Bluecross Blueshield Of Tennessee Jobs

Perform activities that support pharmacy management in the administration of drug benefits including participation in processes required for daily operations of pharmacy... Read More

Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job... Read More

Provides oversight of their assigned units daily operations as well as managing the activities of the various IT personnel within the unit. Job Description: Job... Read More

Gathers and evaluates information relevant to a given topic; presents conclusions and alternatives in the context of business goals. Job Description: Job Responsibilities... Read More

Provides support, consultation and testing for enterprise paperless system configuration and web applications. Job Description: Job Responsibilities Serving as liaison... Read More

Oversees and manages all facets of insurance products and services for one or more major insurance clients. Job Description: Job Responsibilities Lead the internal and... Read More

Collaborates with business and I/T partners to analyze and define the requirements for technical solutions to meet business needs. Job Description: Job Responsibilities... Read More

The incumbent is responsible for the retention of pharmacy membership by using medical, pharmacy, and economic data to drive the development, implementation, and... Read More

Responsible for acquiring medical records from provider offices for purposes of risk adjustment coding and data submission to the Centers for Medicare Medicaid Services... Read More

The Principal Talent Management Consultant oversees and coordinates the work of the Organizational Learning Consultants and any other staff involved with corporate level... Read More

Responsible for various activities associated with coverage reviews and appeals including the review of pharmacy prescription medication related prior authorizations,... Read More

Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex... Read More

Manages the planning processes related to the Enterprise Spend; provides insight on expense controls necessary to meet short long term planning goals. Job Description: Job... Read More

This position will have oversight and responsibility over the Cyber Incident Response program at BCBST. Detailed knowledge of incident response services required. Ability... Read More

Manages and executes all aspects of financial management, control, analysis and planning. Job Description: Job Responsibilities Managing the distribution of tasks to... Read More

The incumbent is responsible for the retention of pharmacy membership by using medical, pharmacy, and economic data to drive the development, implementation, and... Read More

The incumbent is responsible for the retention of pharmacy membership by using medical, pharmacy, and economic data to drive the development, implementation, and... Read More

Supports customer service activities and initiatives for a number of products or clients. Job Description: Job Responsibilities Receiving, investigating and resolving all... Read More

Perform comprehensive clinical review of requested services utilizing clinical criteria, received through various mechanisms Job Description: Job Responsibilities Initiate... Read More