BlueCross BlueShield of Tennessee

Clinical Assistant-2

BlueCross BlueShield of Tennessee · Full Time · 4 hours ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Clinical Assistant supports clinical operations by managing phone and fax-based provider inquiries and administrative workflows. They are responsible for screening requests, documenting data accurately, and coordinating with case management departments to ensure timely service delivery.

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RN Case Manager (Nashville)

BlueCross BlueShield of Tennessee · Full Time · a day ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The role involves coordinating home and community-based care for members with complex medical and social needs while performing essential case management activities. You will serve as a liaison between members and providers to ensure effective implementation of interventions and efficient utilization of benefits.

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Clinical Quality Research Analyst

BlueCross BlueShield of Tennessee · Full Time · 4 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The analyst will perform quality and compliance audits to identify improvement opportunities and coordinate process improvement initiatives. They will also provide consulting support, educate stakeholders on quality processes, and analyze trends to ensure organizational audit readiness.

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Customer Service Trainee

BlueCross BlueShield of Tennessee · Full Time · 4 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 0-2 yrs exp 💼 Support

The role involves receiving, investigating, and resolving customer inquiries via phone, chat, email, and TEAMS. You will be responsible for documenting communications clearly and educating callers to ensure first-contact resolution.

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CHOICES Care Coordinator- Shelby County

BlueCross BlueShield of Tennessee · Full Time · 4 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Care Coordinator partners with members and families to identify and authorize necessary home and community-based services to meet personal health and wellness goals. They conduct objective face-to-face assessments to evaluate the physical, behavioral, and social needs of members while collaborating with a clinical support team.

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Supervisor Case Management

BlueCross BlueShield of Tennessee · Full Time · 4 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Supervisor of Case Management will lead and develop a team of care managers to ensure high-quality delivery of maternal and neonatal health programs. They are responsible for monitoring productivity, performing quality audits, and implementing processes that improve clinical outcomes and operational efficiency.

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Sr. Application Support Administrator

BlueCross BlueShield of Tennessee · Full Time · 4 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The role focuses on designing, developing, and supporting ServiceNow integrations to automate manual processes and improve operational efficiency. You will provide senior-level support for major applications and collaborate with cross-functional teams to transform legacy workflows into scalable solutions.

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Principal AI Infrastructure & Cloud Engineer

BlueCross BlueShield of Tennessee · Full Time · 5 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The role involves developing target-state architectures and defining enterprise platform strategies to deliver scalable, secure cloud and AI solutions. You will collaborate with cross-functional teams to operationalize DevOps processes and provide subject matter expertise on infrastructure engineering.

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Digital Product Manager

BlueCross BlueShield of Tennessee · Full Time · 5 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Product

Lead the development and execution of digital product strategies while managing agile teams to deliver innovative, high-value solutions. Build strong partnerships across the organization to align resources and drive initiatives from concept through delivery.

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Provider Quality Consultant

BlueCross BlueShield of Tennessee · Full Time · 5 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Provider Quality Consultant serves as a liaison between provider groups and stakeholders to drive quality improvement initiatives and program implementation. They conduct provider office visits, analyze performance data, and provide education on best practices to achieve high-quality care outcomes.

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Case Manager

BlueCross BlueShield of Tennessee · Full Time · 6 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Case Manager will perform essential case management activities including assessment, planning, and implementation to improve member outcomes. They will serve as a liaison between members and providers while overseeing complex cases to ensure effective care coordination.

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Senior AI Infrastructure & Cloud Engineer

BlueCross BlueShield of Tennessee · Full Time · 7 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The role involves providing technical leadership for cloud software deployment and automating infrastructure using CI/CD pipelines. You will also design scalable cloud solutions and provide operational support to ensure system performance and business continuity.

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Care Coordinator - Davidson County

BlueCross BlueShield of Tennessee · Full Time · 7 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Care Coordinator partners with members and families to identify needed supports and direct services to meet personal health and independent living goals. They collaborate with clinical and social support teams to assess member needs and authorize appropriate home and community-based services.

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Clinical Quality Assurance Auditor - Knoxville

BlueCross BlueShield of Tennessee · Full Time · 7 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The auditor will perform clinical quality reviews at provider offices to ensure compliance with internal standards and regulatory requirements like Medicare and NCQA. They are responsible for analyzing clinical data, identifying trends, and communicating audit results to support quality of care goals.

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DSNP Clinical Assistant-3

BlueCross BlueShield of Tennessee · Full Time · 7 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Clinical Assistant supports Clinical Review Managers by serving as a primary point of contact for providers and healthcare partners. Responsibilities include managing authorization requests, screening incoming communications, and documenting data accurately within departmental systems.

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ECF Choices Support Coordinator (Montgomery County)

BlueCross BlueShield of Tennessee · Full Time · 7 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The Support Coordinator will partner with members and families to identify needed supports and direct services to meet personal goals for health, employment, and independent living. They will conduct face-to-face assessments, develop Person-Centered Plans, and collaborate with clinical colleagues to ensure member needs are met.

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Managing Director Commercial Operations

BlueCross BlueShield of Tennessee · Full Time · 14 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 10+ yrs exp 💼 Others

Oversee customer-facing service operations for Commercial business and the Federal Employee Program to improve member experience and regulatory compliance. Lead the integration of AI, automation, and advanced analytics into operational workflows to drive efficiency and scale.

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Senior AI Workflow Engineer

BlueCross BlueShield of Tennessee · Full Time · 15 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Architect and deploy AI-enabled workflows and LLM agents to optimize operations within Commercial Finance. Partner with security and legal teams to ensure HIPAA compliance while leading AI adoption and training across the enterprise.

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Software Engineer

BlueCross BlueShield of Tennessee · Full Time · 18 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Design, build, and support customer-facing enterprise mobile applications for iOS and Android using React Native. Collaborate with cross-functional teams to deliver scalable solutions and maintain system performance through debugging and continuous improvement.

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EIT Engineering Team Lead

BlueCross BlueShield of Tennessee · Full Time · 21 days ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Lead a team of engineers in designing, building, and scaling enterprise authentication and federation solutions. Manage day-to-day operations, staff development, and technical direction to ensure secure and resilient identity services.

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Software Engineer - Integrations

BlueCross BlueShield of Tennessee · Full Time · a month ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Build and support enterprise APIs to connect critical applications across the organization. Manage the full API lifecycle, including design, delivery, and production support through incident response and deployments.

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Principal AI Workflow Engineer

BlueCross BlueShield of Tennessee · Full Time · a month ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Lead the design and implementation of enterprise-wide AI workflows to modernize clinical operations and improve member healthcare journeys. Act as a strategic advisor to executive leadership to identify automation opportunities and establish governance standards.

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Manager eBusiness Development

BlueCross BlueShield of Tennessee · Full Time · 9 months ago

BlueCross BlueShield of Tennessee

🌎 United States ⭐ 10+ yrs exp 💼 Others

Lead the design, development, and delivery of enterprise-grade applications while ensuring compliance with quality standards. Manage vendors and contracts, and mentor developers to inspire high performance and teamwork.

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