BlueCross BlueShield of Tennessee jobs

We're looking for an individual who has a deep interest in cybersecurity and will bring fresh perspectives and advanced techniques to identify and analyze potential threats. Your expertise will enhance our team's ability to detect and respond to sophisticated cyber attacks; experience with cloud security is a plus! As Senior Cyber Threat Hunter, you'll help us stay ahead of emerging threats. As a key member of our team, you will play a crucial role in identifying, analyzing, and mitigating cyber threats to protect our organization's assets and data. Our team is composed of individuals from various backgrounds and experiences, fostering a rich and inclusive culture where everyone's voice is heard and valued. Every day brings new and exciting challenges. You'll have the opportunity to tackle complex problems, think creatively, and push the boundaries of what's possible in cybersecurity. Note: This is a fully remote role; however, no sponsorship is available. Job Responsibilities Find possible vulnerabilities while using penetration testing tools and techniques, to ensure the security of computer systems, applications, servers, networks, etc. Provides technical expertise on the development and support of all activities, processes, and tools needed to protect information security. Identifies, analyzes, and reports threats or hidden events within the enterprise network, by using defensive measures and information collected from a variety of sources, to protect data, information systems, and networks. Collects analyzes and presents digital-related evidence in support of computer criminal investigations. Employees may be required to participate in a weekly on-call rotation. Job Qualifications Education Bachelor's Degree in a Computer Sciences related field or equivalent work experience Experience 5 years - Experience in Information Security required 1 year - Experience with information technology concepts, terminology, and standards required Skills\Certifications Common knowledge of malicious code (worms, viruses, spyware, etc.) Understanding of Security Methodologies Windows / Linux / Unix operating systems Knowledge of TCPIP/UDP/ICMP Working knowledge of the OSI Reference Model Knowledge of networking components (routers, switches, load balancers, wireless access points, etc) Knowledge of Information Security components (IPS, IDS, WAF, SIEM, etc.) Knowledge of vulnerability assessments Knowledge of security incident handling Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint) Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Associate General Counsel works with the health plan, state regulatory and enforcement agencies, and trade associations to foster effective communication and collaborative relationships. This role ensures regulatory alignment by coordinating with internal colleagues to maintain operational and procedural compliance with state and federal requirements. This individual will work with internal teams and regulators to address inquiries, clarify regulatory requirements, and facilitate constructive dialogue on the interpretation and application of health insurance laws, regulations, and regulatory guidance. This individual will also assist in the collection, analysis, and presentation of written discovery in administrative enforcement matters and relevant information for required reports, including license filings, appeals and complaints reporting, surveys and routine scheduled examinations. The Associate General Counsel will provide strategic guidance and triage complex compliance issues escalated by internal teams to ensure timely and effective resolution. The ideal candidate will demonstrate solid regulatory expertise, exceptional communication skills, and the ability to manage cross-functional initiatives in a dynamic regulatory environment. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities Execute delivery of legal services and related support to Employer and Individual business Collaborate with colleagues across the UnitedHealth Group legal department Proactively identify and resolve legal and related matters Assist in the review, preparation and negotiation of various products, documents and contracts Develop best practices for addressing emerging legal and business risks Support the development and delivery of new products and pharmacy initiatives Counsel senior management on strategic business initiatives Foster key regulatory relationships You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Juris Doctorate degree with an active license to practice law in at least one state 4+ years of professional legal experience Demonstrated relevant legal experience in health, law, commercial insurance, pharmacy, litigation, provider or health care legal support Demonstrated expertise, judgement and presence to advise senior leadership on legal matters Ability to provide timely and responsive legal support for business partners Preferred Qualifications Experience with regulatory agencies and administrative experience with state insurance regulations Excellent understanding of health insurance and/or managed care industry Legal experience in commercial health insurance Demonstrated understanding of business problems and ability to evaluate and determine appropriate legal course of action to meet business unit needs Proven success in collaborating across a large, matrixed business and legal environment Advanced negotiation skills Ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts Ability to drive results Ability to gain acceptance from others on a plan or idea and achieve bottom line results for the company Ability to work effectively in an ambiguous environment Ability to work in a fast-paced, results-oriented workplace Ability to prioritize and work effectively under time constraints Soft Skills Excellent work ethic Well-developed written and verbal communication skills Comfortable taking ownership and accountability for projects *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Revenue Cycle Subject Matter Expert (SME), you will be the strategic bridge between client operations and automation delivery-defining impactful use cases, facilitating solution-oriented discussions, and guiding process transformation. You'll lead discovery through shadowing sessions, document high-level success metrics, and ensure automation strategies align with client goals. With a solid presence in daily stand-ups, you'll approve technical documentation, resolve client-related issues, and provide critical process clarifications to keep automation initiatives moving forward with precision and purpose. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Collaborate with analysts to identify automation opportunities * Collaborate with architects and analysts on the team to translate identified business processes into automation opportunities * Engage with clients and executive leadership to present automation strategies, share insights, and facilitate solution-oriented discussions * Define use cases in collaboration with the client * Conduct shadowing sessions with various business process owners to understand current and future state processes * Document high-level use cases and success/ROI metrics * Approve Process Design Document (PDD) before bot development * Participate in daily stand-up meetings * Provide process clarifications * Resolve client-related issues during stand-ups You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 5+ years of hands-on experience in revenue cycle operations, with demonstrated expertise across front-end (e.g., patient access), mid-cycle (e.g., coding, documentation), and back-end (e.g., billing, collections) functions * 4+ years of experience supporting initiatives across front-end (e.g., patient access), mid-cycle (e.g., clinical documentation, coding), and back-end (e.g., billing, collections) operations * 3+ years of experience in a consulting or client-facing role, with a focus on delivering strategic process improvement and automation solutions in dynamic healthcare environments * 3+ years of experience in facilitating workshops, discovery sessions, and cross-functional meetings, leading to the identification and documentation of seven use cases and automation opportunities for clients * Experience presenting executive leadership, with the ability to distill complex operational challenges into strategic insights and ROI-driven recommendations-supported by at least five executive-level presentations * Experience having authored and validated high-level use cases, success metrics, and Process Design Documents (PDDs) for at least five automation initiatives, demonstrating rigorous documentation skills * Experience with resolving client-related issues in real time, with active participation in daily stand-ups and a history of supporting cross-functional delivery teams through process clarifications and issue resolution Preferred Qualifications: * Proven expertise in process redesign and systems implementation, driving operational efficiency and technology adoption * Hands-on proficiency with automation technologies, including Robotic Process Automation (RPA), Intelligent Document Processing (IDP), and workflow orchestration platforms such as UiPath, Automation Anywhere, or Power Automate * Leadership in cross-functional teams, fostering collaboration across business, technical, and operational stakeholders * Educational or professional background in engineering, providing a solid foundation in systems thinking and technical problem-solving * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

**Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist, will analyze clinical information, contracts, mandates, medical policy, evidence based published research, national accreditation and regulatory requirements contribute to determination of appropriateness and authorization of clinical services both medical and behavioral health. This role will focus on Medical Advantage line of business but may also support other government programs and commercial plans. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. **ESSENTIAL FUNCTIONS:** + Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American Society of Addiction Medicine), Medicare Guidelines, Federal Employee Program and Policy Guidelines, Medical Policy, and other accepted medical/pharmaceutical references (i.e. FDA, National Comprehensive Cancer Network, Clinical trials.Gov, National Institute of Health, etc.) Follows NCQA Standards, CareFirst Medical Policy, all guidelines and departmental SOPS to manage their member assignments. Understands all CareFirst lines of business to include Commercial, FEP, and Medicare primary and secondary policies. + Conducts research and analysis of pertinent diseases, treatments and emerging technologies, including high cost/high dollar services to support decisions and recommendations made to the medical directors. Collaborates with medical directors, sales and marketing, contracting, provider and member services to determine appropriate benefit application. Applies sound clinical knowledge and judgment throughout the review process. Coordinates non-par provider/facility case rate negotiations between Provider Contracting, providers and facilities. Follows member contracts to assist with benefit determination. + Makes appropriate referrals and contacts as appropriate. Offers assistance to members and providers for alternative settings for care. Researches and presents educational topics related to cases, disease entities, treatment modalities to interdepartmental audiences. **SUPERVISORY RESPONSIBILITY:** Individual Contributor - Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Nursing OR In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required + CNS-Clinical Nurse Specialist Preferred **Experience:** 5 years Clinical nursing experience. 2 years Care Management and/or Utilization Management. **Preferred Qualifications:** + Utilization management experience on the payer side using MCG criteria. Working knowledge of managed care and health delivery systems. + Thorough knowledge of CareFirst clinical guidelines, medical policies and accreditation and regulatory standards + Working knowledge of CareFirst IT and Medical Management systems, familiarity with web-based software application environment and the ability to confidently use the internet as a resource. **Knowledge, Skills and Abilities (KSAs)** + Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues. + Must have strong assessment skills with the ability to make rapid connection with Member telephonically. + Must be able to work effectively with large amounts of confidential member data and PHI. + Must be able to prioritize workload during heavy workload periods. + Ability to multitask, prioritize and maintain a dynamic personal organization system that allows for flexibility. + Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint. + Excellent analytical and problem-solving skills to judge appropriateness of member services and treatments on a case by case basis. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Salary Range:** $72,216 - $143,429 **Travel Requirements** **Estimate Amount:** 5% Ability to travel by own means to a variety of locations to support business needs and to attend business meetings **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** MA EGWP Clinical **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-SS1 REQNUMBER: 21429

The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities. This role involves coordinating care to address immediate behavioral health needs and overcoming barriers to discharge from inpatient care. The goal is to reduce readmissions and adverse events through patient education, support, and connection to outpatient services. To excel in this role, you should meet all licensing requirements, have experience in behavioral health within inpatient or outpatient settings, and be knowledgeable about strategies for effective care linkage, patient education, and reducing readmissions. This is a great opportunity for candidates seeking a hybrid role. For approximately three days a week, you will work remotely, conducting telephonic outreach to members. Two days a week, you will visit members in a local Acute Inpatient Psychiatric facility in the Murfreesboro area. It's important to note that the caseload is fluid, adapting to changes in facility admissions and referrals, and so schedule changes are a possibility. Due to location requirements, candidates must be within 25 miles of Murfreesboro, Tennessee. Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits. Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation. Perform case management activities in community settings including face to face with members as required. Various immunizations and/or associated medical tests may be required for this position. Testing/Assessments will be required for Digital positions. Job Qualifications License Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master's level or above) (Ph.D., LCSW/LMSW, LLP, MHC, LPC, etc.) required. RN may hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical behavioral health / substance use disorder experience required 1 year - Must be knowledgeable about community care resources and levels of behavioral health care available. Skills\Certifications Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Independent, Sound decision-making and problem-solving skills Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Positive relationship building skills and ability to engage and motivate health behaviors in diverse populations Ability to quickly identify and prioritize member needs and provide structured and focused support and interventions Experience with Motivational Interviewing Techniques and Adult Learning Styles Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. We are seeking a highly skilled and experienced Omnichannel Experience Consultant to join our dynamic team. This role is critical in supporting and optimizing our digital chat and caller experience, including utilization, custom development, and operational process improvement. You will serve as a subject matter expert and mentor, driving innovation and ensuring product quality and operational excellence. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Facilitate Business and Technical Integration: Act as a key business and technical liaison for UMR Contact Center Multichannel Strategic Initiatives, translating complex business requirements into actionable technical specifications * Engage in Agile Practices: Actively participate in product backlog grooming, retrospectives, defect management, and release planning sessions to ensure continuous improvement and alignment with project goals * Collaborate Across Teams: Work closely with project stakeholders and technical teams to address enhancements, changes, issues, and defects impacting development, data, workflow, and functionality * Optimize Processes: Lead and participate in process and workflow analysis to identify and implement enhancements that support business requirements * Remove Obstacles: Identify and eliminate roadblocks, manage dependencies, and adjust timelines to ensure technical teams can proceed efficiently providing training and support to other team members on managing and updating bots where needed * Drive Continuous Improvement: Continuously seek opportunities to improve quality, increase throughput, reduce delivery time, and deliver high-quality work * System Administration and Configuration: Maintain business configuration and design within the UMR Live Person Instance. Coordinate and perform UAT Testing for Monthly Deployments * Troubleshoot and resolve issues related to Chat Platform and integration points * Ensure compliance with service standards, performance guarantees, and regulatory requirements You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Years of post-high school education can be substituted/is equivalent to years of experience. Required Qualifications: * 2+ years of experience in business analysis, identifying requirements and translating them into actionable solutions * 2+ years of experience in an Agile/Scrum work environment using tools such as Rally, AHA or equivalent platform * 1+ years of experience documenting process flows for technology or customer experience * 1+ years of experience performing UAT * Proficiency in Microsoft Outlook, Word, Excel, PowerPoint, and Visio * Proven excellent communication and stakeholder management skills Preferred Qualifications: * 1+ years of experience proving systems administration for contact center technologies or claim systems * 1+ years of experience with OMNI channel routing (Voice, Chat, SMS, etc.) * 1+ years of experience in claims processing and/or health care/health insurance * 1+ years of experience with UMR Claims Systems (CPS/Jacada/Call Track) or equivalent Claims Processing systems * Experience with and understanding of AI and machine learning concepts * Understanding of Application Processing Interfaces (APIs) and web services * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

BCBST is seeking a detail-oriented Actuarial Consultant to support our risk adjustment and value-based team. In this role, you will produce routine and ad-hoc reports, as well as project financial accruals and assist with annual pricing responsibilities. You'll be a great match for this role if you have at least two years of actuarial experience, preferably in the healthcare field. Ideal candidates will also be capable of managing multiple assignments independently, have experience in reporting and data analysis and demonstrate proficiency with Excel, Although BCBST is based in Chattanooga, TN, this is a fully remote role. Job Responsibilities Develop models to be used for pricing, forecasting, or valuation of the Commercial and Government lines of business. Retrieve and/or prepare data to be used in model development. Monitor emerging experience and analyze actual vs. expected results. Present technical work results to actuarial management. Prepare documentation of methods and assumptions used in the models and experience monitoring. Perform technical peer review for others in the Actuarial Division. Provide guidance to new team members. Job Qualifications Education BS or BA Degree in in actuarial science, mathematics, statistics or related field required. Experience 2 years - Experience in an actuarial or related field required Skills\Certifications Completion of 3 or more Society of Actuaries (SOA) exams required Strong problem solving skills required in order to perform multi-source complex analysis with oversight and guidance Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Excellent oral and written communication skills Strong interpersonal and organizational skills Must be a team player, be organized and have the ability to handle multiple projects with shifting priorities Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Optum NV is seeking a Medical Oncology Resident Pathway to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Position Highlights: * This is a temporary role intended for physician residents in their final year of training, interested in pursuing a full-time role with our group following completion of residency * OptumCare will educate and prepare physicians to join our group full time, providing a customized program with exposure to our radiation oncology team as well as Optum as an organization. The commitment requires only a few hours per month maximum Compensation & Benefits Highlights: * Physician Resident will receive an adjusted annual salary OptumCare Nevada, is Nevada's largest multi-specialty practice, with over 350 physicians and advanced practice clinicians. Our facilities include 22 medical offices, with 13 urgent cares and retail clinics, two lifestyle centers catering to seniors and two outpatient surgery centers. The practice is fully integrated and includes home health, complex disease management, pharmacy services, medical management and palliative care. OptumCare Nevada is actively engaged in population health management, with an emphasis on outcomes, and offers patients compassionate, innovative and high-quality care throughout Nevada. OptumCare Nevada is headquartered in Las Vegas, Nevada. OptumCare Cancer Care is seeking a Radiation Oncology Physician for our Radiation Oncology division located in Las Vegas, NV. This is an outstanding opportunity for a physician You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * M.D. or D.O * Transitioning into final year or early into final year of residency/fellowship * Board Certified/Board Eligible in specialty * Active unrestricted NV license and DEA or ability to obtain prior to employment * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $33,280 to $41,700 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

**Resp & Qualifications** _CANDIDATES MUST LIVE IN THE MD, DC, NORTHERN VIRGINIA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS_ **PURPOSE:** This position is responsible for **new business development** within the **middle market customer** space. This role leads sales initiatives and strategies as well as relationship building with both our external partners and prospects as well internal constituents. The sales consultant position requires a level of knowledge and understanding for selling to fully and self-insured customers with complex benefit arrangements. **ESSENTIAL FUNCTIONS:** + Achieve sales goals and profitable growth for the organization. + Position and sell multiple lines of coverage, medical, stop loss, dental and vision. + Excellent written and presentation skills. + Strategize on proposals to ensure we are meeting the clients objectives and delivering our value proposition. + Be proactive, organized, responsive, detail oriented and track all sales data within the required platforms. + Develop long term relationships with both internal and external constituents. + Ability to strategize and organize a team of subject matter experts for finalist meetings. + Continuously meet with our consultant partners and keep them informed on new products, updates, and relevant information to their business. **SUPERVISORY RESPONSIBILITY:** Position does not have direct reports but does require working closely with internal constituents to develop strategies for selling and presenting to consultants and prospects. **QUALIFICATIONS:** **Education Level:** Bachelors degree in business, Insurance Industry, or related field OR in lieu of a bachelors degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications:** + Current health and life license for the jurisdictions of Maryland, DC, and Virginia Required. **Experience:** 5 years sales/healthcare in a similar sales position. **Preferred Qualifications:** + 5+ years experience in a similar sales position with a competitor or similar industry. **Knowledge, Skills, and Abilities (KSAs)** + Ability to recognize, analyze, and solve for prospects challenges. + Excellent communication skills both written and verbal. + Must be able to meet established deadlines for proposals and work closely with internal constituents. **Travel Requirements** **Estimate Amount:** 80% This position is expected to travel to see consultants and prospective clients within the DC metro area. **Salary Range:** $72,000 - $117,000 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** CMLG New Business MD **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21368

**Become a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Payment Integrity Professional contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Business, Finance, Healthcare Administration, Data Analytics, or a related field, or equivalent work experience. + Demonstrated experience in claims analysis, payment integrity, or healthcare data analytics, preferably within a managed care or payer environment. + Advanced proficiency in data mining tools (ie Power BI) and techniques for detecting overpayments. + Strong analytical and critical thinking skills; ability to evaluate complex data and variable factors to draw in-depth conclusions. + Ability to work independently with minimal direction, exercising sound judgment and considerable latitude in determining approaches to assignments. + Proven ability to manage and make decisions on moderately complex to complex technical issues and projects. + Effective communication and interpersonal skills, including the ability to influence departmental strategy and collaborate with cross-functional teams. **Preferred Qualifications** + Master's degree in a related field. + Experience leading people, projects, and/or processes + Experience using the following systems: CAS, CISpro and CIS + Experience with provider contract payment analysis and knowledge of payer systems. + Knowledge of relevant regulatory requirements and industry best practices in claims payment integrity. + Familiarity with audit processes and recovery operations in a payer environment. + Experience in a fast paced, metric driven operational setting **Additional Information** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-11-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Join a 30+ radiologist group that is based at our Main Campus location with a possible rotation to an outlying satellite clinic. We are seeking a board-certified radiologist interested in general radiology to include: * Radiography * General fluoroscopy and procedures * Proficiency with interpretation of ultrasound and general body CT preferred You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Graduate of an approved radiology residency program in the United States * Licensed in the State of Texas * Board Certified and/or Board Eligible * MVR is marked Yes and therefore, driving was listed as a requirement, a corresponding PSQ has been added. Please let us know if this should be changed Preferred Qualification: * Bilingual (English/Spanish) fluency Compensation for this specialty generally ranges from $459,000 to $739,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

**SelectCommunity at BCBST is seeking a Registered Nurse** who is compassionate about case management, advocating for social, emotional, functional, mental, behavioral, and physical health of those who are intellectually and developmentally disabled\. In this role, the SelectCommunity Nurse Case Manager \(NCM\) assesses members' current status, facilitates coordination of long\-term services and supports under their insurance benefits and benefits under Department of Disability and Aging\. The SelectCommunity NCM collaborates with members, caregivers, conservators, and providers to develop individual, integrated plans of care based on health needs, while monitoring progress for members with multiple levels of acuity\. This role requires telephonic contacts and in person home visits with members on at least a monthly basis and as required by TennCare Contract\. SelectCommunity NCM is required to obtain Case Management certification within 2 years of being hired as a Case Manager\. SelectCommunity NCM is required to obtain certification in Developmental Disabilities Nursing within 3 years of being hired as a Case Manager\. _You will be a great match for this if you have an active RN license in the state of Tennessee, with 3 years of clinical experience, 5 years' experience in the healthcare field, and 2 years of experience with Intellectual and Developmental Disabilities\._ **Additionally, we're seeking a candidate who resides in Shelby County, TN, or in Tipton or Fayette counties, as travel is required to meet with members\.** **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as needed\. + Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs\. + Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits + Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation\. + Digital positions must have the ability to effectively communicate via digital channels and offer technical support\. + Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions\. + Various immunizations and/or associated medical tests may be required for this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \(RN\) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 years \- Clinical experience required + 5 years \- Experience in the health care industry + For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2 years of hire\. + For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing \(CDDN\) is required at hire, or must be attained within 3 years\. + Excellent oral and written communication skills + PC Skills required \(Basic Microsoft Office and E\-Mail\) Employees who are required to operate either a BCBST\-owned vehicle or a personal or rental vehicle for company business on a routine basis\* will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be required to adhere to the guidelines set forth through the program\. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST\-Owned Vehicle" Policy \(for employees driving personal or rental vehicles only\); and maintaining an acceptable motor vehicle record \(MVR\)\.\*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times\. **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.

Step into your next big career move as one of our compliance champions! With your strong background in claims processing, you'll play a pivotal role in monitoring Medicare Advantage Part C and D claims to ensure accuracy, integrity, and compliance across the board. Our Senior Ethics & Compliance Specialist role is where expertise meets purpose - you'll be safeguarding processes, supporting quality care, and driving excellence in one of the most impactful areas of healthcare. For seasoned claims professionals, this is more than a job; it's a chance to lead with confidence, champion compliance and make a meaningful difference every single day. Note: This is a fully remote role, but local candidates are preferred as travel to our Chattanooga, TN headquarters is expected once or twice per quarter. Job Responsibilities Interpreting and disseminating regulatory, compliance and contractual requirements for operational business functions. Monitoring and reviewing organizational procedures and policies to update compliance requirements. Leading the areas compliance program with the implementation of the approved monitoring workplan. Analyzing compliance issues, and providing solutions on regulatory, contractual, and compliance issues. Creating smooth cross departmental communication channels about ethics and compliance issues and solutions. Job Qualifications Education Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment Experience 5 years - Operations and/or Compliance experience required Skills\Certifications Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Demonstrated ability to interpret and translate regulatory and/or complex concepts into information meaningful to project team members and/or business personnel. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills Proven decision making and problem solving skills Strong analytical skills . Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders. We're seeking individuals who excel in problem-solving through critical thinking, and who are adept at time management and prioritizing daily tasks. You should be self-motivated, flexible, and thrive in a fast-paced environment. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities. You will be a great match for this role if you have: • 3 years of experience in a clinical setting • Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). • Exceptional customer service skills • Must live within the following counties: Memphis/Shelby County • Available for an 8:00am - 5:00pm EST(no on call) schedule, with the option (upon management approval) to work a compressed work week after 1 year. Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid Driver's License. TB Skin Test (applies to coordinators that work in the field). Position requires 24 months in role before eligible to post for other internal positions. Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Experience 2 years - Clinical experience required Skills\Certifications PC Skills required (Basic Microsoft Office and E-Mail) Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills License Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license (LCSW, LMSW, or LAPSW). Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

**Join the BlueCare Health Promotion team\!** In this role, you'll serve as a trusted resource for members-guiding them through their benefits, connecting them to the care they need, and making a meaningful impact\. Your responsibilities will include: ·Supporting **Early Periodic Screening, Diagnosis, and Treatment \(EPSDT\)** , this is for members 0\-20 years old\. ·Making outreach calls when appointments are overdue, informing families their child is due for a visit, and assisting with scheduling\. ·Coordinating transportation for appointments to ensure access to care\. ·Promoting health\-related events, including those hosted by doctors' offices, to encourage community engagement and preventive care\. You'll be part of a collaborative team that values independence, creativity, and clear communication, while providing the tools and support you need to thrive\. This is your opportunity to grow professionally, contribute to impactful health initiatives, and join a team that's dedicated to making a real difference every day\. Preferences for this position: + BlueCare member support experience preferred **Job Responsibilities** + Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate\. + Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling\. + Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention\. + Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries\. + Work overtime as needed + Various immunizations and/or associated medical tests may be required for this position\. + This job requires digital literacy assessment\. **Job Qualifications** _Education_ + Associates Degree in, education, communication, or health related field or equivalent work experience _Experience_ + 2 years \- Experience in a customer service support role is required _Skills\\Certifications_ + Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability\. + Proficient interpersonal and organizational skills + Independent, Sound decision\-making and problem\-solving skills + Must be able to work in an independent and creative manner\. + Self\-motivated and able to manage multiple tasks and set priorities\. + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal and organizational skills + Knowledge in Medical terminology **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.

Join our dynamic Provider Application team at BlueCross BlueShield of Tennessee as an Associate Software Engineer II! In this role, you'll assist in analyzing, triaging, developing, and implementing various application systems using C#, ASP.NET, ADO.NET, WebAPIs, and SQL. Qualified candidates must have: • C#, ASP.NET, ADO.NET, and WebAPIs experience • Experience with SQL Server or other relational databases Ideally, candidates will also have: • Exposure to Microsoft Azure, DevOps • Experience with Agile methodologies/ceremonies • Experience with CRM Dynamic 365 experience Note: • For this team, on-call rotation will be required quarterly. • Sponsorship is not available for this role. Job Responsibilities Formulates and defines system scope and objectives through research to design, develop, modify, or integrate moderately complex information systems. Devises or modifies application systems and procedures to optimize functional requirements including capacity, operating time, response time, and form of desired results. Designs, codes, tests, debugs, and documents programs, subroutines, and scripts. Must be competent to work on most phases of applications systems analysis, and must maintain technical skill set for software languages, databases, platforms, operating systems, etc. Responds to system failures and performance events by taking appropriate measures to reduce system downtime and eliminate recurrence of problems. Provides services to multiple project teams or management staff, provides guidance to less-experienced programmers, and may conduct presentations to provide end users with knowledge to maximize their use of developed systems. May serve one or more project team roles, such as project lead, business systems analyst, or technical lead, for small to medium efforts. . Job Qualifications Education Bachelors Degree in Computer Science or equivalent work experience required. Equivalent years of experience are determined as one year of technical experience for every year of college requested. Experience 2 years - Experience in programming required 1 year - Experience with information technology concepts, application development methodology, terminology, and standards required 1 year - Expert working knowledge of at least one programming language in use at BCBST. Skills\Certifications Proven skill with information technology in use at BCBST is required Excellent oral and written communication skills . Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

The BlueCare Utilization Management is excited to expand our team with a Clinical Assistant. In this position, you will be responsible for handling incoming calls related to prior authorizations, entering demographic information in coordination with the clinical team, and addressing Customer Service inquiries, among other essential duties. If you're detail-oriented, thrive in a fast-paced setting, and enjoy working alongside a dedicated clinical team, we'd love to hear from you! You will be a great match for this role if you have: 1+ years of Customer Service and Claims experience Non- Clinical Utilization Management experience Facets, Care Advance experience and Agent Workspace experience Job Responsibilities Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area. Identify and refer cases appropriately to the Case Management and/or Transition of Care department. Receiving, investigating and resolving customer inquiries and claims. Maintain departmental goals. Perform projects, review and handle reports as assigned. Load complete organization determination/notification for services designed by internal policy. Clearly document and key data in to the appropriate system using departmental guidelines. Interact with membership, hospital and provider staff, advising of UM decision, status organization determinations, requesting additional or clarifying information and giving direction as necessary. Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process. This job requires digital literacy assessment. Participation and attendance are mandatory. This position requires flexibility, due to rotations in schedules, and requires adherence to assigned schedules. Work overtime as required Job Qualifications Education High School Diploma or equivalent Experience 1 year - Customer service experience is required Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Proficient oral and written communication skills Proficient interpersonal and organizational skills Exceptional time management skills Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment Independent, Sound decision-making and problem-solving skills If current employee with the company, must meet minimum performance expectations Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health. Knowledge and understanding of Medical terminology Solid knowledge and understanding of provider reimbursement methodologies, ICD-10-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic Ability to talk and type simultaneously in a clear and concise manner while interacting with customers Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Revenue Cycle Director, Advisory Services is the overall project lead across our complex revenue cycle engagements, and is responsible for determining overall approach and structure of analysis for engagement and key deliverables. The Director serves as the driving force to assist healthcare provider clients across a range of complex traditional, strategic, and/or clinical revenue cycle projects. The Director assigns work streams to team members, sub-leads, and to his/her self that reflect skills and development needs while meeting the needs and timelines of the client. This role focuses on practice economics and will direct the team to follow the practices needed to ensure both quality and profitability. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Lead day-to-day activities for large, high complexity consulting projects with healthcare provider clients, providing project management, change management, and best practice expertise + Serve as member of Optum Advisory Sales, Utilization, and Profitability leadership team, comprised of all team members GL30+ to drive and support business development, successful and timely execution of projects, etc. + Serve as formal people manager to 1-3 Consultant and/or Project Lead level staff across GLs 27, 28, and 29 + Serve as principal point of day-to-day contact for client project lead across both diagnostic and implementation engagements alike + Gather needed data/information for the engagement and conduct appropriate analyses (e.g., cost/benefit analysis, benchmarking, requirements analysis, gap analysis) Cultivate the client's perception of Optum as a trusted partner and strategic advisor (e.g., build credibility, demonstrate full understanding of their business, leverage other resources within OptumInsight) + Drive high levels of client satisfaction by driving results that meet or exceed the client's expectations + Demonstrate strong relationship management skills and ability to handle challenging interpersonal situations with physicians, executives, colleagues, and peers + Collaborate with the client to confirm their expectations regarding key outcomes for the engagement + Identify/understand the client's business issues and size the financial impact associated with key performance improvement opportunities through financial analysis and scenario modeling + Identify and manage stakeholders to engage in applicable engagement activities (e.g., obtain buy-in, identify interviewees, provide needed information, influence others) + Establish optimal communication cadence with client and demonstrate sufficient executive presence to lead onsite presentations with C-Suite executives + Develop and present superior quality client deliverables + Identify/develop solutions to meet client needs (e.g., analytics, workflows, system selection and implementation, test plans, training plans) + Develop work plans for the engagement (e.g. project plans, staffing plans, budgets) and obtain appropriate buy-in and approvals + Manage engagement execution (e.g., status updates, reporting, risk management) and profitability, by managing successful project delivery within allotted project budget (managing billable hours utilized across the team) + Ensure engagement quality through running to criticism with both team members and clients alike, regularly seeking proactive feedback and adjusting course as needed based on feedback provided + Present engagement deliverables to applicable stakeholders (e.g. presentations, blueprints, staffing analytics, diagnostic findings and recommendations) + Prepare customized client recommendations to realize improvement opportunities identified based on industry best practices and emerging 'best-in-class' approaches and facilitate implementation of recommendations + Apply knowledge of change management principles to drive implementation of engagement objectives + Leverage project documents and deliverables to provide re-use/transferability for other engagements (e.g., de-identifying content, cataloguing deliverables, storing documents in appropriate shared folders) + Identify lessons learned and communicate to appropriate stakeholders across both internal team and client, as appropriate + Maintain ongoing contact with clients to identify and address emerging issues/concerns + Leverage and contribute to the applicable knowledge repositories (e.g., Microsoft Teams, SharePoint, asana, analysis tools, project toolkits) + Contribute to practice-level initiatives including business development and thought leadership beyond client project work + Stay current on important issues in the healthcare industry (e.g., political/ economic market forces, costs, capabilities, initiatives, legal/regulatory requirements) + Share professional and domain knowledge with peers and colleagues to build overall organization capabilities + Effectively delegate project work to internal team members + Coach and mentor junior staff and provide development support in enabling junior staff to grow professionally and develop new skill sets You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 7+ years of healthcare revenue cycle consulting experience + Epic Revenue Cycle experience with certification in either HB Resolute or PB Resolute + Epic Revenue Cycle implementation experience + Client relationship management experience + Deep revenue cycle content expertise, with knowledge across both acute care and professional revenue cycle + Proficiency in MS Office Suite -Word, PowerPoint, Excel + Proven aptitude to support business development initiatives and working closely with teams to drive growth opportunities including speaking with clients at the Director and c-suite level + Proven solid critical thinking, relationship building, and storytelling skills + Proven ability to lead and motivate cross-functional teams + Proven ability to drill down to the root cause of client challenges and deploy creative problem solving + Proven exceptional written and verbal communication skills + Proven ability to drive quantifiable results + Willingness to travel domestically, up to 60% **Preferred Qualifications:** + Experience managing projects/teams that achieved budget, timeline and deliverable goals + Experience mentoring junior level staff + Solid healthcare industry knowledge + Proven to possess analytical reasoning and solution-focused problem solving + Proven ability to lead and motivate cross-functional teams *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $132,200 to $226,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Are you located in Knoxville, Tennessee and have experience working directly with providers? If so, you may be a perfect fit for an opening on our Provider Networks & Contracting team, focusing on the Knoxville market! We are looking for an energetic, detail-oriented individual to become part of this team as a Network Manager. As a Network Manager, you will serve as the primary liaison and first point of contact for designated providers in Knoxville. Your role involves educating and assisting market providers, maintaining relationships through daily interactions, and providing technical support to correct errors and manage risks for both the insurer and provider. Strong interpersonal skills are essential for effective partnership and collaboration. You will work closely with network contracting and other BCBST matrix partners, such as enrollment and operations, to support providers and achieve market initiatives. Key skills for this role include collaboration, problem-solving, and organization. The hiring team is looking for an individual with the following experience: 3 years of experience in provider relations and network development with emphasis on healthcare education and reimbursement Claim adjudication experience related to facility and professional providers Established relationships with providers in the Knoxville market Strong interpersonal skills, as building strong partnerships is key to the success in this role FACETS knowledge is preferred but not required This is a remote position with occasional provider and team meetings in Knoxville, TN and surrounding counties. Job Responsibilities Identifying educational topics, methods, and strategies to enhance compliance throughout the provider network. Implementing, supporting, and monitoring provider programs and enterprise initiatives Implementing processes and changes needed to maintain regulatory compliance, contract compliance or to improve quality. Handling escalated provider enrollment processing and problem resolution. Leading data reporting and analysis projects to monitor financial and service relations with providers. Consulting with providers on delivery, training and support related issues, identifying opportunities for enhancement and recommending solutions. Able to travel to provider offices or conduct virtual meetings as required. Job Qualifications Education Bachelors degree in business or healthcare or relevant field or equivalent work experience required Experience 3 years - Experience in provider relations and network development with emphasis on healthcare education and reimbursement. Skills\Certifications Ability to speak in public and conduct effective presentations. Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Demonstrated ability to interpret and translate technical and/or or complex concepts into information meaningful to project team members and/or business personnel. Proficient in Microsoft Office (Outlook, Word, Excel, Access and PowerPoint) Accuracy and attention to detail Effective time management skills Excellent oral and written communication skills Strong interpersonal and organizational skills Strong analytical skills Ability to manage multiple projects and priorities Positive attitude, self-driven, engaging, proactive, results drive Knowledge in Medical terminology Knowledge of contract language and reimbursement methodologies, managed care business processes, case-mix adjustment, medical terminology, utilization management and applications for claims payment, required. License Valid Driver's License Employees who are required to operate either a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.