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Blue Cross Blue Shield companies in United States

51 jobs at Blue Cross Blue Shield companies in United States

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    Business Relationship Specialist

    4 days ago

    Blue Cross Blue Shield companies Philadelphia, United States

    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 communities we serve. · The Business Relat ...

  • Blue Cross Blue Shield companies

    Blue365 Account Manager

    4 days ago

    Blue Cross Blue Shield companies Chicago, United States

    Blue365 is a digital health and wellness program created and manage by the Blue Cross Blue Shield Association (BCBSA). Blue365 is exclusive to members of participating Blue Cross Blue Shield Companies, available to over 65 million Americans. The program offers discounts on produc ...

  • Blue Cross Blue Shield companies

    Sales Exec I

    3 days ago

    Blue Cross Blue Shield companies Newark, United States

    Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware · Job Summary: · This position is responsible for individual account sales, received from clients responding to promotional materials and phone inquiries. · * Informs and educates cl ...

  • Blue Cross Blue Shield companies

    Program Manager Clinical, Principal

    1 week ago

    Blue Cross Blue Shield companies Long Beach, United States

    Your 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 ...

  • Blue Cross Blue Shield companies

    Sr. Consultant Internal Audit

    1 day ago

    Blue Cross Blue Shield companies Washington, United States

    The Senior Consultant Internal Audit plans and leads audits of BCBSA operational, financial, governance, risk management and compliance processes. Audits are performed across all business units to identify risks and evaluate internal controls according to BCBSA and professional s ...

  • Blue Cross Blue Shield companies

    Delegation Operations Auditor, Senior

    1 week ago

    Blue Cross Blue Shield companies Long Beach, United States

    Your Role · The Delegation Oversight (DO) team, under the purview of the Delegation Oversight Committee (DOC) which is a sub-committee of the Quality Oversight Committee (QOC), is responsible for oversight of contracted delegated entities. This includes auditing, corrective acti ...

  • Blue Cross Blue Shield companies

    Supervisor, Operations

    1 day ago

    Blue Cross Blue Shield companies Los Angeles, United States

    Your Role · The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The Operations, Supervisor will report to the Sr. Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, an ...

  • Blue Cross Blue Shield companies

    Utilization Management Coordinator I

    11 hours ago

    Blue Cross Blue Shield companies Baltimore, United States

    Resp & Qualifications · PURPOSE: · Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to precertification, pre-service, utilization review, care coordination and quality of care. We are looking for ...

  • Blue Cross Blue Shield companies

    Sr Cons Customer Experience

    3 days ago

    Blue Cross Blue Shield companies Chicago, United States

    Job Description Summary · The Senior Consultant, Customer Experience, is responsible for contributing to the Brand Strategy team and Corporate Affairs more broadly with various projects related to membership retention and growth to support the health of the Blue Cross Blue Shiel ...

  • Blue Cross Blue Shield companies

    Software Eng III

    6 days ago

    Blue Cross Blue Shield companies Heyworth, United States

    Job Description Summary · Partners with stakeholders, business analysts, systems analysts and team members to understand business requirements and correlate potential technology solutions that drive the analysis and design of quality technical solutions. These solutions must be ...

  • Blue Cross Blue Shield companies

    Auditor II

    4 days ago

    Blue Cross Blue Shield companies Newark, United States

    Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or DelawareJob Summary:Reporting directly to an Audit Manager, responsibilities include developing the scope of audits, programs or initiatives, executing testing and reporting in a quality mann ...

  • Blue Cross Blue Shield companies

    Pediatric Medical Director

    4 days ago

    Blue Cross Blue Shield companies Baltimore, United States

    Resp & 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 f ...

  • Blue Cross Blue Shield companies

    Program Manager Clinical, Principal

    5 days ago

    Blue Cross Blue Shield companies Los Angeles, United States

    Your Role · The Care Management Department, which oversees all outpatient care management for the Commercial and Medicare lines of business, is seeking a Clinical Program Manager, Principal to join our team. In this role, the candidate will provide comprehensive support and colla ...

  • Blue Cross Blue Shield companies

    Sr. Consultant Internal Audit

    3 days ago

    Blue Cross Blue Shield companies Chicago, United States

    The Senior Consultant Internal Audit plans and leads audits of BCBSA operational, financial, governance, risk management and compliance processes. Audits are performed across all business units to identify risks and evaluate internal controls according to BCBSA and professional s ...

  • Blue Cross Blue Shield companies

    Sr Network Solutions Consultant

    3 days ago

    Blue Cross Blue Shield companies Chicago, United States

    Sr Consultant for multiple complex projects, services and associated deliverables related to Network Solutions initiatives. May act as project lead for implementation and maintenance of large, often national-scale, complex projects. Ensure integration between BCBSA's various depa ...

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    Synergie Medication Collective

    2 days ago

    Blue Cross Blue Shield companies Chicago, United States

    The Senior Data Engineer will be a key resource at Synergie, supporting IT and Analytics in developing creative and innovative solutions to support business and analytic outcomes. In this exciting role on a small team, you will have a big impact by working closely with both IT an ...

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    Senior Pharmacy Benefit Manager Operations Analyst

    11 hours ago

    Blue Cross Blue Shield companies St Paul, United States

    About 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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    FEP Senior Accountant

    4 days ago

    Blue Cross Blue Shield companies Chicago, United States

    The Sr FEP Accountant role will be accountable for a broad range of accounting support as necessary to ensure the delivery of accurate and timely financial services to the FEP Program, BCBSA leadership and member Plans. Financial services include: 1) facilitating the completion o ...

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    Senior Consultant

    4 days ago

    Blue Cross Blue Shield companies Chicago, United States

    The Sr Cons Governance role is responsible for leading various projects and deliverables within a crossfunctional matrix environment. The role serves as a central point of contact and as a subject matter expert to provide executive support, content development, and quality contro ...

  • Blue Cross Blue Shield companies

    Senior Consultant Internal Audit

    1 day ago

    Blue Cross Blue Shield companies Chicago, United States

    Location : Chicago or Washington, D.C. · The Senior Consultant Internal Audit plans and leads audits of BCBSA operational, financial, governance, risk management and compliance processes. Audits are performed across all business units to identify risks and evaluate internal contr ...