, have 5+ years’ experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
NewDSNP Clinical Assistant-3 BlueCross BlueShield of TennesseeDSNP Clinical Assistant-3Chattanooga, TennesseeRemoteYou will assist providers by answering questions, loading authorization faxes, entering authorization requests received by phone, directing providers through the peer-to-peer review process, and ensuring timely, accurate support through both phone interactions and administrative coordination. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewTransition of Care Nurse BlueCross BlueShield of TennesseeTransition of Care NurseChattanooga, TennesseeRemoteIn addition to the requirements for the role, strongly preferred are nurses with one of the following: a strong background in ICU, Transition of Care (TOC), Skilled Nursing Facilities (SNF), Long-Term Acute Care Hospitals (LTACH), Inpatient Rehabilitation, and Case Management. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewCase Manager BlueCross BlueShield of TennesseeCase ManagerChattanooga, TennesseeRemoteThis includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
NewECF CHOICES Support Coordinator (Roane, Morgan, and Anderson Counties) BlueCross BlueShield of TennesseeECF CHOICES Support Coordinator (Roane, Morgan, and Anderson Counties)Chattanooga, TennesseeRN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable; Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred; Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP); Or in lieu of a degree, have 5+ years’ experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
Procurement Consultant BlueCross BlueShield of TennesseeProcurement ConsultantChattanooga, TennesseeThe successful candidate embraces established procurement processes, collaborates effectively with stakeholders, continuously looks for ways to improve how work gets done, and consistently delivers compliant, cost-effective, and business-focused outcomes. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Principal AI Workflow Engineer BlueCross BlueShield of TennesseePrincipal AI Workflow EngineerChattanooga, TennesseeEmpowered to lead this work across clinical operations , you’ll report directly to our SVP & Chief Medical Officer and partner closely with care management, pharmacy and utilization management teams, as well as accreditation and medical policy teams to influence automation strategy, elevate operational efficiency, improve member clinical support, and imagine what’s possible beyond today’s tooling. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.
Clinical Quality Assurance Auditor (Chattanooga or Nashville) BlueCross BlueShield of TennesseeClinical Quality Assurance Auditor (Chattanooga or Nashville)Chattanooga, TennesseeAnalyze clinical data to improve individual provider compliance with education; provide oversight for regional contract staff and coordinate the effort of retrieval of HEDIS and/or STARS records; complete medical record audits for HEDIS and/or STARS data collection or quality of care reviews as required. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
NewSenior AI Infrastructure & Cloud Engineer BlueCross BlueShield of TennesseeSenior AI Infrastructure & Cloud EngineerChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. Work with architecture and development teams to provide guidance for new system designs and determine if on premise or cloud environments are best suited to run the workload.
Software Engineer - Integrations BlueCross BlueShield of TennesseeSoftware Engineer - IntegrationsChattanooga, TennesseeRemoteAll resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. You’ll work across the full API lifecycle by partnering with application teams to design and deliver integration solutions, while also supporting production environments through incident response, release management, and deployments.
CHOICES Care Coordinator- Maury, Williamson, and Giles Counties BlueCross BlueShield of TennesseeCHOICES Care Coordinator- Maury, Williamson, and Giles CountiesNashville, TennesseeRegistered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW).