• EIT Engineering Team Lead

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    BlueCross BlueShield of Tennessee is hiring an **EIT Engineering Team Lead** to lead the implementation of complex solutions on Salesforce Health Cloud and ... **Number of Openings Available:** 1 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your… more
    BlueCross BlueShield of Tennessee (07/03/25)
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  • Principal Security Architect

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    BlueCross BlueShield of Tennessee is hiring a **Principal Security Architect** \. In this critical role, you'll help drive security architecture across our cloud ... \- **Number of Openings Available:** 1 **Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee, Inc\. **Applying for this job indicates your… more
    BlueCross BlueShield of Tennessee (06/26/25)
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  • Clinical Review Manager

    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 (07/02/25)
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  • Clinical Review Manager

    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 (07/02/25)
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  • Population Health Medical Case Manger

    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 (07/01/25)
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  • Medical Director, Behavioral Health

    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 (06/24/25)
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  • Pharmacy Project Management Intern

    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 (06/24/25)
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  • Outreach Pharmacy Specialist - BlueCare Plus

    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
    BlueCross BlueShield of Tennessee (07/03/25)
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  • Behavioral Health Case Manager, Hybrid,…

    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
    BlueCross BlueShield of Tennessee (06/28/25)
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  • Actuarial Analyst I/II/III/IV

    Excellus BlueCross BlueShield (Rochester, NY)
    …Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the ... understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for providing a range of experience working to establishing rates, rating structures and systems and reserves. The Actuarial Analyst… more
    Excellus BlueCross BlueShield (07/03/25)
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  • Senior Financial Analyst, Pharmacy

    BlueCross BlueShield of North Carolina (NC)
    …We're looking for a Senior Financial Analyst to join our Pharmacy Vendor Performance Management team! You will be responsible for complex financial reporting and ... accuracy, invoice approvals, tracking, analysis, budgeting, operational efficiency, financial forecasting, and strategic alignment. Prepares financial reports for management and forecasts operating trends as well as research miscellaneous vendor payments.… more
    BlueCross BlueShield of North Carolina (07/03/25)
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  • Human Resources Data Analytics Manager

    Excellus BlueCross BlueShield (Rochester, NY)
    …Summary: The Human Resources Data Analytics Manager is responsible for the management and coordination of the collection. analysis, and reporting of workforce-related ... data. Leveraging cross-functional knowledge within HR functional areas and data analytics, the incumbent will partner with HR leadership to design and implement a broad strategic and operational plan for workforce analytics across the enterprise. Essential… more
    Excellus BlueCross BlueShield (07/03/25)
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  • Account Executive

    BlueCross BlueShield of North Carolina (NC)
    …Drive consistent and profitable new sales for Blue Cross NC within the Local Group market segment (1-99 employees). This role is responsible for identifying and ... maximizing sales opportunities by delivering data-driven, market-leading solutions tailored to the needs of prospective customers. The primary focus is on selling Blue Cross NC core and ancillary products while cultivating strong, trust-based relationships… more
    BlueCross BlueShield of North Carolina (07/02/25)
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  • Health Equity & Community Investments Program…

    Excellus BlueCross BlueShield (Rochester, NY)
    …The HE/CIP Program Development Specialist I-II supports the health equity and community investments strategic plan, goals, enterprise-wide measures, and efforts to ... achieve improvement across our markets and populations. This work includes supporting the implementation of a structured health equity education initiative for all health plan stakeholders; the development of a robust health equity data infrastructure; the use… more
    Excellus BlueCross BlueShield (07/02/25)
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  • Manager, IT Solution Delivery

    BlueCross BlueShield of North Carolina (NC)
    …As a Domain expert in 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. You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners.… more
    BlueCross BlueShield of North Carolina (07/02/25)
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  • Quality Programs Measurement Analytics Consultant

    Excellus BlueCross BlueShield (Dewitt, NY)
    …This position consults with internal and external stakeholders in order to extract, analyze and develop reports in ways that can be easily understood and complete ... with summaries and recommendations on findings to drive continuous improvement in measure results across all lines of business. Incumbents have the responsibility to understand HEDIS/CAHPS, Quality Assurance Reporting Requirements (QARR), Quality Rating System… more
    Excellus BlueCross BlueShield (07/01/25)
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  • Medical Director, Commercial Line of Business

    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
    Excellus BlueCross BlueShield (07/01/25)
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  • Community Connections Representative (Buffalo,…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Summary: This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members ... and the Clinical Operations Department. Community Connections Representatives educate members about accessing community resources and assists with navigating resources available and provide assistance with addressing SDoH barriers and care gaps. This position… more
    Excellus BlueCross BlueShield (06/29/25)
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  • Business Applications Analyst

    BlueCross BlueShield of North Carolina (NC)
    …We're seeking a detail-oriented and solutions-driven Business Applications Analyst to support the implementation and optimization of packaged system software. In this ... role, you'll work closely with stakeholders to gather and analyze business requirements, configure and administer software applications, and contribute to process design and system testing. Your efforts will ensure that technology solutions align with business… more
    BlueCross BlueShield of North Carolina (06/28/25)
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  • Principal Actuary - ACA Pricing

    BlueCross BlueShield of North Carolina (NC)
    …As a Principal Actuary - ACA Pricing at our healthcare organization, you'll play a pivotal role in shaping the future of care delivery through data-driven insights ... and innovative actuarial strategies. You'll lead complex analyses that directly impact our pricing models, care management programs, and insurance product development-ensuring we deliver high-quality, cost-effective care to the communities we serve. You'll be… more
    BlueCross BlueShield of North Carolina (06/28/25)
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