PBX Operator-Q
The PBX Operator is responsible for receiving and routing incoming telephone calls to the appropriate team or individual. They also address minor issues and complaints while ensuring all customer communication is clearly documented.
BlueCross BlueShield of Tennessee
Remote Job Openings at BlueCross BlueShield of Tennessee (17)
Manager Enterprise Architecture
The Manager of Enterprise Architecture leads the evolution and execution of enterprise-wide architecture strategy while managing a team of architects. They are responsible for defining maturity roadmaps, influencing technology investments, and ensuring solution compliance with organizational standards.
Appeals & Grievance Nurse Analyst
The Appeals & Grievance Nurse Analyst reviews and processes member and provider appeals while ensuring compliance with CMS, Medicare, and TennCare guidelines. They also conduct clinical research, prepare case files for Medical Director review, and create detailed response letters.
Medical Case Manager (Shelby County)
The Nurse Case Manager assesses and coordinates long-term services and supports for members with intellectual and developmental disabilities. This role involves developing integrated care plans, monitoring patient progress, and serving as a liaison between members, providers, and internal teams.
Sr. Provider Performance Specialist
The specialist will partner with provider organizations to assess performance data, identify improvement opportunities, and drive better quality and population health outcomes. They will also educate providers on program requirements, documentation, and coding accuracy to optimize value-based care performance.
CHOICES Care Coordinator- Shelby County
The Care Coordinator will partner with members and families to identify support needs and conduct objective face-to-face assessments to determine status. They will also collaborate with clinical and social support teams to authorize appropriate home and community-based services.
Sr. React Native Mobile App Developer
You will design, build, and maintain customer-facing enterprise mobile applications across iOS and Android platforms using React Native. Additionally, you will troubleshoot complex system issues, integrate APIs, and contribute to engineering best practices through code reviews.
Cloud Engineer
The Cloud Engineer will support and enhance Transparency in Coverage processes while building and operating solutions within Google Cloud Platform. They are responsible for designing, coding, testing, and documenting complex information systems while collaborating with multiple teams to deliver cloud, data, and AI initiatives.
Social Worker
The Social Worker will provide telephonic outreach and care coordination to support members with complex medical, behavioral, and social needs. Responsibilities include conducting crisis interventions, assessing patient needs, and facilitating post-discharge care through coordination with external agencies.
CHOICES Care Coordinator (McMinn County)
The Care Coordinator partners with members and families to identify support needs and facilitate access to health, employment, and community living services. They conduct objective face-to-face assessments to determine the physical, behavioral, and psycho-social status of members while authorizing appropriate home-based care.
EIT Engineering Team Lead
The Team Lead will manage day-to-day operations, oversee system maintenance, and guide a team of engineers in modernizing member portal platforms. They are responsible for mentoring staff, ensuring project delivery predictability, and collaborating with cross-functional stakeholders.
ECF Choices Support Coordinator (Montgomery County)
The Support Coordinator will partner with members and families to identify and authorize home and community-based services that support health, employment, and independent living. They are responsible for conducting face-to-face assessments, developing person-centered plans, and collaborating with clinical colleagues to meet member needs.
Principal AI Infrastructure & Cloud Engineer
The role involves developing target-state architectures and defining enterprise platform strategies to deliver scalable cloud and AI solutions. You will collaborate with cross-functional teams to operationalize DevOps processes and provide subject matter expertise on infrastructure engineering.
Senior AI Infrastructure & Cloud Engineer
The role involves providing technical leadership for cloud software deployment, automating infrastructure, and managing CI/CD pipelines. You will also collaborate with architecture teams to design scalable, secure cloud environments and troubleshoot operational issues.
Senior AI Workflow Engineer
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.
EIT Engineering Team Lead
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.
Manager eBusiness Development
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.