Role Overview: The Finance Director oversees all accounting and financial operations for the health plan or line of business, including audit coordination, financial planning, reporting, and budget management. This role ensures the integrit...
Role Overview: The Provider Network Management Contractor is responsible for developing, contracting, and maintaining provider relationships within an assigned market. This role ensures the network is competitive, compliant, and aligned wit...
TITLE: Developer Programmer Lead (Job ID 433318) LOCATION: Newtown Square, PA (remote work option 100% of the time) DUTIES: Analyze, design, develop, test, and implement cost-effective software solutions and applications using MS SQL ...
TITLE: Application Architect (Job ID 434013) LOCATION: Newtown Square, PA (remote work option 100% of the time) DUTIES: Develop, configure, code and test programs from specifications using SQL/SQL Server, .Net, and SSIS technologies. ...
Role Overview: The Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete Medicaid plan. Acting as the primary partner to the Market President, this role ensures alig...
Role Overview: The Director of Communications and Marketing is responsible for developing and executing marketing and communications strategies for the Blue Cross Complete (BCC) of Michigan health plan, ensuring alignment with enterprise st...
Role Overview: The Senior Provider Network Operations Analyst is responsible for maintaining current provider data and setting up provider reimbursement, as well as addressing provider and state inquiries related to claim payment issues. ...
Role Overview: The Provider Network Operations Data Analyst plays a key role in maintaining accurate provider data and fostering strong relationships between the health plan and its contracted and non-contracted providers across Medicaid, M...
to: Aetna Medicare, AARP Medicare, AmeriHealthCaritas, BCSBS Federal, BCBS MA, BSBS Medex, BCBS RI, Cigna Medicare...