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Nurse Care Manager I
This position works collaboratively with health care providers to ensure that members receive high quality, medically necessary care in a timely fashion in a setting that maximizes benefit coverage and health outcomes. The incumbent educates members to understand innovative benefit structures that promote transparency and affordability and empowers consumers to make informed decisions regarding their healthcare options, coverage, and financial risk. The incumbent assists members to navigate the complex health care settings and ensures they get the support they need throughout the episode of care to optimize health status.
Medical Director
This position is a physician leader who provides leadership in utilization, prior authorization and case management, and utilization management and drug utilization management appeals 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.
Accounting Enrollment Specialist II
The Accounting Enrollment Specialist role will analyze member information in various systems including financial data, handle inquiries received, reconciliation of information, collections of payments, and recording of financial information. This role will require an understanding of Affordable Care Act, accounting fundamentals and principles, as well as help drive continuous improvement processes.
Angular Software Engineer
The Software Engineer position will be responsible for working with cross-functional business teams to research, design, test, and maintain various systems and applications. This role is responsible for providing engineering knowledge and experience, as needed, to deliver solutions to the business both on new builds, as well as support on modifications and maintenance for existing programs.
Data Intern
Job Description Blue Cross and Blue Shield of NE is looking for enthusiastic students with ambition and a passion for Data! These internships serve as a great opportunity for students to get hands-on experience in specific areas of interest and learn Agile best practices in a fun and rewarding environment.
Claims Incident Specialist
The Claims Incident Specialist is responsible for providing subject matter expertise and business support for all platforms required by Claims to process claims and is responsible for communicating, prioritizing, and escalating incidents and enhancements along with developing processes to deliver the necessary support for the Claims Department. This role will collaborate with key stakeholders across all lines of business and with technical teams along with third party vendors, to ensure the successful coordination of incidents and process improvements from inception thru implementation. The Claims Incident Specialist will recommend and implement continuous process improvements. This role requires a blend of Claims subject matter expertise (including CMS and billing guidelines, internal policies, and FEPOC/BCBSA policies), technical expertise, excellent communication skills, and project management experience.
Communications Strategist
The Communications Strategist is responsible for supporting the development and execution of communication strategies, plans, campaigns, events and materials for internal and external audiences across multiple communication platforms. This position requires excellent writing, reading and editing skills, specializing in AP Style; the ability to think creatively and innovatively; demonstrated multitasking and prioritization skills; and a proven track record in building and maintaining relationships with key business partners.
Innovation Analyst
The Innovation Analyst is a cross-functional partner with expertise in key performance indicator (KPI) measurement, data science and primary research methods. As part of the growing Strategy, Insights and Innovation team, this person is responsible for ensuring the business evolves according to strategic and customer needs. Integrity, dependability and relationship-building are essential to success in this role.
Mgr Care Management Government Programs
The role of the Manager Care Management Government Programs manages and directs the activities and functions of a multifaceted care management team for ACA (Affordable Care Act) members and other government lines of business. This role approaches every new member care management outreach effort as an opportunity to assure member engagement is achieved in care efforts, and collaborates with other departments and businesses, as necessary, to meet key stakeholders and member educational needs, owning the end-to-end delivery of Utilization Management and Care Management care models for this line of business.
Director, Financial Planning & Analysis
The Director of Financial Planning and Analysis is responsible for business partnering with senior management throughout the organization on the overall analysis, monitoring, evaluation, and reporting of the Company's strategic and financial objectives. It is responsible for providing key internal stakeholders with value-added, business performance insights and financial analysis to assist in their decision-making processes for managing the day-to-day and long-term needs of the business. This position is responsible for leading the Company’s annual budget and forecast processes as well as providing ad-hoc analysis to finance and business leadership. Articulating and effectively communicating business performance insights and impacts to the business in written and presentation format is a critical part of the role. This position will also serve as the CFO’s chief of staff, a high-visibility strategic partner that supports effective decision-making, project management, and execution of strategic initiatives. The successful candidate will have strong analytical, technical and communication skills and be able to collaborate and build relationships across the organization.
Sr Business Analyst
The Senior Business Analyst provides strategic business analysis services to business partners. The focus of this position is to work closely with the business units to gain in-depth understanding of customer's business strategy, processes, services, roadmap and the context in which the business operates. This role will be key to understanding the documenting capabilities needed to address business challenges. The Senior Business Analyst is responsible for reviewing assigned business processes from end-to-end to identify and address operational, financial and technological risks. Identify opportunities to improve efficiency. Responsibilities will include a full range of activities from leading small to mid-size projects to assisting other project managers on larger more complex projects related to operational business functions that affect team members and providers at the market level.
Customer Service Representative (Work from Home in Nebraska)
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 through the challenging world of 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.
Product Portfolio & Development Manager
The Product Portfolio Manager will manage and develop product-line solutions at Blue Cross Blue Shield of Nebraska. This position will lead daily product management functions, serve as a cross-functional stakeholder, support internal processes, and develop key partnerships with the respective Market Segment Leader(s). The Product Portfolio Manager takes a consumer-centric approach to identify key needs of our business, provides product insights based on quantitative and qualitative information, remains aware of industry trends and the competitive landscape, provides opportunity assessments and other product line reports to leadership, and communicates effectively across all levels of the organization with ease.
Agile Project Manager or Senior Agile Project Manager
As an Agile Project Manager you will be responsible for leading Agile teams/projects with minimal guidance. The Agile Project Manager facilitates our teams to reach our delivery, operations and infrastructure project goals by consistently applying Servant Leadership and facilitation skills. Focused on learning and applying Project Management techniques and principles with the goal of being able to successfully coordinate medium to large Agile Stable teams/mid-complex to complex projects. This role will partner with leaders and teams along with other members of the enterprise to ensure continued focus on the delivery of business value. This role may provide mentorship to Level I.

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