Current Career Opportunities
Current Openings
Responsibilities
- Prepare monthly journal entries to record subscription income, claims, administrative expenses, and other financial activity for the Plan and its subsidiaries.
- Provide professional accounting support to a variety of financial functions for the Plan, including the monthly financial close process, journal and general ledger activities, and corporate wide accounts payable and accounts receivable activities.
- Generate and prepare monthly invoices to clear cash activity between the Plan and its subsidiaries.
Qualifications
- BS degree in Accounting or Finance
- Advanced knowledge in general accounting theory and practice
- Advanced knowledge in journal entry and reconciliation
- Proficiency in Fixed Asset Accounting
Responsibilities
- Prepares monthly journal entries to record subscription income, claims, administrative expenses, and other financial activity for the Plan and its subsidiaries.
- Prepares general ledger account reconciliations to ensure the accuracy and integrity of financial reporting.
- Performs weekly balancing controls of the Plan’s claim payment runs to ensure accuracy and compliance.
- Reviews Accounts Payable coding for consistency and accuracy; approximately 50+ Corporate Payable Vendor Accounts to monitor.
- Reviews the Fixed Assets for accuracy of entry and that they meet capitalization guidelines for the company. Prepares monthly journal entry to record depreciation. Performs monthly review of PWIP with managers throughout the Plan. Performs a quarterly Tax Depreciation review to ensure all data has been entered in Fixed Asset Software correctly.
- Performs all accounting for Federal Employee Program.
- Performs detailed by Line Of Business (LOB) Claims expense reconciliation and analysis; works with Actuarial Services on major claims LOB variances.
- Coordinates monthly meetings with Project Managers to assist them in the review of Corporate Project Monthly Financial Reports and the management of Project Capital and Operating Budgets.
- Files and accounts for various State Vaccine Program assessments.
- Assists with annual and ad hoc audit requests.
- Actively participates and upholds the accuracy and integrity of Blue Cross VT financials.
Qualifications
- BS degree in Accounting or Finance required.
- Three to Five years of professional accounting experience required
- Experience in financial analysis required.
Responsibilities
- Support the development of financial projections, reports, and actuarial analysis for well-defined projects as directed.
- Compile and evaluate statistical data.
- Participate in related activities and projects as directed.
Qualifications
- Student Track Qualifications
- BS in Actuarial Science, Mathematics, Statistics or a closely related field required.
- Level I: Minimum of one course of the Society of Actuaries exams.
- Maintain student status according to the Blue Cross Actuarial Student Program.
- Non-Student Track Qualifications
- BS in Actuarial Science, Mathematics, Statistics or a closely related field required.
- 1-3 years of closely related experience
- Strong computer knowledge (including programming, Access, Excel, SAS and/or SQL)
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.
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
The Rating Specialist provides support to both the Underwriting and Actuarial departments. This position requires a strong knowledge of the following areas:
- Computing rates for group accounts, both renewing and prospective
- Preparing financial reports illustrating rate calculations
- Ensuring established review protocols are followed
- Development and maintenance of the company’s experience rating systems
- Researching and analyzing to assist in the monitoring and evaluation of the experience rating formula and rating results
- Working closely with Actuarial to implement new rating factors and model changes and thoroughly tests those changes
Qualifications
- BS in Math, Finance, Computer Science, or closely related field required
- 3 – 5 years of closely related experience required
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.