Company · 137 open roles
Careers at Bcbst
Bcbst has 137 active roles on ResuMinder right now, with 92% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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137 positions at Bcbst
Appeals & Grievance Nurse Analyst
Bcbst·USA, TN, Chattanooga, Remote
We are hiring an Appeals & Grievance Nurse Analyst at BCBST! In this role, you will review and process appeals submitted by members and providers, ensuring timely and accurate resolution in compliance with CMS, Medicare, and TennCare guidelines. You will evaluate cases, determin…
RN Clinical Quality Assurance Auditor ( Nashville)
Bcbst·Nashville, TN
The Supplemental Data Collection team at BCBST is seeking a Clinical Quality Assurance Auditor to support the organization in meeting compliance standards, optimize Star measure outcomes, and enhance the overall quality of member care. In this role, you will perform quality, co…
Sr. Provider Performance Specialist
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Sr. Provider Performance Specialist on our Provider Outreach and Innovation team at BCBST! In this role, you will support primarily eastern value-based provider groups, partnering directly with provider organizations to assess performance data, identify opportuni…
Medical Case Manager (Shelby County)
Bcbst·USA, TN, Shelby County, Remote
SelectCommunity at BCBST is seeking a Registered Nurse Case Manager who is compassionate about case management, advocating for social, emotional, functional, mental, behavioral, and physical health of those who are intellectually and developmentally disabled. In this role, the…
Sr. Identity & Access Management Engineer
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Sr. Identity and Access Management Engineer on our Identity and Access Management team at BCBST! In this role, you will play a critical part in strengthening and scaling our enterprise Identity Governance and Administration (IGA) capabilities, with a strong focus…
Cloud Engineer
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Cloud Engineer on our Analytics and Reporting team at BCBST! In this role, you'll support and enhance our Transparency in Coverage processes while working on a variety of cloud, data, and AI initiatives across the company. You'll be part of a team that helps othe…
Social Worker
Bcbst·USA, TN, Chattanooga, Remote
Join our Population Health team as a remote Social Work Case Manager and make a meaningful impact in the lives of elderly and disabled members. Through telephonic outreach, care coordination, advocacy, and connecting members to community and healthcare resources, you will support…
CHOICES Care Coordinator (McMinn County)
Bcbst·USA, TN, Chattanooga, Remote
Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members’ lives by ensuring their safet…
EIT Engineering Team Lead
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Member Portal and Services Team Lead at BCBST! In this role, you will lead a high-visibility initiative focused on evolving the platforms our members rely on to access critical healthcare services. As both a technical lead and people leader, you’ll guide a team of…
BlueHorizon Customer Service Apprentice
Bcbst·Chattanooga, TN
BlueCross BlueShield of Tennessee is seeking Customer Service Trainees for the next BlueHorizon cohort. BlueCross BlueShield of Tennessee is excited to offer BlueHorizon, an innovative partnership with Chattanooga State Community College that allows you to earn a paycheck, gain …
Business Systems Analyst Specialist - Membership Extracts and Billing
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Business Systems Analyst Specialist, Membership Extracts & Billing at BCBST! In this role, you will serve as a key liaison between business stakeholders and technical teams, supporting two critical applications that provide Member ID card and vendor extract solut…
Manager, Pharmacy Services
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Manager, Pharmacy Business Services at BCBST! In this role, you will provide leadership across key pharmacy business services functions, helping translate enterprise priorities into effective execution. You will be responsible for overseeing the implementation of…
Coverage Review Pharmacist
Bcbst·USA, TN, Chattanooga, Remote
Job Duties & Responsibilities • Performs prospective and retrospective coverage reviews and appeals per State and Federal regulations. • Serves as a clinical resource to aid in solving basic to mid-level reviews with limited assistance and supervision. • Maintains denial ration…
Health Navigator
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Health Navigator at BCBST! In this role, you will support our Senior Care team by serving as a key resource for members as they transition home and navigate their healthcare needs. You’ll help members understand discharge plans, coordinate follow-up appointments,…
SQA Analyst II
Bcbst·USA, TN, Chattanooga, Remote
We’re hiring an SQA Analyst II at BlueCross BlueShield of Tennessee. In this fully-remote role, you’ll perform functional QA testing on FHIR/interoperability platforms as well as automation testing using Selenium (Java), and Rest Assured. Our ideal candidate will understand heal…
Case Manager (Memphis)
Bcbst·USA, TN, Memphis, Remote
We are hiring a Home Health Case Manager at BCBST! In this role, you will support TennCare (Medicaid) members with complex medical, functional and social needs. You will coordinate home and community-based care, conduct required home visits, and support members transitioning to…
Application Manager
Bcbst·USA, TN, Chattanooga, Remote
We are hiring an Application Manager on our Provider Applications and EDIS/Interoperability team at BlueCross BlueShield of Tennessee! In this role, you will lead a broad portfolio of critical enterprise applications supporting our Imaging and Enterprise Content Management teams…
Supervisor Case Management
Bcbst·USA, TN, Chattanooga, Remote
Our Total Health Management team is looking for a new Supervisor of Case Management! We are seeking a results-driven and people-focused Clinical Supervisor for Women and Children’s Health who is committed to strengthening frontline execution and ensuring consistent, high-quality…
Sr. Financial Systems Analyst
Bcbst·USA, TN, Chattanooga, Remote
The Financial Accounting and Reporting division is looking to add a Sr. Financial Systems Analyst to our team. This role serves as a liaison between the Finance division and the IT organization to provide product and user experience solutions to meet the business needs. The idea…
Care Coordinator- Montgomery County
Bcbst·USA, TN, Montgomery County, Remote
Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you. As a Care Coordinator, you will make a lasting impact on members’ lives by ensuring their safet…
Director, Pharmacy Coverage Reviews
Bcbst·USA, TN, Chattanooga, Remote
Job Responsibilities • Direct day-to-day operations for prior authorization and appeals programs, ensuring efficient, compliant, and member-focused service delivery. • Maintain and enforce clinical coverage policies, ensuring adherence to regulatory and accreditation standards (…
Software Engineer - UI
Bcbst·USA, TN, Chattanooga, Remote
We are hiring a Software Engineer - UI at BCBST! In this role, you will play a key part in transforming critical internal claims applications into modern browser-based applications. You will design, develop, and maintain enterprise-grade applications using Vue.js 3+, TypeScr…
Principal AI Infrastructure & Cloud Engineer
Bcbst·USA, TN, Chattanooga, Remote
The Cloud Enablement & Engineering Team at BlueCross BlueShield of Tennessee is hiring a Principal AI Infrastructure & Cloud Engineer. In this fully remote role, you will develop target-state architectures, define enterprise platform strategies, and guide product and engineering …
CHOICES Care Coordinator - Tennessee Residents only
Bcbst·USA, TN, Chattanooga, Remote
Are you a compassionate Registered Nurse or licensed Master-level Social Worker who is passionate about helping others live healthier, more independent lives? If so, a career as a CHOICES Care Coordinator could be the perfect fit for you. We are seeking qualified professionals t…