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Position Posted
Data Analyst
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.
HR Analyst
As a HR Analyst on the Human Resources team, you’ll serves as the initial point of contact for employees and managers regarding general HR issues and questions, such as leave of absence, payroll, benefits, compensation and policy interpretation. Provides timely and accurate responses to inquiries, and provides excellent customer service. Prepares detailed reports, provides analysis, and prepares compensation, leave of absence and payroll data. Assists in the analysis of BCBSNE's compensation programs providing market analysis, completing salary surveys and other activities that support BCBSNE's compensation philosophy, policies, and guidelines.
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.
Medical Coder Risk Adjustment
This position will be primarily responsible for conducting reviews of medical records and validating submitted diagnoses codes to ensure all diagnoses and services are accurately and completely coded. This position will also support departmental efforts in identifying members with HCC conditions and facilitate efficient and effective interventions to ensure accurate and complete coding.
Chief Architect
This position is responsible for the strategic architectural direction for BCBSNE data and systems through leading the architecture groups within the company. This will involve leading/mentoring other technical leaders within the organization (i.e. solution architects and technical leaders on teams). This role will require strong relationships with business leaders and technical leaders across the company.
Manager, Talent Acquisition
Manages the acquisition of talent for the organization by creating and developing strategies to attract qualified active and passive candidates. Responsible for oversight and ongoing development of the staff that facilitates the entire recruiting cycle, pre-hire processes, new hire orientation, and the corporate internship program. Tracks and maintains metrics on recruiting activity.
HR Technology Analyst
As a HR Technology Analyst on the Human Resources team, you’ll serve as the primary liaison between the HR Technology team and the end users. The responsibilities include providing systems support and analysis to facilitate leveraging technology solutions to meet the needs of the HR function and our employees. This position will be heavily involved in the support of all the Human Resources Information System applications for all users, including the HRMS, ATS and LMS systems
Accountant II/III
This position is responsible for all accounting functions related to health products with attached reinsurance contracts. This role is also responsible for reinsurance contract and treaty compliance with 3rd party reinsurers, as it relates to financial obligations. The incumbent will work with internal and external contacts on items related to settlement or reconciliation of outstanding balances.  They will prepare various monthly bordereaux/cash and account reconciliations, and work with external and internal auditors on audit requirements.
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.
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.
Reimbursement Analyst
As a Reimbursement Analyst, you would be a key strategic partner to health network reimbursement and will be directly involved in structuring and maintaining reimbursement for institutional, professional and ambulatory surgical center networks. You will also be involved in assisting network intelligence in creating reports involving claims analysis, provider fee schedules (both for loading into the claims system and for distributing to providers as a contract addendum), claims adjustments, and to assess reimbursement methodology.
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.

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