Current Career Opportunities
Current Openings
This role will work out of our Berlin, VT headquarters part of the time post-COVID. We will eventually return to a hybrid model (target 2022), asking employees to come into the office 2 days per week with flexibility to work the rest of the week remotely.
Account Manager Responsibilities:
- Successfully renew BCBSVT products to customers within an assigned Sales and Service team.
- Assist with the implementation of new business and growing existing profitable accounts through account development.
- Meet assigned renewal quotas for the retention of current business and for selling new ancillary products to customers.
- Maintain a positive, supportive, and pro-active relationship with brokers and customers, acting as the direct liaison between BCBSVT and the client.
- May serve as "process owner" and responsible for managing the corporate-wide performance of the Group Inquiry and Resolution key value creation process.
We’re open to candidates looking for immediate employment, as well as students graduating in May 2022.
Assistant Actuarial Analyst Responsibilities:
- Identify Data Warehouse integrity issues, and assist in the reconciliation of Data Warehouse data with corporate financials.
- Identify areas for possible improvement of data capabilities and the quality of department analysis and reporting.
- Assist in the development of rating, rate filings, and other rating related responsibilities.
- Perform analysis to support the development of financial plans, re-forecasts, and other financial projections.
- Identify, participate in and/or implement process improvement initiatives.
- Prepare and/or maintain documentation related to standard operating procedures as well as routine and special projects.
Assistant General Counsel Responsibilities:
- Researches and analyzes complex legal issues, transactions, contracts, and other documents presented by all departments of the Corporation and its affiliates.
- Develops and reviews contractual provisions, and interprets and advises the Corporation on state and federal laws and regulations (including state and federal laws relating to health insurance companies).
- Responds to inquiries regarding state and federal legislation, and keeps the General Counsel informed of matters having a legal impact on the Corporation.
- Assistant General Counsel Qualifications:
Graduate of an accredited law school, holds JD degree.
- Admitted to practice before the Vermont Bar.
- 1 – 5 years’ experience in a law firm or corporate law department; experience in complex contracting, health care or insurance industry strongly preferred.
Associate General Counsel Responsibilities:
- Researches and analyzes complex legal issues, contracts, and other documents presented by all departments of the Corporation and its affiliates.
- Responds to inquiries regarding state and federal legislation, develops and reviews contractual provisions, and interprets and advises the Corporation on newly issued state and Federal laws and regulations (including those related to state and federal health care reform)
- Keeps the General Counsel informed of matters having a legal impact on the Corporation.
- Responsibilities may include providing leadership and guidance members of the Legal Services department staff, to include the Cyber Security Administrative Specialist and the Legal Plan Documents Coordinator.
Associate General Counsel Qualifications:
- Graduate of an accredited law school, holds JD degree.
- Admitted to practice before the Vermont Bar.
- 5 – 7 years experience in a law firm or corporate law department, including 3 – 5 years experience in health care and insurance industry.
FEP Customer Service Trainee Responsibilities:
- Act as a liaison between the Plan’s members, outside vendors, provider offices, other BCBS Plans, and BCBSVT.
- Learn and utilize customer service skills in order to successfully handle all customer interactions in a consistent, courteous, and professional manner.
- Provide clear, concise, and accurate interpretation of Plan certificate language, benefit administration, and internal policies and procedures.
- Accurately document, track, and research all inquiries according to department guidelines and written procedures.
- Acquire and implement the knowledge and skills necessary to meet individual, department and Company goals that are tied to Career Path and Performance, Quality Assurance, and MTM/Service Index standards.
Manager of Marketing & Communications Responsibilities:
- Support the development, implementation and evaluation of marketing, advertising, and communications programs of Blue Cross and Blue Shield of Vermont (Blue Cross).
- Manage and implement the organization’s master and sub-brands, and advertising initiatives.
- Manage a team of professionals by setting goals and providing direction.
- Operate at the high end of competencies with senior experience in all facets of marketing, advertising, communications, and branding.
As we phase back into our office in Berlin, VT later in 2021, the Manager of Treasury would be expected to work in the office part of the time. Relocation assistance is provided.
Manager, Treasury Operations Primary Responsibilities:
- Develop recommended enhancements to cash management policies and programs designed to enhance the financial position of the Plan and to improve its system of internal controls, as well as to ensure it remains compliant with State statutes and regulations.
- Manage relationships with the Plan’s investment managers and consultants. Oversee the investment accounting function and ensures compliance with current GAAP and Statutory accounting standards.
- Direct the maintenance of an effective cash flow program through cash forecasts and cash management reporting to ensure the Corporate Controller and the Vice President, Treasurer, and Chief Financial Officer are fully informed of the status of the Plan's cash assets.
- Supervise the invoicing of reimbursable Federal Employee and Inter-plan Bank Programs, controlling receivables and determining adequacy of advance funding. Administer the Prospective Interim Payment program, effectively balancing the cash flow requirements of both the provider and the Plan within the context of the provider contract and maintaining accounting records of the PIP program which affect a timely and accurate contract period settlement.
- Along with the Enrollment Services and Customer Billing departments, monitor and control accounts receivable for ACA, ASO/Cost Plus, and Insured Group programs, and other third-party accounts.
- Responsible for lease/buy analysis and cost benefit analysis.
- Manage relationships with insurance brokers and ensure all Plan insurance policy and coverage levels are adequate, and recommend changes to the Corporate Controller and the Vice President, Treasurer, and Chief Financial Officer.
Medical/Clinical Coding Specialist Responsibilities:
- Serve as the primary point of contact, consultative resource, and subject matter expert in all aspects of coding and medical record documentation requirements as they apply to Risk Adjustment.
- Work directly with providers to build positive relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts, and influence provider behavior to achieve necessary results.
- Review medical records, identify gaps in care and provide education to providers and staff to ensure they are coding to the highest level of specificity.
- Assist in educating providers and office staff, including assisting in the creation of trainings that relate to Risk Adjustment and Hierarchical Condition Category (HCC) best practices.
- NOTE: This position may travel on average, up to 25 percent of the time.
Product Marketing Communications Strategist Responsibilities:
- Create demand for our products, services, and programs through effective positioning and promotion.
- Strategize, plan, create, and coordinate marketing communications initiatives and consistent positioning statements that will be used by the brand and engagement team (B&E), product, and sales, teams to generate public-facing marketing collateral.
- Create marketing communication strategies to support the launch or promotion of a program or plan.
- Work closely with the Manager of Market Strategy to understand new business opportunities that will support the organization when it needs to change direction related to products and services.
Sales & Service Consultant Responsibilities:
- Transitioning all current small group, direct pay and Catamount membership into the Exchange.
- Supporting marketing and sales initiatives for individual products including non-group products, such as Qualified Health Plans, Medicare Supplemental and Medicare D.
- Cultivating or using their relationships with Brokers, Employer Groups and Associations to assist them with their outreach to groups and individuals.
- Successful marketing and selling of exchange products to prospective customers. The exchange consultant is responsible for successfully meeting assigned sales and retention quotas for group and individual, within the assigned market segment.
Our Utilization Management department is currently looking for critical thinkers to join our professional team as a Temporary Clinical Support Representative. If you can work in a fast-paced environment, learn quickly, think critically, and understand the importance of confidentially, we would like to talk with you.
Job duties include: reviewing and inputting prior authorization requests, monitoring and working cases, along with other administrative duties.
Our Brand & Engagement Strategies department is in search of a full-time Temporary Marketing & Communications Strategist to join their team for a period of 3-5 months. If you’re a marketing communications professional with experience implementing and evaluating marketing, advertising, communications, and branding initiatives, we want to speak with you.
The case manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy in the case management process to coordinate health care benefits to meet individual members' health needs through communication and targeted intervention to promote optimal, cost-effective outcomes. The case manager works collaboratively with members, families, and providers and draws on a strong knowledge base involving clinical standards and expertise, insurance plans and products, and other benefits and funding resources to arrange or coordinate services that the member needs to get well, stay well or live with their illness, and helps to remove barriers that prevent the member from engaging in an appropriate plan of care.
This position participates in the continued development and enhancement of all aspects of the case management process, the development and coordination of services within the department, and the understanding and integration of department business objectives and measures The case manager applies the principles and core technology of case management to members across various product lines, benefits, demographics, conditions, and programs.
Note: This position is located in Montpelier, VT
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.