Current Career Opportunities

Here’s a list of the positions we’re currently recruiting for. Click on the title of the position you are interested in, and you’ll be able to read the job description. You can apply online and attach your resume.

Applicants requiring accommodation in the application and/or interview process should contact the Human Resources Department at HumanResources@bcbsvt.com or call (802) 371-3786.

 

Current Openings

Responsibilities

  • Execute utilization management processes to ensure the delivery of medically necessary and appropriate, cost effective and high quality care through the performance of clinical reviews
  • Reviews requests against standardized medical necessity and appropriateness criteria for an initial and a continued service authorization
  • Identify questionable cases and refers to superior or a medical director for review

Qualifications

  • RN with Vermont License required; BSN desired  
  • 5–7 years of clinical practice required
  • 1–3 years of insurance related experience desired
  • Must be willing to participate in on-going CEU training

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:

  • Maintain a high level of quality by entering new individual membership enrollment and all subsequent group and membership changes to the system files
  • Provide outstanding customer service with first call resolution and must maintain excellent relationships with our non-group, group customers as well as brokers and vendors
  • Maintain regular contact with other departments across divisional as well as external vendors

Qualifications:

  • High school graduate or equivalent with 1 – 3 years of either office bookkeeping experience, balance sheet account reconciliation, or insurance experience is desired
  • Computer literacy and strong typing skills required
  • Proven ability to multitask, problem solve, and work independently.
  • Excellent communication and interpersonal skills, customer-oriented, and patient 

Learn more and apply

Responsibilities

  • Manage the day-to-day operations of the help desk team including the distribution of workload, tracking workload, and evaluating team member performance
  • Oversee team productivity, training, and evaluation of the help desk operations to inform improvements to ensure high-quality technical support and enhance customer satisfaction
  • Ensure service requests and incidents are handled timely, accurately, and requests are escalated according to defined standards
  • Establish, maintain, and improve technology guidelines, operating procedures, and support documentation incorporating best practices throughout the entire technical support process in collaboration with the Director, Infrastructure Operations, and other applicable internal technical teams
  • Establish specific customer service standards for help desk performance in collaboration with the Director, Infrastructure Operations, to optimize and support relations and perceptions between the help desk and company employees
  • Recruit, train, mentor, and coach help desk team members with the goal of building a dynamic, high-functioning team and providing world-class customer service
  • Assess the effectiveness of the help desk technical support process, seek improvements on existing procedures and provide recommendations on areas to improve to the Director, Infrastructure Operations

Qualifications

  • BS in Computer Science, Information technology, or related field. Five years related work in lieu of a bachelor’s degree
  • 3+ years of leadership experience in customer service, call center, or IT Help Desk environment
  • 6+ years of experience working with desktops, laptops, printers, mobile devices, and related software
  • Must be flexible in working hours, travel, and work environments
  • Certifications such as ITIL v4, CompTIA A+, and Network +, desirable
  • Experience/familiarity with the following hardware and software, desired: FreshService (or similar IT Service Management software), VMware vSphere, VMware Horizon View, Windows 10/11/Server, M365/Office, HP laptops, Azure, and healthcare market software products and healthcare communication standards (e.g., DICOM, HL7, IHE). BA
  • Experience developing Knowledge-based authentication (KBA) and other relevant procedures, Service Level Agreements, and help desk metrics

Learn more and apply

Qualifications

  • Major or Course of Study:  Preferred major in HR or Business 
  • Skills: Strong candidates will be self-motivated and have excellent writing and communication skills, proficiency in Microsoft applications (including Word, PowerPoint and Excel), experience with presentations/training and some experience in event planning or marketing.

Learn more and apply

Qualifications:

  • Major or Course of Study: Law student – preferably 1st or 2nd year and with interest in business and/or healthcare law.
  • Skills: Strong legal research, writing, and critical thinking skills, standard computer skills, excellent communication and interpersonal skills, ability to work independently and collaboratively in a team environment.

Learn more and apply

Our Payment Integrity department is in search of  an eager-to-learn professional to join the team as a Temporary Payment Integrity Analyst. The primary duty of the role is to do intake for emails, send templated responses, and load them into our software program. If you’re a quick learner, have strong attention to detail and aren’t afraid to ask questions, we want to speak with you.

This temporary position could last up to six months and offers a hybrid work opportunity. Employees work Wednesdays at our Berlin, VT office with flexibility to work remotely the rest of the week,

Position is 20 hours per week and pay is $18/hour.

Apply Now

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.