Blue Cross and Blue Shield of Louisiana

Coordinate and provide case management services for high-risk members to improve health and financial outcomes. Develop and implement comprehensive care plans while collaborating with providers, families, and community resources.

The Medical Director reviews treatment procedures and services to ensure they align with established guidelines and medical evidence. They provide clinical direction for utilization, case, and disease management while facilitating physician committees and supporting accreditation efforts.

Deliver automated software quality assurance solutions and coordinate testing activities to ensure successful project deployment. Provide technical leadership, mentoring to junior testers, and collaborate with business units to meet quality needs.

The role involves designing and executing automated QA tests to ensure the successful deployment of software projects. It requires collaborating with business units to identify bugs and improve overall software quality processes.

The Senior CDI Specialist ensures accurate and compliant clinical documentation to reflect severity of illness and support correct reimbursement. This role involves educating providers, conducting documentation reviews, and collaborating with population health teams to drive value-based care initiatives.