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Senior Reimbursement Analyst
This position will provide recommendations to management in the structuring and maintenance of reimbursement methodology for institutional, professional and ancillary provider networks.
Software Developer III
Blue Cross Blue Shield of NE is looking for an experienced Software Developer with hands-on experience building highly scalable solutions addressing complex data integration and analytic opportunities. In this position, you will be responsible for designing and implementing health care data integration and technical solutions that meet the strategic needs and goals of the enterprise. You will work on a highly collaborative agile team coaching and mentoring peer team members, performing peer reviews and participating in knowledge sharing. You will be joining a fast paced team with an opportunity to showcase your solutions engineering background.
I/S Intern- Graduate Student
Are you a current graduate student looking for an internship in Information Technology? Are you available immediately? If so, we want to talk to you! Blue Cross and Blue Shield of NE is looking for enthusiastic graduate students with ambition and a passion for technology. This is a great opportunity for students to get hands-on experience in software development and Agile best practices in a fun and rewarding environment. If you are passionate about innovation, writing code and collaborating with teams, apply today!
Pharmacy Resident
To provide a structured and advanced education and training experience for a pharmacist whose ability, motivation, and career aspirations suggest potential for creative and innovative leadership in managed care pharmacy practice. The resident will participate in research, clinical and operational activities in order to obtain the practical experience to meet these goals.
Clinical Quality Improvement Coordinator
This position functions within Healthcare Delivery and Wellness by developing and implementing quality improvement activities, analyzing data, fulfilling documentation requirements for accreditation and the Quality Management Program, promoting health and wellness initiatives, coordinating collaborative projects to improve health care quality and transparency, investigating quality of care issues and providing internal and external customer support. This position must exceed customer expectations, be cross-functional, and adapt to ever changing corporate and market demands.
Business Test Engineer
Conduct user acceptance testing to validate CoreLink test cases results and to ensure modification to claim adjudication systems do not have adverse impacts. Create and execute functional test cases for product builds and claim related projects.
Print Services Lead
The incumbent has responsibility to lead a team of print technicians in operating digital printing and other production equipment to create a variety of printed materials in meeting daily production and print-on-demand (POD) printing needs. They will be responsible for ensuring all documents are printed using the most current version of the forms. The incumbent must have the ability to manipulate various design software packages to make projects print ready. Will establish and maintain positive relationships with all necessary vendors. Assist with employee performance reviews. Provide management with weekly, monthly and quarterly production reports.
Customer Service Representative
As a Customer Service Representative, you are responsible for handling incoming phone calls and being the primary customer interface for inquiries. Our service representatives inform and educate as well as serve as member advocate, building trust in our abilities and being the voice of the customer. By using established best practices, attending ongoing training and utilizing resources and tools you will serve as the expert to help navigate our members through the challenging world of health insurance. Our representatives must be talented, dedicated people who possess a passion for providing best in class service and want to make a difference in the lives of our member.
Medical Director
This position is a physician leader who provides leadership in utilization, prior authorization and case management for Blue Cross Blue Shield of Nebraska. The individual is responsible for enhancing relationships with providers and facilities, make utilization and prior authorization determinations, assist in case management and be a project manager for medical management programs..
Reporting/KPI Coordinator
Exciting new position at BCBS supporting our test org! This position is responsible for supporting the overall project delivery by identifying, implementing, and supporting a consolidated reporting approach.
Enterprise Consultant- Agile Enterprise Services
The Enterprise Consultant for the Agile Enterprise Services Team models and expands the organization’s Agile/Lean framework. This role is responsible for independently utilizing strong facilitation skills to help ensure the organizations project and operational initiatives support the organization’s business strategy including a focus on cost / impact initiatives and operational end-to-end process optimization. Provide leadership, direction, and strategic counsel, while using strong program management and Agile methodologies to plan, lead, and motivate stable teams to achieve the organization's business strategy. Works with stakeholders to create information radiators to depict progress, dependencies, risks and impediments across teams. This role will be instrumental in the formation and sustainment of Agile and Lean practices throughout the enterprise, through formal and informal instruction, curriculum development and consultation with multiple departments.
Cybersecurity Analyst II
The Cybersecurity Analyst’s role is to lead and support the secure operations of the BCBSNE network and data components. This includes securing and optimizing all network and data while ensuring minimal system downtime. The candidate will also diagnose, resolve, and document security incidents and audits in a timely and accurate fashion, and provide end user training and support where required. More specifically, the candidate will possess advanced knowledge of designing, deploying, and maintaining enterprise security solutions to solidify the corporate security posture.
Agile Project Manager II- HATCX
The HATCX team at Blue Cross Blue Shield of Nebraska is looking to add an experienced Agile Project Manager to our talented group of individuals responsible for building great solutions for our members. This position will lead medium to large complex Agile stable teams/projects independently or with coaching as needed.  Both Servant Leadership and facilitation skills as required leading the team and resolving impediments.  This position will be focused on learning and applying Agile techniques and principles while seeking and applying input from their assigned coach/mentor.  This position maybe asked to be involved in IS Leadership strategic initiatives.
Sr Sales Executive (Large Group)
Under very limited supervision, this position is responsible for sales of BCBSNE products, targeted to groups based in Nebraska, with 151 plus eligible employees located local and nationally who are not currently BCBSNE customers. Solicits new business in stated market working through brokers and consultants. Develops community relationships. Maintains internal contacts throughout the organization.
Software Developer I
Looking for a .net developer (1 year experience) to join our team. Fast paced production environment, high volume and very collaborative! Some development and enhancements. Very exciting position for a recent college grad with experience, or a seasoned developer looking to get into .net!
Finance Technical Consultant
This position is responsible for monitoring all Billing / Accounts Receivable and related systems Analyze system controls and processes to assure transactions are being processed accurately and timely. Coordinate with IT with new builds and enhancements.
Actuarial Analyst II, III or Actuarial Associate
The Actuarial Analyst/Associate will assist the Actuarial Services staff and management with a variety of projects including reserving, pricing, regulatory compliance testing, data gathering, and financial analysis.

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