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Position Posted
Customer Service Representative (Work-From-Home)
As a Customer Service Representative in the Customer Service Center 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.
Visual Communicator Video
The Visual Communicator – Video is responsible for bringing the Blue Cross and Blue Shield of Nebraska brand to life through visual storytelling. This individual works with internal partners to develop concepts, scripts, storyboards and create deadline-based, professional quality videos, photos and presentations that support corporate and marketing strategies.
Medical Director
This position is a physician leader who provides leadership in utilization, prior authorization and case management for BlueCross BlueShield 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.
Contract Negotiator
This position is responsible for utilizing a provider contract template to begin creating a customized provider contract for use with PPO and other small to mid-network providers. This job requires pursuit of executed contracts with health care providers and participation in the strategic administration of the provider networks and related reimbursement of participating providers. This position is responsible for negotiating and executing case specific out-of-network exceptions for BCBSNE members who utilize providers, who are not participating in a Blue Cross Blue Shield provider network. This person works with the Legal Department in resolving contractual questions and issues posed by participating network providers.
Director, Assistant General Counsel
Job Description Summary Accountable for researching, analyzing, preparing, and communicating legal issues to help BCBSNE achieve its operational and strategic goals. This position requires a thorough and in-depth understanding of the legal and regulatory environment concerning the Company’s business. Represent BCBSNE and its business operations with stakeholders and external audiences.
Technical Analyst
The Technical Analyst position will be responsible for supporting cross functional team coordination, building and delivering on designs, analysis, development, testing and story writing while assisting to define the technical “definition of done” associated with both IT and associated business teams. Additionally, they shall possess a solid data and system knowledge that enables them to provide support in all phases of release planning, deployments, documentation and production support. This role will be accountable for maintenance, modifications, and support of existing technical and business processes including reporting. Our cross-functional, highly empowered environment will grant you great freedom to achieve while also demanding a high level of responsibility while supporting and leading projects.
Data Governance Specialist
This position is responsible for making data well understood, trusted, compliant and ready to serve the strategic goals of BCBSNE. This role requires advanced communication and interpersonal skills. Attention to detail and use of data governance industry practices are expected.
Data Analyst, Risk Adjustment
This position plays a key role supporting the organization’s risk adjustment and coding management initiatives. Primary focus is conducting gap analysis and identify opportunities for improvement in documentation and coding.
Finance Technical Consultant II
This position is responsible for leading and monitoring the billing/paid claims data and related source systems that feed the Finance Operational System (FOS) database. This position will analyze system controls and processes to assure transactions are being processed accurately and timely, as well as review peer members’ work.  This position will provide business requirements and coordinate with IT technical teams on new builds and/or enhancements. In addition, this role will create adhoc operational reports using Microsoft SQL Server Management Studio and Microsoft SQL Server Report Builder.
Senior Sales Executive (Large Group)
This position is responsible for sales of BCBSNE group health insurance 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.
Accountant II
The Accountant II role will perform mid-level to complex professional accounting work including the examination, analysis, maintenance, reconciliation, and verification of financial records. This role will also be a key player in the analysis of ledgers and preparation of journal entries, fixed asset or inventory accounting, preparation of trial balance or financial statements, cost accounting, bank account reconciliation. This role will perform ledger maintenance and analysis, cost and/or financial analysis, fund reconciliation and posting. Analyzing complex financial and operating data and preparing management reports, financial statements, and projections is key to the success in this role.

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