Jobs at Blue Cross of Idaho

Lead the design and implementation of a multi-tenant enterprise data architecture on AWS and Snowflake. Oversee data engineering standards, mentor teams, and ensure efficient data management and integration for business needs.

The Compliance Specialist II supports compliance programs focusing on specialty pharmacy regulations, performs audits, risk assessments, and compliance education, ensuring adherence to federal and state requirements.

Lead enterprise product portfolio strategy for Gemstone offerings, owning lifecycle, roadmap prioritization, governance, investment decisions, and performance evaluation. Partner with revenue, distribution, operations, technology, and other leaders to translate market and broker insights into innovative, revenue-driving products. Build product management practices, cross-functional alignment, and a high-performing, data-informed organization to scale product capability and drive growth.

Manage client relationships for major/national accounts to achieve membership growth and retention. Handle renewals, benefit design, account implementation, documentation, customer service via phone/email, resolve issues, explain benefits and claims processes, and maintain account administration and reporting.

Drive membership and revenue growth by prospecting, selling group health products, building broker and client relationships, delivering sales proposals, managing complex sales cycles, tracking sales tools and forecasts, and participating in community and industry activities to expand Blue Cross of Idaho’s market presence.

The Product Development Manager II develops new products and implements strategies to enhance the product portfolio for health insurance, managing product lifecycle from ideation to discontinuance.

The VP, Claims & Payment Integrity Operations oversees enterprise strategy and operations for claims and payment integrity, ensuring compliance while driving improvements in accuracy and financial outcomes.

Manage hospital contract portfolio including negotiation, implementation, financial analysis, and relationship management. Monitor performance, project financial impacts, recommend reimbursement strategies, prepare presentations and reports, and coordinate with internal partners to ensure cost-effective network outcomes.

Review and analyze claims to determine Coordination of Benefits (COB), apply Medicare COB/MSP and OHI rules, verify eligibility and coverage, collaborate with internal teams, process claims, and assist with recovery and adjustments to correct overpayments.

Lead design, implementation, and optimization of dbt-based ELT pipelines on Snowflake. Build and maintain dbt Cloud projects, implement CI/CD, enforce testing and data quality, document lineage, mentor teammates, and optimize performance and costs for analytics and downstream use cases.

Define and evolve enterprise business architecture to translate strategy into capabilities, roadmaps, and operating models. Partner with business, finance, product, and transformation teams to prioritize initiatives, support governance and portfolio decisions, facilitate cross-functional alignment, and track value realization and capability maturity to enable large-scale transformation.

The role involves investment accounting, tax research, financial statement preparation, and data analysis while collaborating with finance teams.

Support departmental business operations by performing administrative tasks (intake/triage, inventory, finance, reporting), assisting with project management, coordinating with stakeholders and other departments, preparing operations documents and reports, and supporting HR allocation/onboarding as needed.

Lead art direction and manage a creative services team to produce visual experiences across print, digital, social, web, video, and presentations. Translate brand and marketing strategy into visual storytelling, oversee creative workflows, mentor designers and UX professionals, ensure brand consistency, manage production and asset systems, and improve creative operations.

Lead enterprise transformation by directing a portfolio of strategic initiatives: prioritize intake, govern delivery, modernize execution capabilities, report outcomes to executives, and build change leadership and team capabilities to ensure sustained adoption and measurable business value.

The AI Technical Lead designs and delivers scalable AI systems, providing technical leadership, mentoring teams, and ensuring effective deployment of machine learning solutions across the organization.

This internship will develop skills in communication, risk assessment, and provider relationship management within the health insurance industry.