Develop and maintain positive working relationships with contracted providers. Actively audit and monitor financial performance of all assigned providers to ensure network sustainability. Analyze, review, and project financial impact of con...
Blue Cross of Idaho is seeking an Other Party Liability Specialist who will identify, investigate, and collects recoveries from third parties and other insurers who are legally responsible for paying all or part of medical expenditures. Int...
Our Utilization Management Rep will coordinate and manage incoming and outgoing correspondence to include referrals, prior authorizations, provider reconsiderations and other requests for service. Verify provider contracting status and memb...
Job Category: Multi-divisional Job Description: As an intern, you will help support the team by pulling reports from scoreboard to support the Team Leader IIs, huddle creation and run through, Bluestar rewards support, and helping suppo...
Job Category: Operations Job Description: This position is located in Detroit, but may require travel to Lansing starting in 2026. The Service Operations Team Leader I will be responsible for the supervision of team members in the Con...
Job Category: Multi-divisional Job Description: Responsible for planning, coordinating, and supervising all administrative, operative and employee functions within assigned area(s) to ensure an efficient and cost effective area in accor...
Our Corporate Development Senior Manager leads complex corporate development initiatives that advance enterprise growth and diversification. This individual contributor role partners with executive leadership, finance, and business units to...
Job Category: Multi-divisional Job Description: As an Intern, you will work closely with the manager responsible to technology, projects, and reporting, assisting with project planning, delivery, testing etc., support access requests, a...
Job Category: Multi-divisional Job Description: The Learning and Development Intern will play a key role in supporting a team of instructional designers and learning and development professionals. This internship offers hands-on experie...
Job Category: Audit/Corporate Compliance Job Description: This position is responsible for conducting operational, financial, and compliance audits/reviews of BCBSM, its subsidiaries as well as vendors, suppliers, Par Plans and contract...