Current Career Opportunities
Current Openings
Responsibilities
- Responsible for the processing and paying accounts payable invoices received from outside vendors ensuring accuracy and guidelines are followed.
- Process employee expense reimbursements and oversee associated invoice and document retention and retrieval.
- Monitor expense payments to ensure compliance with corporate policy.
Qualifications
- AS degree in Accounting, Finance, or Business desired; high school diploma or equivalent required.
- 3-5 years’ experience in accounts payable function required.
Responsibilities
- Provide business and systems analytical subject matter expertise in support of IT department initiatives.
- Detailed knowledge of business processes, business rules and a solid understanding of the systems that support such business functions at Blue Cross VT.
- Provide business subject matter expertise in the definition, testing, training, implementation, and support of business and functional requirements.
- Participate as an active member of project teams or work groups to provide business analysis and subject matter expertise for proposed solutions.
- Be an agile evangelist by fully participating on a scrum team focused on continuous improvement, collective growth, courage, innovation, and respond to change.
Qualifications
- BS/BA in Business or closely related field or equivalent experience required.
- 3-5 years of experience in business analysis and system design and implementation required.
- Previous experience in healthcare or health insurance required.
- Experience planning and supporting projects required.
Clinical Review Registered Nurse Responsibilities
- Self-directed and works independently and collaboratively with the team to facilitate care using clinical skills, principles of managed care, nationally recognized medical necessity criteria, and company medical policies.
- Conduct clinical reviews for preservice, concurrent, and retrospective authorizations that promote efficient and medically appropriate use of members benefits to provide cost effective and high-quality care.
- Emphasis on utilization management, discharge planning, clinical outcomes and the ability to assess, analyze, draw conclusions, and construct effective solutions, identify questionable cases and refer to superior or medical director for review.
- Proficient with multiple IT systems.
- Strong written and spoken communication skills
- Able to follow regulatory requirements with audit feedback incorporated into future work.
Clinical Review Registered Nurse Qualifications
- RN with Vermont License required, BSN desired.
- 3-5 years of relevant experience in a variety of appropriate clinical health care settings (inpatient, outpatient, or differing levels of care).
- 1- 3 years of insurance related experience desired.
- Must be willing to participate in on-going CEU training.
- Must be willing to participate in after hours on call rotation.
Responsibilities:
- Complete a training program comprised of mentoring and on-the-job training that provides the Representative with the technical knowledge, analytical, and Customer Service skills needed to accurately process prior authorizations and other authorizations and requirements.
- Provide accurate, prompt, and courteous responses to phone and written inquiries and to consistently provide outstanding customer service. Examples of such inquiries include, but are not limited to prior authorization questions and requirements, authorization issues such as requests or status checks, and initiating next steps for denied authorizations,
underwriting guidelines, and internal policies and procedures. - Contribute to excellent customer satisfaction by providing information and initiating
appropriate corrective actions to resolve inquiries based on a comprehensive
understanding of BCBSVT contracts, policies, systems, and procedures.
Qualifications:
- High school graduate or equivalent required.
- Analytical and critical thinking skills required.
- Computer literacy and strong typing and spelling skills required.
- One to two years of successful customer service experience, preferably in a health
insurance or health care setting is desired. - The ability to multitask, problem solve, and work independently is necessary.
Responsibilities
- Act as initial point-of-contact for human resources with all employees, including managers, in situations that may require a high level of confidentiality, discretion, and sensitivity as well as solid judgment in resolution and appropriate next steps.
- Oversee the day-to-day office management activities and administrative functions in support of the HR department and employee programs.
- Responsible for maintaining and updating all employee data in various databases and is the primary administrator for all HR systems, including HRIS, intranet site, etc.
- Identify process improvement opportunities and is the primary project manager of HR projects to streamline HR workflows and create efficiencies.
- Manage the onboarding and exit processes and procedures for employees and consultants, ensuring compliance with state and federal regulations and Company policies.
Manage, maintain, and report HR metrics, analyzing and making recommendations for improved outcomes. - Oversee the maintenance of personnel policies and facilitate periodic policy review with subject matter experts to ensure accuracy and relevance.
Qualifications
- BS degree or equivalent working experience is required.
- 3-5 years’ experience in Human Resources or similar customer-facing position required.
- Strong technical skills, to include all Microsoft Office Suite of programs.
- Excellent communication skills, both verbal and written.
- Experience in project management or process improvement initiatives strongly preferred.
Responsibilities
- Provide business and systems analytical subject matter expertise in support of Data Engineering initiatives.
- Detailed knowledge of business processes, business rules and a solid understanding of the systems that support such business functions at Blue Cross VT.
- Provide business subject matter expertise in the definition, testing, training, implementation, and support of business and functional requirements.
- Participate as an active member of project teams or work groups to provide business analysis and subject matter expertise for proposed solutions.
- Be an agile evangelist by fully participating on a scrum team focused on continuous improvement, collective growth, courage, innovation, and respond to change.
- Oversee the work of the Associate and Business Analysts
Qualifications
- BS/BA in Business or closely related field or equivalent experience required.
- 7+ years of experience in business analysis and system design and implementation required.
- Previous experience in health care or health insurance required.
- Prior experience working for a Blue Plan is preferred but not required.
- Experience planning and managing projects desired
- 7+ years of progressive experience working in an IT organization.
Responsibilities
- Responsible for developing, implementing, and managing the organization’s talent acquisition strategy in support of organizational business goals.
- Cultivate talent pipelines and enhance and promote our employer reputation and brand.
- Administer and manage all aspects of recruiting, hiring, and employee onboarding programs and activities.
- Facilitate the development of new job descriptions and edit existing job descriptions in collaboration with managers and organization leaders.
- Conduct market research and collaborate with Compensation & Benefits Manager to ensure positions are competitively graded.
- Ensure the application of best practices in sourcing, recruiting, and hiring and ensure compliance with all applicable labor laws and regulations.
- Provide oversight and support to talent acquisition personnel.
- Counsel employees who seek guidance in career advancement, and support managers and employees in areas including interviewing.
Qualifications
- Bachelor’s degree in business, Human Resources, Finance or closely related field required.
- 7-10 years of business experience, including 5-7 years of progressively responsible experience in human resources.
- Project management experience preferred.
Blue Cross and Blue Shield of Vermont strictly prohibits discrimination against or by any Blue Cross and Blue Shield employee on the basis of race, color, religion, gender, age, national origin, place of birth, sexual orientation, gender identity, ancestry, disability, pregnancy, genetic information or marital status. Blue Cross and Blue Shield will not discriminate against an employee having a positive test result from an HIV related blood test, nor will Blue Cross and Blue Shield request or require an applicant or employee to have an HIV-related test as a condition of employment. Blue Cross and Blue Shield of Vermont will not discriminate against protected veterans.
Responsibilities
Qualifications
Experience utilizing analytics tools to measure, assess, and optimize digital strategies required.
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