Current Career Opportunities

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.

Learn more and apply

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. 

Learn more and apply

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.

Learn more and apply

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.

Learn more and apply

Responsibilities

• Complete a program comprised of classroom and on-the-job training that will provide the technical knowledge and customer service skills needed to accurately answer most member and provider questions.
• Learn and utilize customer service skills in order to successfully handle all customer interactions in a consistent, courteous, and professional manner.
• Accurately document, track, and research all inquiries in Customer Focus (CF) according to department guidelines and written procedures.
• Achieve a level of call volume and quality goals as set forth in the Customer Service Career Pathing Guidelines.  Successful achievement of these goals will help enable to CSR to transition to a Customer Service Representative II position.

Qualifications

• High school graduate or equivalent required.
• Analytical and critical thinking skills required.
• Computer literacy, 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.

Learn more and apply

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.

Learn more and apply

Responsibilities

• Responsible for a high level of quality by providing information and or initiating appropriate corrective actions to resolve a customer’s inquiry based on a thorough and comprehensive understanding of BCBSVT contracts, policies, systems and procedures.
• Maintain relationships between the Plan and its customers.
• Work with all levels of expertise including provider billing clerks to provider business managers, other BCBS plans as well as our subscribers and members.
• Work closely with other business units to address customer concerns and communicate feedback to our customers.
• Accurate and timely interpretations of the Plan policies and procedures while maintaining the absolute confidentiality of member and provider information.

Qualifications

• High school graduation or equivalent is required. Two year college degree is preferred.
• A minimum of 1-3 years customer service or claims processing experience in a healthcare or health insurance setting is required.
• Experience in a provider’s billing office is preferred.

Apply Now

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.

Learn more and apply