Blue Cross and Blue Shield of Louisiana jobs in Baton Rouge, LA

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE This leader will be a part of BCBSLA's Provider Data Management transformation by leading Provider Data Management functions and key improvement activities, such as process improvement, business rules management, creating efficiencies and streamlining functions, as well as implementing system improvements. NATURE AND SCOPE Manages People This role directly manages at least 3 workers This role directly manages these jobs: Senior Provider Compliance Analyst, Provider Compliance Analyst, Special Provider Services Coordinator, Senior Provider Information Specialist, Provider Information Specialist This role reports to this job: Director, Provider Network Operations Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: Network Administration, Benefits Administration, Provider Reimbursement & Audit, Medical Management, Legal, Financial Investigations, Marketing, IT, and Accounting to ensure that proper guidelines are being administered and answer any necessary questions. Regulatory agencies, Hospitals, Provider Licensing Agencies, Physicians, Ancillary Providers, Billing Entities, PHO Administrators and Governmental Agencies that may have questions with their contracting requirements. QUALIFICATIONS Education Bachelor's degree in Business, Health Care Administration or related field is required Four years of related experience can be used in lieu of a Bachelor's degree. Work Experience 5 years of experience in a healthcare, hospital or related environment require 2 years of leadership required Demonstrated Operational Process Improvement experience is required Provider credentialing experience and experience with complex credentialing and provider systems (e.g. Cactus, Facets) preferred NCQA and/or URAC experience preferred Excel, Access, or SQL experience to analyze data and to develop reports to effectively forecast and manage work. preferred Skills and Abilities Critical thinking and the ability to question and challenge the status quo preferred Excellent written and oral presentation skills, with the ability to engage, inspire, and build credibility and trust required Ability to synthesize and summarize data for a broad audience preferred Ability to multitask in a fast-paced production environment required Strong organizational skills and time management required Ability to take accountability for the work performed required Ability to work under pressure to produce high quality work with defined turnaround goals required Ability to effectively adapt to change required Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Manages supervisory and / or staff level positions by administering all HR functions, including but not limited to, hiring, terminating, conducting performance reviews, managing work schedules, assigning and directing workload, training and developing staff, and coaching to help ensuring departmental, divisional, and/or corporate goals are obtained Responsible for defining, planning, and leading the daily work associated with the processes and procedures, the data structure, and operational efficiencies of the provider data source systems that support the administration of provider information. Develop, monitor, track, and report on established service level standards, compliance, and regulatory requirements. Supports the integrity of the provider data for all participating and non-participating providers by ensuring that all provider information is entered accurately, timely, and efficiently to provide for proper claims adjudication, provider directory accuracy, and member access. Leads process improvement and streamlining activities to improve the performance of operational functions. Coordinates cross-functionality with a wide range of areas to meet provider needs, to implement projects, to address service/processing issues, to improve quality of service, and to implement useful and improved technology. Reviews and analyzes data, reports, survey results, complaints, and performance information to develop strategies and executes detailed action plans to ensure excellent results and continuous improvement of service operation. Collaborates with and develops effective relationships with other areas of the department to achieve the overall BCBSLA Provider Data Strategy. Accountable for complying with all laws and regulations associated with duties and responsibilities. The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. #LI_CB1 An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

Aflac is looking for a Strategic Benefits Consultant to help businesses strengthen their employee benefits strategy. This consultative role is perfect for professionals in sales, HR, or consulting who want to partner with a nationally recognized brand while building their own book of business. Advantages of working with us: - Monday-Friday business hours - enjoy true work-life balance - Unlimited earning potential with commissions, bonuses, renewals, and stock - Represent a Fortune 500 company trusted by businesses nationwide - Award-winning training, tools, and mentorship - First 3-month bonus incentives available* - Offer value-added services (telehealth, healthcare navigation, financial wellness tools)** Responsibilities & requirements: - Advise employers on benefits, needs and customized solutions - Conduct consultations, product demos, and enrollments virtually or in person - Build long-term relationships and provide excellent post-enrollment service - Collaborate with teams for training, development, and support - Strong consultative, communication, and relationship-building skills - Background in B2B sales, HR, or client-facing consulting preferred, but not required - Must be 18+ and authorized to work in the U.S. - Entrepreneurial mindset and self-starter mentality About Aflac: At Aflac, we work directly with employers to deliver voluntary benefits to their employees while helping to solve issues small businesses face. Our Strategic Benefits Consultant, also known as Benefits Advisors, can play a vital role in helping people when they need it most - when they're injured or ill - by providing financial protection and peace of mind so they can focus on recovery, not bills. *This is not a salaried position, Aflac Benefits Advisors earn commissions, bonuses, residual income, and stock. **Aflac's affiliation with the Value-Added Service providers is limited only to a marketing alliance, and Aflac and the Value-Added Service providers are not under any sort of mutual ownership, joint venture, or are otherwise related. Aflac makes no representations or warranties regarding the Value-Added Service providers, and does not own or administer any of the products or services provided by the Value-Added Service providers. Each Value-Added Service provider offers its products and services subject to its own terms, limitations and exclusions. Services, Terms and conditions are subject to change and may be withdrawn at any time. The value-added services may not be available in all states, and benefits/services may vary by state. Aflac Benefits Advisors are independent contractors and are not employees of Aflac. Aflac family of insurers includes American Family Life Assurance of Columbus and American Family Life Assurance Company of New York. Aflac WWHQ | 1932 Wynnton Road | Columbus, GA 31999 Z2500303 EXP 5/26

Aflac is actively seeking motivated, entrepreneurial-minded individuals to join our team as a Benefits Advisor. In this independent role, you'll introduce businesses to Aflac's supplemental insurance plans and help policyholders gain added financial peace of mind. Whether you're launching a new career or looking to grow in a professional sales role, this opportunity offers flexibility, unlimited income potential, and the support of a trusted Fortune 500 brand. Advantages of working with us: - Enjoy a flexible schedule - no nights, weekends, or holidays - Unlimited earning potential (commissions, renewals, performance bonuses, stock) - Access to company-provided leads and digital sales tools - World-class sales training and ongoing professional development - Bonus opportunities available in your first 3 months* - Offer policyholders added-value services: telehealth, financial wellness, and healthcare navigation** Responsibilities & requirements: - Partner with business owners to provide benefits solutions for their employees - Build a pipeline through lead generation, networking, referrals, and cold outreach - Conduct product presentations and enrollments in person or virtually - Support clients with claims and provide ongoing customer service - Participate in team training, mentorship, and development sessions - Excellent communication, relationship-building, and presentation skills - Sales or customer service experience is a plus, but not required - Must be 18+ and legally authorized to work in the U.S. (no visa sponsorship available) - Positive, professional, and self-motivated attitude About Aflac: At Aflac, we work directly with employers to deliver voluntary benefits to their employees while helping to solve issues small businesses face. Our Benefits Advisors can play a vital role in helping people when they need it most - when they're injured or ill - by providing financial protection and peace of mind so they can focus on recovery, not bills. *This is not a salaried position, Aflac Benefits Advisors earn commissions, bonuses, residual income, and stock. **Aflac's affiliation with the Value-Added Service providers is limited only to a marketing alliance, and Aflac and the Value-Added Service providers are not under any sort of mutual ownership, joint venture, or are otherwise related. Aflac makes no representations or warranties regarding the Value-Added Service providers, and does not own or administer any of the products or services provided by the Value-Added Service providers. Each Value-Added Service provider offers its products and services subject to its own terms, limitations and exclusions. Services, Terms and conditions are subject to change and may be withdrawn at any time. The value-added services may not be available in all states, and benefits/services may vary by state. Aflac Benefits Advisors are independent contractors and are not employees of Aflac. Aflac family of insurers includes American Family Life Assurance of Columbus and American Family Life Assurance Company of New York. Aflac WWHQ | 1932 Wynnton Road | Columbus, GA 31999 Z2500301 EXP 5/26

Job Description Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Licensed Customer Service Representative - State Farm Agent Team Member. Active Property and Casualty license is required. We seek a licensed energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. Responsibilities include but not limited to: Establish customer relationships and follow up with customers, as needed Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification Use a customer-focused, needs-based review process to educate customers about insurance options Maintain a strong work ethic with a total commitment to success each and every day What we provide Minimum salary $18.00/hour; salary will be increased dependent upon experience, licensing and performance. Once licensed, bonuses and commissions will be paid on sales performance. Paid time off (vacation) Retirement plan (after first year) Valuable experience Growth potential/Opportunity for advancement within my office Requirements Property & Casualty license (required) Life and Health license (required) Excellent interpersonal skills Excellent communication skills - written, verbal and listening People-oriented Organizational skills Self-motivated Detail oriented Proactive in problem solving Dedicated to customer service Able to learn computer functions Pride in getting work done accurately and timely Ability to work in a team environment Ability to multi-task Provide timely and thorough activity reports to agent Selected candidate is expected to remain current in product changes, licensing, technical developments, and continuing education If you are motivated to succeed and can see yourself in this role, please submit your resume. We will follow up with you on the next steps in the interview process. This position is with a State Farm independent contractor agent, not with State Farm Insurance Companies. Employees of State Farm agents must be able to successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their own employees. State Farm agents employees are not employees of State Farm.

Job DescriptionDIVISION BROKING LEADER - COMMERCIAL LINES WORLD DIVISION - Gulf States The Division Broking Leader is a strategic and influential senior broking leader with a proven ability to negotiate and drive optimal outcomes for clients and prospects across diverse market segments. The DBL leads and orchestrates all broking activities for new and renewal business, aligning with organizational goals for client retention and growth. The DBL demonstrates deep expertise in insurance coverages, carrier underwriting guidelines, alternative funding strategies, and evolving legislative frameworks. Builds and nurtures high-impact relationships with clients, carrier partners, and internal stakeholders, fostering collaboration and delivering exceptional value. Serves as a trusted advisor and thought leader, championing innovation and excellence in broking practices. RESPONSIBILITIES Lead placement strategy with World Client Advisors and Account Executives to achieve optimal outcomes for clients and prospective clients Drive a competitive coverage placement process and demonstrate strong negotiation skills to achieve appropriate cost, coverage, and capacity targets for clients and prospective clients Maintain productive and responsive relationships with underwriting managers, practice leaders, and business development managers of World's key Trading Partners Participate as requested in client and prospective client introductory, strategic, planning, and proposal meetings, and represent World in a professional and responsive manner Promote utilization of strategic Trading Partners critical to maintaining secure and dependable relationships for World to generate optimal outcomes for clients and prospective clients Collaborate with peers and national resources as necessary to ensure client's and prospective client's coverage needs are comprehensively addresses Manage business models in accordance with corporate KPIs Exhibit strong leadership capacity in training, developing, supervising, and appraising associates to ensure they experience a productive and fulfilling career path at World Productively and with clear vision, lead a team of diverse placement professionals who possess varying levels of expertise and skill in distant locations to achieve defined goals and objectives Serve as primary internal source of information concerning market trends, pricing practices, and other underwriting policies Assist in developing Broking Practice policies and procedures to support our commitment to continuous improvement Maintain focus on World-authorized workflow and standard operating procedures to support the delivery of a consistent service model across the World enterprise ESSENTIAL SKILLS/COMPETENCIES Comprehensive understanding of World's scope of expertise, structure, distribution strategy, and value proposition Broad and diverse knowledge of the global insurance industry marketplace including: Middle market and large account segments All property and casualty products Excess and Surplus Lines marketplace and how to access London and Bermuda market facilities Property and Casualty program designs including guaranteed cost/first dollar, deductible/retention structures, quota share & layered property programs, liability towers, risk management, and alternative risk Project/process management discipline and follow-through Compelling deductive reasoning skills Strong leadership capabilities+ Substantial inter-personal skills and associate engagement expertise Effective listening and communication skills Collaborative nature Action-oriented, ambitious, initiative-taker Analytical and creative thinker Commitment to continuous learning and development Good understanding of complex property and casualty insurance programs, risk management, and alternative risk structures Purposeful, results-driven, competitive, tenacious desire to win Understands how to identify and apply corporate resources to achieve optimal outcomes for clients and prospective clients Knowledgeable of the global insurance marketplace and keeps current with changing marketplace landscape Strong ability to influence and negotiate with trading partner peers, and achieve optimal outcomes for clients and prospective clients LEADERSHIP Committed to working in a shared leadership environment and among cross-functional teams and promoting World values of collaboration, excellence, leadership, innovation, and integrity Lead through empowerment, engagement, collaboration, feedback, and buy-in from others Collaborate with Practice Leaders, Division Leaders, Division Growth & Service Leaders to ensure Broking objectives are in accordance with World corporate objectives Stay aligned with customer acquisition strategies to ensure Broking activity effectively supports business growth initiatives Support and embed World workflow processes and procedures Represent World brand to the global marketplace in a professional manner Identify creative ways to work more efficiently with our key trading partners Identify and maintain close relationships with World's key trading partners decision-makers at regional management level Encourage other associates to align with World initiatives, values, and principles Confident to challenge those whose behavior's conflict with World values and principles WORK EXPERIENCE/JOB QUALIFICATIONS Minimum 10 years industry experience in risk management and insurance brokerage, underwriting, and carrier relationship management role; or in combination Minimum 5 years in leadership role with high-performing, successful teams, including goal setting and associate performance review responsibilities Complete Understanding of a national insurance broker's sales, service, and broking platforms COMPUTER SOFTWARE SKILLS Proficient in all Microsoft office products Mid-level expertise with excel PROFESSIONAL LICENSES/CERTIFICATIONS Preferred insurance designation such as CPCU, CIC, or ARM Licensed Property & Casualty insurance producer in resident state EDUCATION 4-year college degree from an accredited institution or equivalent professional designation #LI-HZ1 #LI-Remote Powered by JazzHR ie O8rk7bhP

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. **POSITION PURPOSE** Responds to provider requests telephonically and electronically for preauthorization of inpatient admissions and outpatient services and procedures. Verification of benefits, eligibility and provider network status. Promotes and maintains a positive company image through telephonic and electronic contact with internal and external customers. **NATURE AND SCOPE** + This role does not manage people + This role reports to this job: SUPERVISOR, CLINICAL INQUIRY + Necessary Contacts: All levels of BCBSLA personnel, providers, and subscribers; including Special Accounts, Member Service, Provider Service, Benefits Administration, Network Administration, Utilization Review Nursing Staff, Medical Directors, Medical Necessity Appeals, Administrative Appeals, Pharmacy and Providers staff. **QUALIFICATIONS** **Education** + High School Diploma or GED required + Some college course work preferred **Work Experience** + 1 year call center experience or prior knowledge of a health insurance pre-service authorization required **Skills and Abilities** + Excellent listening, reading, comprehension, oral and written communication skills required + Effective organizational and interpersonal skills required + Ability to multi-task and handle work independently as well as prioritize multiple customer issues required + Working knowledge of relevant PC software (Microsoft Word and Excel) required + Working knowledge of medical terminology required + Must be able to verbally communicate on the telephone in a call center environment, approximately 95% of the time. + Ability to sit at a desk and answer calls for prolonged periods of time with pre-determined breaks required + Facets experience preferred **Licenses and Certifications** + None Required **ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS** + Responds to provider requests telephonically and electronically for preauthorization of inpatient admissions and outpatient services and procedures. Verifies benefits, eligibility and provider network status. Responsible for meeting targets for staff and unit performance as required by company and management standards to ensure achievement of departmental productivity goals + Receives member clinical data, enters relevant case information and follows departmental processes to authorize services as appropriate. If processes do not allow approval, forwards cases and attached clinical data to the appropriate Utilization Review team. Ensures authorizations are conducted in a manner that minimizes any disruption in the provision of healthcare, standardizes the timeliness of the decisions and maintains flexibility to accommodate providers'/members' needs to help ensure customer satisfaction + Responsible for timely management of appropriate verbal notifications and/or written materials to ensure compliance with regulatory and/or operational guidelines + Maintains thorough knowledge of required lines of business, changes to recent laws and regulations, standard data exchange code sets, medical terminology, computer systems and Care management and URAC policies and procedures to ensure consistency in delivery of excellent customer service and accreditation compliance + Accountable for special assignments/projects as requested by management + Accountable for complying with all laws and regulations associated with duties and responsibilities **Additional Accountabilities and Essential Functions** _The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions_ + Perform other job-related duties as assigned, within your scope of responsibilities. + Job duties are performed in a normal and clean office environment with normal noise levels. + Work is predominately done while standing or sitting. + The ability to comprehend, document, calculate, visualize, and analyze are required. **An Equal Opportunity Employer** **All BCBSLA EMPLOYEES please apply through Workday Careers.** PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) **Additional Information** Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. _Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._ _Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results._ **JOB CATEGORY:** **Insurance**

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. **POSITION PURPOSE** The Behavioral Health Coordinator provides administrative support throughout Louisiana Blue's behavioral health authorization process. This includes answering phone calls routed to Behavioral Health Utilization Management, monitoring work queues within Epic, Enterprise Workflow, and fax systems. Authorized to enter specific types of authorizations and will call members and providers to obtain additional information for requests and to notify of approvals. Will provide other types of non-clinical support to the Behavioral Health Department. **How You Contribute to the Company's Mission In This Role** + Answers incoming phone calls regarding authorization requests and initiates processing of the request or routes to appropriate Utilization Review staff. Provides member/provider notification of authorization approvals and guidance for non-clinical questions regarding authorizations, such as where to locate the pre-authorization form on Blue Cross Blue Shield of Louisiana's website and assists with provider requests for emailing or faxing the pre-authorization form. + Assists with collection of data and enters pre-authorizations in Epic or other data systems under the supervision of appropriately licensed health professionals. This may include demographic information (e.g. patient's name, date of birth, ordering physician, where services are to be performed, date of service, etc.) Approves services based on set criteria where no clinical judgment is required. + Assists with the preparation and distribution of written notifications for authorization decisions made by the Behavioral Health Department. Reviews correspondence for errors prior to sending. + Assists with timely processing and distribution of incoming faxes, emails and phone requests for behavioral health authorizations. This includes US postal mail delivery, external faxes, personal delivery, internal emails, and web-based portals. + Research databases and systems such as Acuity, VNET, QNXT, Facets, Epic, and other systems to determine if incoming requests are duplications of existing authorizations or new requests, forwarding misrouted request to the appropriate departments, and initiating workflow to the appropriate persons within the department + Appropriate labeling and identifying time/date of receipt of authorization requests along with the processing priority (standard or expedited) for each incoming request + Assists with the routine review of daily error reports to identify and correct data entry errors. + Other duties as assigned **Required Qualifications** + High school diploma or equivalent + 1 year of customer service or medical office experience required + Proficient in Microsoft Office Suite (Excel, Word, Power Point, etc.) + Highly organized and efficient with strong attention to detail + Ability to multitask and prioritize in a fast-paced, ever-evolving environment + Excellent verbal and written communication skills + Ability to interact effectively with all levels of staff **Preferred Qualifications** + Previous experience in a healthcare or insurance setting + Medical terminology knowledge + Previous experience dealing with utilization management + Ability to type minimum of 40 WPM _The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions_ + Perform other job-related duties as assigned, within your scope of responsibilities. + Job duties are performed in a normal and clean office environment with normal noise levels. + Work is predominately done while standing or sitting. + The ability to comprehend, document, calculate, visualize, and analyze are required. \#LI_MS1 **An Equal Opportunity Employer** **All BCBSLA EMPLOYEES please apply through Workday Careers.** PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) **Additional Information** Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. _Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._ _Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results._ **JOB CATEGORY:** **Healthcare/Pharmacy Services**

Job Details Experienced Metairie LA - Metairie, LA Full Time RN $114000.00 - $128250.00 Salary InsuranceJob Posting Date(s) 08/28/2025Description Position Description Responsible for the Risk Management continuing education program and oversees LAMMICO's accreditation activities including the planning, implementation, evaluation, and interpretation of all continuing education activities/program in accordance with ACCME, ANCC, MOC, and NAB guidelines and requirements. Interacts and collaborates with physicians, dentists, nurses, professional medical writers, and risk managers to implement loss reduction educational strategies and measure effectiveness of the RM education program. Serves as RM medical education expert to other risk managers and department medical writers. Performs complex, technically-involved literature search of medical publications and RM/insurance journals to direct the development of RM Continuing Medical and Nursing Education. Reporting Relationship: Reports directly to the VP of Risk Management & Patient Safety Essential Functions/Responsibilities: Works in a cooperative manner with management, coworkers, customers, and vendors; seeks to support LAMMICO's mission and vision in daily operations Contributes to the development of the department's strategic and operating planning and meets assigned target dates and objectives; helps ensure that department quality, service and productivity standards are met Promotes and encourages innovation in processes, procedures, products, and services in the organization Responsible for the successful maintenance of ACCME and ANCC accreditation programs Oversees the Maintenance of Certification and NAB credit programs Responsible for the assessment of needs of the local and national physician and nursing audiences to strategically plan, implement, measure, and evaluate the effectiveness of the RM loss prevention education program Serves as medical education expert and editor for RM publications and education programs designed for a local and national physician and nursing audience Mentors and evaluates physician and nursing medical writers' content to ensure the development of well-designed, high-quality education courses/presentations Oversees the production of all presentations including live (in person), webinars, video and other multimedia assets. Guides and mentors RM Education Specialists (nurse planner) to ensure the adherence to the accreditation standards of ACCME and ANCC Partners with physicians, risk managers, claim representatives, and legal counsel to provide specific technical RM education consultation to LAMMICO insureds Evaluates and analyzes individual learning activities, aggregates data from all activities to assess the effectiveness of the overall program and initiates relevant quality improvement processes Pursues own professional development by attending regional/national conferences for educators and remains current with the ACCME and ANCC accreditation standards Secondary Functions/Responsibilities: Other responsibilities and special projects as assigned Oversees development of video presentations Qualifications Education, Experience and Skills Required: Masters or Doctorate degree in education or in a healthcare related field Bachelor's Degree in nursing Current license in nursing Knowledge and training in the specific area of technical expertise Minimum of 5-10 years combined experience in Risk Management, quality improvement, nursing, education, and accreditation Highest level of technical skills in RM and adult educational theories and training Professional level writing and editing skills and authorship in relevant healthcare and professional publications ARM, CPHRM or other relevant certification Formal presentation skills to small and large audiences; ability to determine effectiveness of presentation Experience with data analysis, determine technical needs to implement RM strategies Ability to manage multiple projects simultaneously Strong customer focus and team orientation Ability to appropriately handle confidential or sensitive company information Commitment to continuing industry education Strong motivation decision making skills Excellent communication skills with the ability to interact and work effectively with insureds, prospective insureds, and employees at all levels within the organization Ability to manage time, set priorities, and work independently; ability to organize, analyze, and interpret information Proficiency in the use of Microsoft Office Desired: Insurance industry experience

Job Description World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Position Summary Receives guidance and/or direction, to provide support to Client Managers and/or Client Advisors, by following established workflows and procedures on routine work including ALL primary activities listed below. Primary Responsibilities Setup and maintain accurate account details, contacts, and policy information in EPIC Process renewals, endorsement, acknowledgments, cancellations and proofs of insurance Attach, organize, and name documents in EPIC Initiate endorsements, proofs of insurance and invoices Leverage templates and system generated letters and forms to produce standard communications to clients and carriers, including BOR, client pre-renewal letters, proposal letters, change request, etc. Create activities in EPIC and assign to applicable team member Other Responsibilities, as applicable May pull items such as MVR, CLUES, Risk Meters, RCE etc. Generate and send renewal proofs, if requested Check policy per policy check workflow and complete checklist Check endorsement against request Document maintenance/retrieval Other responsibilities as applicable Position Specific Skills/Qualifications Work Experience 0-2 years' experience in Personal Property and Casualty Professional Licenses/Certifications Licensed or obtaining state Property & Casualty insurance license within a specified time frame. Essential Skills/Competencies Knowledge of Excel, Word, and other MS Office products to include basic formatting Able to learn coverage fundamentals. Dedicated to meeting the expectations and requirements of co-workers and clients. Able to quickly find common ground and solve problems. Seeks to obtain industry information, new product information, coverage, and technology to continuously improve knowledge performance. Strong written, oral, and interpersonal communication skills. Able to follow a well-established and familiar set of activities and/or process to derive a solution. Sets priorities and manages workflow to ensure effective, timely, and efficient service delivery. Works to achieve stated objectives and delivers results at the close direction of a senior team member. Physical Demands & Working Conditions Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #LI-HZ1 Powered by JazzHR q3eLeK0cc6

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. The hours for this position are Monday - Friday from 7:00 AM - 3:30 PM. POSITION PURPOSE Operate a high speed intelligent inserter and perform daily inserting and presorting of outgoing mail in a timely manner, and ensuring compliance of all USPS regulations, HIPAA guidelines, and corporate policies and procedures. Must adhere to established audit controls and guidelines. NATURE AND SCOPE This role does not manage people This role reports to this job: MANAGER, MAIL SERVICES & MATERIAL MGT Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with: All levels of BCBSLA personnel, employees of the U.S. Postal Service, external vendors and service agents. QUALIFICATIONS Education High School Diploma or equivalent required Additional education and/or training preferred Work Experience 2 years of experience with mail procedures and operating inserting equipment required Experience with other types of mail inserting equipment would be beneficial. Experience using basic computer operational software, words, excel spreadsheets, windows and e-mail applications, knowledge of USPS regulations, ability to maintain postage logs and knowledge of mail accounting systems preferred Skills and Abilities Must be able to operate an intelligent inserter and have an understanding of bar code readers and scanning camera validation. Must have the ability to accurately set-up inserting system for optimal production. Must have good verbal and written communication skills, enabling cooperative work relationships with customers and co-workers. preferred Must possess organizational skills with demonstrated ability to direct multiple tasks and operational functions. Ability to work overtime and/or weekends as work demands This job requires working second shift hours Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Operate a high speed Pitney Bowes intelligent inserter that uses barcode scanning and camera validation, in a demanding high speed environment. Performs daily inserting and presorting of outgoing mail according to postal guidelines to obtain the maximum postage discount. Accurately set-up inserting system and make adjustments for optimal production. Consistently produce quality output. Maintain postage meters; replenish money on postage meters as needed. Review and reconciling postage logs for their particular machines. Provides assistance to all fellow staff members as workload dictates to promote a team environment and assist all customers, facilitating good customer service. Physical effort is required to lift, hold, and carry objects up to 60 pounds. Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. Physical effort is required to lift, hold, and carry objects up to 60 pounds. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

At SCP Health, what you do matters As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care. Why you will love working here: - Strong track record of providing excellent work/life balance. - Comprehensive benefits package and competitive compensation. - Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect. Primary Duties and Responsibilities: Provide strategy, leadership and accountability for the Arbitration and Recovery departments, ensuring alignment with organizational objectives and driving operational efficiencies across all functions. Develop, refine, and execute strategic plans focused on revenue protection, optimization, and regulatory compliance to maximize financial performance and mitigate risk. Oversee the delivery and interpretation of data, analytics and performance reporting, regularly presenting actionable insights and recovery outcomes to executive leadership and key stakeholders. Foster partnerships across SCP departments including Managed Care, Finance, Legal, and RCS, driving collaboration to design and implement innovative recovery initiatives and process improvements. Collaborate with Analytics, IT and Systems to ensure oversight of large-scale datasets, complex reporting structures, and analytics frameworks to support decision-making and operational transparency. Overseeing the maintenance and auditing of financial data such as the chargemaster file, adhering to all relevant regulatory and compliance standards. Champion cross-departmental collaboration, fostering innovation, and promoting professional development to enhance team capabilities and knowledge depth. Manage strategic vendor relationships to support arbitration processes, automation efforts, drive cost efficiencies, and maintain service quality. Establish and oversee training programs to ensure staff onboarding, continuous learning, and skill advancement align with evolving departmental and organizational needs. Revenue Recovery, Appeals & Arbitration Oversight Lead the strategic development and execution of Federal and State Arbitration programs, ensuring all processes align with regulatory guidelines and organizational objectives to maximize financial returns. Drive continuous evaluation and enhancement of arbitration workflows, focusing on identifying eligible claims, improving cost efficiency, and optimizing return on investment. Oversee the integration and effective use of technology solutions to track and report claim statuses throughout the arbitration lifecycle, maintaining comprehensive federal and state historical arbitration data. Collaborate within SCP and with external vendors (onshore and global) to develop and manage supporting documentation, ensuring compliance with state and federal arbitration rules. Manage functions associated with arbitration, including timely payment of arbitrator fees, accurate tracking of offers and submissions, and maintaining tools to ensure compliance with state laws and contractual obligations. Direct the management and maintenance of the Payer Contracting Module (PCM) and other contract databases, so that all eligible claims are appealed promptly and effectively. Communicate critical appeals trends and challenges to leadership, escalating complex payer issues as necessary. Collaborate with analytics to identify payer trends, appeal results, and recovery opportunities, providing actionable insights to inform strategic decisions. Approve audit findings and collaborate with executive leadership to address claims issues, ensuring alignment with corporate compliance and revenue goals. Contribute to automation and efficiency initiatives to streamline arbitration and non-contracted appeals processes, continuously driving cost reduction, workflow optimization, and improved appeal turnaround times. Present key findings and performance metrics during Monthly Operating Reviews (MORs) to inform leadership and drive strategic decision-making.

Home Infusion Registered Nurse - Accredo Specialty Pharmacy Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes. As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team. For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others. How you'll make a difference and improve lives: * Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health. * Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes. * Provide follow-up care and manage responses to ensure their well-being. * Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey. Requirements: * Active RN license in the state where you'll be working and living * 2+ years of RN experience * 1+ year of experience in critical care, acute care, or home healthcare * Strong skills in IV insertion * Valid driver's license * Willingness to travel to patients' homes within a large geographic region * Ability to work 32 hours a week (can include days, evenings, and weekends, per business need) * Flexibility to work different shifts on short notice and be available for on-call visits as needed If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE: This position is responsible for providing bindery and finishing services to all areas of the company NATURE AND SCOPE: Position Location: This position reports to the Manager of Printing Services. Activities of Direct Reports: This position has no reports. Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with: Internal customers, external customers, Corporate Communications, Marketing, Document Mgt, Materials Mgt. outside vendors, service personnel, and all employees as needed. QUALIFICATIONS: High school diploma or equivalent. Five years of high volume printing experience is preferred. Press Operation experience preferred. Completion of printing, binding related vocational or technical training is preferred. Working knowledge of all departmental equipment, paper and chemicals. Must be able to trouble shoot routine equipment problems. Must be able to establish and maintain priorities and deadlines. Able to ensure the quality and cost effectiveness of projects. Able to research and clarify specifications for projects as needed. ACCOUNTABILITIES & ESSENTIAL FUNCTIONS: Creates job tickets in Pace Print mgt system for all bindery production and records accurate actual time allocated on all jobs in Pace Print mgt system in Data collection to ensure timeliness. Translates information from job ticket to align, draw out, set up and run all bindery equipment for producing and ensuring quality printing Perform regular maintenance on all press equipment keeping with the guidelines provided by the Manufacturer to ensure Printing Services equipment stays in excellent running condition. Accountable for complying with all laws and regulations associated with duties and responsibilities. Job Duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while sitting or standing. The ability to comprehend, document, and analyze is required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE Guided by BCBSLA Reference Architecture & Standards, Senior Solution Architect is responsible for leading development of Architecture Solution Blueprints for all business and IT projects. Ensure sound, sustainable and economically viable design, striking the right balance between enterprise and functional needs with a focus on increased operational efficiency, reliability, predictability and long-term economic viability while reducing technical debt. Accountable for complying with all laws and regulations associated with duties and responsibilities. NATURE AND SCOPE This role does not manage people This job reports to: Departmental Leadership Necessary Contacts: To do this job effectively the incumbent has to be in contact with: All levels of BCBSLA personnel, Blue Cross and Blue Shield Association, other Blue Plans, and a limited number of external community/industry organizations. QUALIFICATIONS Education Bachelor's of Computer Science or other technical programs including mathematics, applied physics and or Business Administration required Four years of related experience can be used in lieu of a Bachelor's degree. Work Experience 4 years technical leadership and hands-on technology implementation to include four years' experience in software development, DevSecOps engineering, systems administration, systems architecture, data architecture or data engineering Requires advanced knowledge of Solution Architecture practice, Application Architecture practice, ALM, Software development best practices and standards, and demonstrable experience in leading business application solution design, and implementation of complex business initiatives. PREFERRED QUALIFICATIONS: Healthcare industry experience Understanding of infrastructure and security requirements, such as HIPAA preferred. TOGAF certifications ITIL certifications Vendor Certifications Skills and Abilities Must have expertise in one and intermediate knowledge in three of the following competencies:Business ArchitectureBusiness Intelligence ArchitectureInformation ArchitectureApplication ArchitectureData ArchitectureIntegration ArchitectureInfrastructure ArchitectureDigital & Digital Marketing ArchitectureSecurity ArchitectureHealthcare Core Administrative Systems (Trizetto Facets) Care & Disease Management Systems (Zeomega Jiva) Enterprise Resource Planning - Finance or Human Resources (Oracle Peoplesoft, Workday) Microsoft AzureAmazon Web ServicesDevSecOps Must have intermediate / advanced knowledge in at least three of the following technical competencies:.NET Framework or Core, or JavaJavaScriptWeb Services / API development Informatica Power CenterMicrosoft SSISMicrosoft BizTlkSingle Page Applications / Progressive Web ApplicationsWeb site / services management and security Data ModelingData IntegrationSQLRelational / NoSql Database SystemsBig DataTableau / Power BI / Qlik Additional advanced skills in the following areas: Excellent interpersonal skills in areas such as teamwork, facilitation and negotiation Strong leadership skills Excellent analytical and technical skills Strong written and verbal communication skills Excellent planning and organizational skills Ability to understand the long-term ("big picture") and short-term perspectives of situations Ability to estimate the financial impact of alternatives Ability to apply multiple technical solutions to business problems Ability to quickly comprehend the functions and capabilities of new technologies Knowledge of information principles and processes Basic knowledge of financial models and budgeting Understanding of the political climate of the enterprise, and how to respond to political challenges Facilitate formal training for architects, engineers and analysts Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Have Accountability and/or Responsibility to following key operational DeliverablesSolution Architecture ProcessDevelopment, and publishing of Solution Blueprint document Ensures alignment, adherence and application of all applicable BCBSLA Reference Architecture components are properly reflected in the Solution Architecture Blueprint deliverable including Enterprise Application Architecture & Software Development Standards and FrameworksEnterprise Technical Architecture and Infrastructure StandardsEnterprise Data Architecture and StandardsAll Enterprise Architecture Roadmaps and Life-cycle Management Plans Facilitation of deep-dive technical discussions around design and an intellectual curiosity to always keep your technical skills current while maintaining a pulse on industry trends.Defines, collects, synthesizes, analyzes and works with IT Data Analytics team to publishes all related and relevant Metrics associated with Solution Architecture practice to demonstrate increasing maturity and value.Project portfolio level review and assessment report for enterprise-level opportunities to maximize shared services and re-use Understanding business application and industry trends in relation to the Payer Market, identifying, building a business case for and socializing select and relevant innovation opportunities with likelihood of success, and performing POC as warranted Architecture SME (and designated Chair as needed) for Architecture Review Board (ARB) and facilitation of review, impact analysis, documentation, recommendation and formal publication of BCBSLA Technical Standards and measurement of adherence to these Standards.Provide architectural leadership for development efforts by integrating various technologies such as web applications, relational databases, information security, servers, networking, etc.Provide high-level analysis and design reviews to solve conceptual problems and avoid duplication of efforts of same errors within different applications.Work with vendors to integrate their technologies within organization's structure.Evaluate new technologies and recommend extension, expansion, and update of technology standards, practices, and methodologies.Mentoring engineers and analysts Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

At Amwins, we succeed together - and have a good time doing it. We know people don't leave companies. They leave cultures - which is why we work so hard on ours. At Amwins, we thrive on collaboration, not cutthroat competition. Our teams work together to help each other succeed, and we do right by our clients so they can do right by theirs. First and foremost, we invest in our employees. That investment shows in everything we do; education and development programs, comprehensive and competitive benefits, and an organizational structure that's 43% owned by employee shareholders. Our commitment to diversity, equity and inclusion helps cultivate an open, welcoming workplace that reflects the communities we serve. You will have the opportunity to volunteer within Amwins through a wide range of committees and in your community through the Amwins Foundation and Summer of Service. Working at Amwins means you love what you do, how you do it and, ultimately, who you do it with. Whether it's today or 150 years from now, we continue to invest in our culture and your development so opportunities for growth and career advancement are never in short supply. Learn more about us at amwins.com. Join our Amwins Access team in Baton Rouge as an Associate Underwriter! This is a full time, in office position in our Baton Rouge, LA office. We are looking for people with: 1 year experience as support staff in an office environment or a Bachelor's degree from an accredited four-year university Prior insurance experience is a plus! Property and Casualty License required or to be obtained within 90 days of hire (cost reimbursed and study support provided by Amwins) Strong desire to learn and grow as a team! Exceptional communication skills, organization, professionalism and customer-service mentality Microsoft Office proficiency with an emphasis in Excel spreadsheets Each Associate Underwriter provides vital team functions: Review submission information required to issue new or renewal quotes Rate and prepare new or renewal quotes as directed by Underwriter Review and handle inspection recommendations and discrepancies Monitor various reports for consistency Potential for policy issuance and endorsement processing, including audits Assist in accounting procedures such as invoicing Data entry into multiple internet based systems Snapshot of what Amwins provides to our team members: Compensation includes a salary commensurate with experience Annual bonus potential Broad benefits package available Most benefits available first day of employment Medical, Dental, Vision, Life, etc Paternal Leave, Adoption Assistance, Travel Reimbursement for healthcare, Retail Discount Program, Scholarships for dependents of Amwins employees, etc. Generous Paid Time Off and Company Holiday Schedule Collaborative, continuing education focused work environment Career advancement opportunities The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

JOB SUMMARY: This position is responsible for gathering information related to Acadian-involved incidents, setting up the claims, electronic filing, and any other clerical task that may be needed by department personnel. REPORTS TO: Director of Risk Management EQUIPMENT: Phone, computer, printer, copier DUTIES AND RESPONSIBILITIES: This job description is not intended, nor should it be construed, to be an all-inclusive list of responsibilities, duties, skills or working conditions associated with the job. It is intended to be a general description of the essential duties and requirements common to positions of this type and may be subject to change. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The primary tasks of the position include detailed data entry and electronic filing. Organizational skills, time management and communication are essential to the position. Specific tasks may include: Review all incoming incident reports for completeness Communication with Operations teams to gather missing information Creating checklists for all incidents and completing assigned tasks Opening all workers compensation and liability claims both internally and externally, with the appropriate carriers Provide copies of any claims file as needed Electronic filing/Attaching of documents Scanning of paper documents Assisting in gathering information related to preservation requests or subpoenas Entering data onto state specific forms for work comp claims Distribution and handling of mail Assist the Director of Risk Management, Workers Compensation Coordinator and Claims Coordinator as needed with clerical duties QUALIFICATIONS: High School Diploma or GED recipient with adequate experience or addition training in the areas of business communications, word processing programs, office equipment Proficient in Microsoft Office and electronic filing systems. Strong organizational skills, attention to detail, and ability to manage multiple tasks. Effective verbal and written communication skills. Experience in risk management, claims processing, or insurance is a plus. Able to handle confidential information professionally. INTERPERSONAL REQUIREMENTS: Maintain social, ethical and organizational norms. Achieve accomplishment of all task details, no matter how small. Maintain good personal motivation; develop a sense of ownership of job tasks and results. Must have a sense of urgency for all work performed. Ability to work under the pressure of meeting strict deadlines. Excellent interpersonal and communication skills. TRAINING REQUIREMENTS: Orientation to job requirements. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

COMPANY SUMMARY The American Equity Underwriters, Inc. (AEU) (An Amwins company) is the program administrator of the American Longshore Mutual Association, Ltd. (ALMA), a group self-insurance fund authorized by the U.S. Department of Labor to provide USL&H coverage for the liabilities of its members under the United States Longshore & Harbor Workers' Compensation Act. With decades of experience in the maritime industry and a strong commitment to our members, AEU is the leading specialist in USL&H. We've helped make safety a priority for waterfront employers for 28 years - and we're determined to help our members continually reduce risks for the benefit of their employees and our industry as a whole. POSITION SUMMARY The Provider Relations Manager is responsible for leading and managing provider engagement initiatives across assigned facilities and clinics. This role requires a strategic professional with strong leadership capabilities, excellent communication skills, and the ability to build and sustain long-term provider relations. The Provider Relations Manager will oversee and develop provider relations specialists, ensure compliance with provider agreements, and foster an environment of continuous improvement in provider engagement programs. The primary objective of this role is to ensure clear communication of the provider programs, deliver high quality care for our customers, and foster seamless collaboration with provider partners. KEY RESPONSIBILITIES Serve as the primary point of contact for assigned medical groups, addressing inquiries and resolving operational issues. Facilitate provider onboarding, orientation, and training on systems, policies, and procedures. Conduct regular outreach and site visits to maintain strong relationships and ensure alignment with organizational goals. Monitor provider performance metrics and collaborate on improvement initiatives. Support contract compliance and assist with updates or amendments as needed. Collaborate with internal stakeholders (including managing directors, underwriting, claims) to resolve provider concerns and streamline processes. Responsible for ensuring the maintenance of accurate provider records and documentation within internal systems. Assist in the development of provider communications, newsletters, and educational materials. Participate in cross-functional meetings to represent provider interests and share feedback. Lead and mentor provider relations specialists to deliver exceptional service. Represent the organization with confidence in meetings, presentations, and negotiations. Ensure provider agreements are current, compliant, and aligned with business objectives. Deliver impactful training and presentations to provider groups, reinforcing best practices. QUALIFICATIONS AND SKILLS 4+ years of experience in provider network management, case management, medical management, or a related healthcare field required. 5 - 7 years of provider relations, account management, or business development experience preferred. Demonstrated success in client-facing roles with strong presentation and negotiation skills. Proficiency in Microsoft Office and the ability to manage multiple systems effectively. Strong interpersonal skills with the ability to influence, persuade, and provide solutions. Highly organized with excellent time-management skills. Willingness to travel regularly to provider locations across local and national regions. EDUCATION/LICENSING Bachelor's Degree in a related field WORKING ENVIRONMENT In-office position when not traveling Employees enjoy a comfortable working environment in a modern-classic office space with beautiful views Named one of the Best Companies to Work for in Alabama for six years straight Collaborative, positive, and engaging company culture Strong tradition of corporate charitable promotion

Job Description State Farm Agency, located in New Orleans, LA has an immediate opening for a full-time Sales Representative. Insurance experience is not required as we will train the right person. If you are a motivated self-starter who thrives in a fast-paced environment, then this is your opportunity for a rewarding career with excellent income and growth potential! Please submit your resume and we will follow up with the next steps. Responsibilities include, but not limited to: Develop insurance quotes, makes sales presentations, and close sales. Establish client relationships and follow up with clients, as needed. Develop ongoing networking relationships. Provide prompt, accurate, and friendly client support. Maintain a strong work ethic with a total commitment to success each and every day. Develop new opportunities with both existing and new clients. What we provide Minimum salary $18.00/hour; salary will be increased dependent upon experience, licensing and performance. Once licensed, bonuses and commissions will be paid on sales performance. Paid time off (vacation) Retirement plan (after first year) Valuable experience Growth potential/Opportunity for advancement within my office Outstanding preparation if you aspire to be a State Farm agent in the future. Requirements: Property & Casualty license (licensing must be completed and exam passed within 40 days of hire date) Life & Health license (licensing must be completed and exam passed within 40 days of hire date). 1-2 Years of Sales Experience (preferred) Demonstrated successful track record of meeting sales goals and quotas required. Enthusiasm and belief about the role insurance and financial products play in people's lives. Proven track record of trustworthiness, dependability and ethical behavior. Excellent communication skills: written, verbal and listening. Must be awesome at opening doors and getting appointments from a cold start.

Job Description ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, and SubroIQ, each a powerhouse in its own right, providing specialized expertise in debt management and financial services. SubroIQ is seeking a Bilingual Customer Service Specialist as we continue to grow our team! This position includes collecting outstanding balances, providing needed documentation, coordinating the resolution of disputed invoices, and escalating high-risk customer accounts when necessary. Job Responsibilities: Communicate with businesses via the telephone and written correspondence Complete activities such as phone calls, internet searches, third-party report reviews, etc., to obtain reliable contact information Maintain minimum account work standards as assigned by Management. Negotiate claims' resolution with insurance carriers, attorneys, and responsible parties Establish agreements for lien releases Establish monthly payment contracts Prepare investigative correspondence Acquire background information, when necessary Job Requirements: Exercise independent judgment Negotiate settlements Basic proficiency with Microsoft Office, data entry, and strong computer skills, Excel preferred Critical Thinker Strong attention to detail and goal-oriented Ability to deescalate adverse situations Strong interpersonal, communication, and organizational skills Dependability Customer Service experience is REQUIRED Compensation and Benefits: $18 - $20 per hour (DOE) Benefits package with health, dental, vision, life, and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy - start with 18 days per year Paid holidays immediately upon hire - 7 standard holidays & 2 floating holidays of your choice We look forward to you joining our team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. Powered by JazzHR s3B87C21te