Current Career Opportunities

Responsibilities

• 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. 
• Self-directed, working 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.
• 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.

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 

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Responsibilities

• As a storyteller and skilled writer, balance “big picture” thinking with relevant, targeted messaging to reach and motivate target audiences.
• Plan, write, and edit long- and short-form content within required deadlines, carrying the brand voice through a variety of internal and external communications channels, both digital and print.
• Excel as a strong listener, interviewer, and investigator who translates complex business and healthcare information into meaningful and effective content.
• Work closely with organizational leaders and internal partners to develop, implement, and evaluate communications and project plans that support organizational priorities and goals.
• Ensure organizational priorities, initiatives, and updates are clearly communicated in a relevant, timely, and targeted manner.
• Establish evaluative criteria for monitoring the effectiveness of communications activities to help ensure desired results and the appropriate tracking methods.
• Plan and coordinate special projects, events, or other tasks as needed.

Qualifications

• Bachelor’s degree, preferably in communications, journalism, or public relations, or equivalent work experience.
• Minimum of 6+ years of professional writing or journalism experience, preferably with a communications or marketing team or agency. Healthcare industry experience a plus.
• Demonstrated experience writing for a variety of audiences.
• Prior management of complex projects and advising leadership.
• Proven ability to work with clients across all levels of the organization.
• Solid problem-solving and time-management abilities.
• Outstanding verbal and written communication skills.
• Excellent interpersonal and teamwork skills. 

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Responsibilities

• Senior Leader responsible for the strategy, design, evaluation, and continuous improvement of the organization's product portfolio across all market segments, commercial, senior, and ACA etc. 
• Prepare and present product strategy updates, business cases, and performance results to executive leadership, governance bodies, and as appropriate, Boards or committees, facilitating informed decision-making.
• Lead a team of product managers to rigorously assess existing products, drive enhancements, and develop new offering in response to evolving marker conditions, regulatory changes, and growth opportunities, ensuring products support the organization’s goals for growth, efficiency, client satisfaction, and member experience. 
• Work cross-functionally and serve as a key partner and subject matter expert to senior leaders, helping shape product strategy in alignment with enterprise objectives. 
• Foster a culture of innovation, collaboration, and continuous improvement within the product team and across cross-functional partners, promoting disciplined experimentation, learning, and scaling of successful solutions. 

Qualifications

• Bachelor's degree in business, health administration, economics, actuarial science, public health, or a related field required; advanced degree (MBA, MHA, MPH, or related) preferred.
• Minimum of seven to ten years of experience in health insurance or closely related health care roles, with significant responsibility for product management, product development, or related functions.
• At least three years of experience in a leadership or people-management role, preferably overseeing product teams or cross-functional product initiatives.
• Demonstrated track record of successfully launching or redesigning products that achieve growth, financial, and satisfaction goals in one or more of the identified market segments.
• Experience working with or managing external vendors and solution partners in support of health plan products.
• Proven ability to work effectively with senior leaders, boards, external partners, and government stakeholders in a complex, regulated environment.

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Responsibilities

• Senior Leader responsible for the strategy, design, evaluation, and continuous improvement of the organization's product portfolio across all market segments, commercial, senior, and ACA etc. 
• Prepare and present product strategy updates, business cases, and performance results to executive leadership, governance bodies, and as appropriate, Boards or committees, facilitating informed decision-making.
• Lead a team of product managers to rigorously assess existing products, drive enhancements, and develop new offering in response to evolving marker conditions, regulatory changes, and growth opportunities, ensuring products support the organization’s goals for growth, efficiency, client satisfaction, and member experience. 
• Work cross-functionally and serve as a key partner and subject matter expert to senior leaders, helping shape product strategy in alignment with enterprise objectives. 
• Foster a culture of innovation, collaboration, and continuous improvement within the product team and across cross-functional partners, promoting disciplined experimentation, learning, and scaling of successful solutions. 

Qualifications

• Bachelor's degree in business, health administration, economics, actuarial science, public health, or a related field required; advanced degree (MBA, MHA, MPH, or related) preferred.
• Minimum of seven to ten years of experience in health insurance or closely related health care roles, with significant responsibility for product management, product development, or related functions.
• At least three years of experience in a leadership or people-management role, preferably overseeing product teams or cross-functional product initiatives.
• Demonstrated track record of successfully launching or redesigning products that achieve growth, financial, and satisfaction goals in one or more of the identified market segments.
• Experience working with or managing external vendors and solution partners in support of health plan products.
• Proven ability to work effectively with senior leaders, boards, external partners, and government stakeholders in a complex, regulated environment.

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Responsibilities

• Direct and oversee all operations of the Company’s facilities management functions including operations, maintenance and repair, space planning and utilization, design and construction, and physical building safety.
• In collaboration with the Chief People Officer, develop and execute facilities management strategies that support organizational goals and operational excellence.
• Lead the facilities team and on-call coverage, manage key vendor relationships, oversee capital and operating budgets, and ensure compliance with applicable regulations and safety standards. 
• Demonstrate a high level of confidentiality and professional discretion.

Qualifications

• Bachelor's degree in Facilities Management, Business Administration, Engineering or related field.
• Minimum of ten (10) years of experience in facilities management including t3-5 years in a leadership position. 
• Certifications such as Certified Facility Manager (CFM) or Facilities Management Professional (FMP) 7 desirable. 
• Driver’s license with a safe driving record.

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Responsibilities

• Manage, maintain, and troubleshoot IT systems, including computer systems, networks, and servers to ensure their security, availability, and reliability.
• Serve as a technical expert in the area of system administration for complex Infrastructure systems.
• Recommend configuration changes of operating systems and system applications, investigate and analyze feasibility of system requirements and aid in developing system specifications.
• Identify process improvements, solutions, and participate in projects to provide a high level of service to customers.

Competencies

• IT infrastructure technology experience, with particular emphasis on technologies in place at Blue Cross VT. These include Windows\Linux\VMware vSphere, Omnissa Horizon, MS SQL/Server Databases, NetApp, Ivanti, data center power and cooling, and remote connectivity.
• IT infrastructure operations experience, including system and network engineering and support.
• Experience with problem management and quality improvement techniques.
• Fluent in the terms and concepts associated with health insurance system design/management.
• Ability to deliver results through strategic relationships with key vendors and technology partners.
• Knowledgeable and conversant with IT security concepts, threats, risk mitigation approaches, technical and administrative processes.
• Ability to understand business issues and communicate and support resolution of business problems.

Qualifications

• Associate’s degree in computer science or related field, or equivalent experience.
• Minimum four (4) years professional experience in information systems and/or network administration with significant network or system engineering and architectural experience.
• Proven ability to work with infrastructure production support teams and management of external service providers.
• Experience within the US healthcare industry is desired.
• Experience with Information Security solutions is desired.

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Responsibilities:

• Provide marketing, sales, and support, principally telephonically in a sales and service call center for Blue Cross and Blue Shield of Vermont’s Exchange and Medicare markets.
• Support marketing and sales initiatives for individual and group products including, Qualified Health Plans (QHP), Medicare Supplement Insurance Plans (Medigap), and Medicare Part D Plans (PDP). 
• Responsible for the successful marketing and sales of Blue Cross VT individual and group products to prospective customers
• Responsible for successfully meeting assigned sales and retention quotas for Small Group, Individual QHP, Medicare Supplement, and Medicare Part D (PDP) markets.
• Respond to general inquiries and provide outreach to groups and individuals to support their purchase and product selection including the exchange market, tax implications, and subsidies. 
• Attend and/or host educational and sales seminars, community events, and visiting clients in their place of business.

Qualifications: 

• High School Diploma or equivalent 
• 2-5 years’ experience required in Health Maintenance Organization (HMO) or health insurance sales, customer service, marketing or marketing related duties. 
• Valid Vermont driver’s license with good driving record. Willingness to travel throughout Vermont as necessary.
• Current Vermont Producer’s license for Accident and Health required or obtain required license within 3 months of hire into the role. Must maintain license by completing CEUs every 24 months.

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