Blue Cross and Blue Shield Association in United States
104 jobs at Blue Cross and Blue Shield Association in United States
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Pediatric Medical Director
3 days ago
Blue Cross and Blue Shield Association Baltimore, MD, United StatesResp & Qualifications · PURPOSE: · The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of proposed treatments and approve care management plans - specifically with the pediatric members and their ...
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VP, FEP Product Marketing and Engagement
5 days ago
Blue Cross and Blue Shield Association Chicago, United StatesProvides strategic leadership for all current FEP member facing products (Medical, Dental and Vision, Postal and Overseas) as well as future portfolio expansion to meet enrollment goals and profitability targets. Works collaboratively with Actuarial team to develop the strategy f ...
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Medical Policy Analyst
3 days ago
Blue Cross and Blue Shield Association Baltimore, MD, United StatesMedical Policy Analyst - RN (Remote) · Resp & Qualifications · PURPOSE: · In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise medical policies and operating procedures to support the corporate philosophy, provider an ...
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Senior Medical Policy Analyst
10 hours ago
Blue Cross and Blue Shield Association Baltimore, MD, United StatesSenior Medical Policy Analyst - RN (Remote) · In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical policies and operating procedures to support the corporate philosophy, provider and member con ...
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health coach
22 hours ago
Blue Cross and Blue Shield Association , PA, United StatesPosition Description · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the Best Places to Work in PA. · The Health Coach is responsible for d ...
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Blue Cross and Blue Shield Association Newark, NJ , USA, United StatesHorizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware · Job Summary: · This field based position is responsible for performing assessments for PCA and MDC services using established guidelines and assessments to ensure appropriate level ...
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Bilingual Florida Blue Center Nurse RN
3 days ago
Blue Cross and Blue Shield Association Clermont, FL, United StatesBilingual Florida Blue Center Nurse RN · Get to know us · Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five millio ...
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Delegation Oversight Specialist
3 days ago
Blue Cross and Blue Shield Association Philadelphia, PA, United StatesDelegation Oversight Specialist - RN · Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and com ...
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Blue Cross and Blue Shield Association Boynton Beach, FL, United StatesRN- FL Blue Center Nurse Navigator- Bilingual(Palm Beach, FL) · Get to know us · Florida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves ...
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Health Coach RN
2 days ago
Blue Cross and Blue Shield Association Philadelphia, PA, United StatesHealth Coach RN - remote · Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of health ranging from health promotion to end-of-life. Hea ...
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oncology rn care manager ii
1 day ago
Blue Cross and Blue Shield Association Harrisburg, PA , USA, United StatesPosition Description · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the Best Places to Work in PA. · The RN Care Manager 2 is responsible ...
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program manager clinical, principal
22 hours ago
Blue Cross and Blue Shield Association Long Beach, CA , USA, United StatesYour Role · The Program Manager Clinical, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring b ...
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florida blue center senior manager
22 hours ago
Blue Cross and Blue Shield Association North Port, FL , USA, United StatesJob Summary · The purpose of this position is to manage all aspects and functions in the Florida Blue Retail Center to ensure that the customer's experience is meaningful, informative, supportive in-center encounters that result in high customer satisfaction. · Kindly take note o ...
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clinical risk adjustment management rn
1 day ago
Blue Cross and Blue Shield Association Newark, NJ , USA, United StatesHorizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware · Job Summary: · This position will perform care management duties specifically targeting high-risk members within Medicare Advantage/Commercial risk adjusted populations to enhance ...
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senior provider contracting specialist
22 hours ago
Blue Cross and Blue Shield Association Baltimore, MD , USA, United StatesResp & Qualifications · PURPOSE: · This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs dutie ...
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rn specialist complex case manager
1 day ago
Blue Cross and Blue Shield Association St Paul, MN , USA, United StatesAbout Blue Cross · Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. · ...
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client implementation specialist
22 hours ago
Blue Cross and Blue Shield Association Philadelphia, PA , USA, United StatesOur organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable wh ...
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sr. medical director
22 hours ago
Blue Cross and Blue Shield Association Detroit, MI , USA, United StatesResponsible for providing leadership and broad strategic direction for one or more defined medical areas or functions. Responsible for corporate policy interpretation, recommendation and review within recognized area of responsibility. · * Provide high level oversight, leadership ...
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medical director
22 hours ago
Blue Cross and Blue Shield Association St Paul, MN , USA, United StatesAbout Blue Cross · Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. · ...
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medical director
22 hours ago
Blue Cross and Blue Shield Association Harrisburg, PA , USA, United StatesPosition Description · At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the Best Places to Work in PA. · The Medical Director supporting Behav ...