- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …**Number of Openings Available:** 1 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your ... by reviewing the following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not accepting unsolicited assistance… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …**Number of Openings Available:** 1 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your ... by reviewing the following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not accepting unsolicited assistance… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …**Number of Openings Available:** 1 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your ... by reviewing the following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not accepting unsolicited assistance… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …of Openings Available:** 1 **Worker Type:** Intern \(Trainee\) **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your ... by reviewing the following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not accepting unsolicited assistance… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …**Number of Openings Available:** 0 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your ... by reviewing the following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not accepting unsolicited assistance… more
- BlueCross BlueShield of Tennessee (Nashville, TN)
- …following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not ... resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any...Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be… more
- BlueCross BlueShield of Tennessee (Union City, TN)
- …following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not ... resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any...Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …following page: BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\) ** BlueCross BlueShield of Tennessee is not ... resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any...Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …accrediting entities including NYS DOH (OMH, OASAS, OCFS), CMS, NCQA and BlueCross BlueShield Association (BCBSA) for the Federal Employee Program (FEP). The Manager ... serves as a resource to management, internal staff, regulatory and accrediting agencies, members and providers by conducting research, responding to inquiries and resolving issues. Essential Responsibilities/Accountabilities: + Responsible for direction and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Note: This position requires onsite/in-person work from our Court Street office in Rochester, NY 3 days per week. Summary: We are seeking a highly organized and ... proactive administrative professional to support the Chief Compliance Officer in managing and facilitating daily activities of the Regulatory Department. This role requires exceptional attention to detail, strong communication skills, the ability to coordinate… more
- BlueCross BlueShield of North Carolina (NC)
- …IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference ... in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better for all. In this role you will manage an AI and Machine… more
- Excellus BlueCross BlueShield (Utica, NY)
- …Summary: Under the direction of the Assigned Management and in accordance with policies, directives and control, supervises, directs and is accountable for all ... functions of assigned personnel. Provides supervisory leadership to employees assigned to the department. Identifies and drives initiatives related to the improvement of current work process through trending and analysis. Essential Primary… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies ... to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including but not limited to: * Prospective medical record review of health plan providers * Retrospective… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …POSITION DESCRIPTION: Utilize agile development methodologies to analyze, develop, and test system solutions in response to business requirements. Understand user ... stories, identify appropriate designs, code to the design specifications, and complete appropriate unit testing to ensure quality solution delivery. Work with stakeholders across a broad array of IT and business teams through all phases of a project, including… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …POSITION DESCRIPTION: Providing quality and test advocacy, resource planning and management, and the prompt resolution of issues that impede the testing effort. ... Documenting test procedures to ensure replicability and compliance with standards, enhancing our commitment to rigorous quality control and ensuring our products meet our high standards consistently. Developing or specifying standards, methods, or procedures… more
- BlueCross BlueShield of North Carolina (NC)
- …We are seeking a Sr. Technical Project/Program Manager to join our team! You will partner with business owners to define, plan, and deliver technical initiatives ... through all aspects of the project life cycle. This role manages projects of high complexity and may lead multiple projects concurrently, both within Blue Cross NC and with subsidiaries. Identify, evaluate, and resolve issues that conflict with project… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …The Medical Director participates in the broad array of activities of the Medical Services area including, but not limited to, Medical and Pharmacy Utilization ... Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The incumbent also provides input into the development of policies, programs and strategic objectives that cover Medical… more
- BlueCross BlueShield of North Carolina (NC)
- …Blue Cross NC is seeking a Senior Product Owner to join our team! You will own the team/sprint backlog and set priorities to deliver value based on customer roadmap ... and features for complex, higher value, and/or multiple products. Works with minimal oversight. **What You Will Do** + Work with internal team members to ensure customer desires and business priorities are effectively communicated and reflected in the product… more
- Excellus BlueCross BlueShield (Utica, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: Under the guidance Assigned Management and other Leaders, Program Managers, and/or Project Managers, the SN Project Coordinator is responsible for project ... activities that support the successful completion of projects including assisting with project schedules, deliverables, assignments, tasks, project meetings, status reporting, communication and action items, as required. This position may also have… more
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