Job Description Responsible for delivering consistent, profitable Blue Cross NC Major Group sales, by promoting current group retention and sale of new product lines to existing clients, in support of the goals and objectives of the busin...
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...
Job Category: Nursing Job Description: Advise the customers of our updates to the Medicare policy and how the updates will benefit the members and impact the group's experience and utilization. Assist specific area(s) in: deployment ...
Job Category: Multi-divisional Job Description: The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will g...
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...