Jobs at BlueCross BlueShield of Tennessee

Remote 12-month internship supporting digital outreach campaigns: assist with strategy, email coding, QA, reporting, data analysis, process documentation, and operations. Improve team processes, ensure content accuracy and data cleanliness, and help campaigns run across channels while building digital engagement and analytics skills.

Develop and execute functional, integration, and automation tests for APIs, UI, and backend systems. Validate FHIR-based healthcare data exchanges, write SQL for database verification, use Rest Assured and Selenium (Java) for automation, create test plans, track defects, and report test results while following QA best practices in Agile teams.

Senior executive responsible for P&L and strategic direction of the BlueCare Plus D‑SNP product. Lead cross-functional teams on bid development, risk adjustment, Stars, regulatory compliance, audit readiness, contract administration, network and revenue optimization, and stakeholder engagement with CMS and TennCare. Recruit and develop management, drive financial and quality performance, and integrate AI-enabled transformation to improve operations and member outcomes.

Provide telephonic and community-based behavioral health case management for FEP members: assess, plan, implement, coordinate, monitor, and evaluate complex cases; liaise with providers and stakeholders; support utilization management; perform face-to-face visits as required; maintain documentation and use AI-enabled tools as appropriate.

Designs and executes functional, integration, and regression tests for healthcare enterprise applications using manual and automated approaches. Builds and maintains automation frameworks, validates APIs and data flows, writes SQL for data validation, documents test results, and troubleshoots front-end and back-end defects. Collaborates with Agile teams and follows QA best practices to improve release quality and reduce manual effort.

Design secure, scalable solution blueprints and roadmaps for automation (UiPath), Agentic AI, and cloud capabilities. Align designs with enterprise architecture, SDLC/SAFe practices, collaborate with stakeholders, and produce reusable templates, documentation, and training to guide delivery teams.

As a Provider Data Consultant, you will support technical solutions for managing healthcare provider networks, focusing on data quality, ETL workflows, and automation using AI. You'll design and enhance reporting tools and data integrations, optimizing processes and driving efficiency.