Jobs at BlueCross BlueShield of Tennessee

Supports value-based provider groups by analyzing performance data, identifying quality and risk-adjustment opportunities, and developing targeted improvement strategies. Consults providers on HEDIS, STAR, documentation, coding, incentive programs, and value-based care requirements. Collaborates with internal stakeholders to improve clinical quality, patient experience, financial performance, and regulatory outcomes. The role requires approximately 25% travel according to the note, though the responsibilities section states approximately 60%.

Develop and maintain enterprise browser applications using Vue.js and TypeScript. Design reusable UI components, integrate REST APIs, implement authentication, modernize legacy claims applications, establish front-end best practices, mentor developers, support system performance, and lead small to medium technical efforts.

Supervise and mentor care coordinators serving Medicaid CHOICES members across Middle Tennessee. Oversee care coordination operations, staff performance, quality standards, regulatory compliance, training, workload planning, reporting, and escalated member situations. Collaborate with providers, nursing facilities, community partners, and internal teams to address service needs. The supervisor may temporarily manage a member caseload and must travel extensively throughout the region.

Supervise and coach Support Coordinators serving ECF CHOICES members. Oversee workflows, performance, training, compliance, service plans, assessments, authorizations, visits, incident follow-up, and quality standards. Ensure person-centered coordination supports employment, community integration, independence, health, and safety. Maintain relationships with members, families, providers, and community partners while providing operational guidance and periodically carrying a member caseload. The role requires frequent travel and leadership of staff serving people with intellectual and developmental disabilities.

Provide person-centered support to adults with intellectual/developmental disabilities in Montgomery County: perform intake, assessments, develop and monitor Person-Centered Plans, coordinate services, support employment goals, conduct face-to-face home visits, collaborate with clinical teams, maintain documentation, and ensure service provision. Requires local travel, 8:00am–5:00pm schedule, valid driver's license, immunizations as needed, and digital literacy.

Provides person-centered care coordination for individuals with intellectual and developmental disabilities. Conducts intake, enrollment, assessments, home visits, and service-plan development; coordinates healthcare, behavioral, social, employment, and independent-living supports; authorizes and monitors home- and community-based services; and collaborates with members, families, and clinical teams across multiple Tennessee counties.

Deliver and support enterprise laptop and Windows 365 services. Develop software packages, deployment scripts, and automated application deployments using Intune, PowerShell, PSADT, and AdminStudio. Troubleshoot Windows 11, Intune, and Company Portal issues; manage patching, vulnerabilities, policies, system performance, and stability. Document and implement end-user computing solutions, support maintenance and upgrades outside business hours, and participate in an on-call rotation.

Supports and modernizes EDI, interoperability, and FHIR capabilities across batch and real-time healthcare systems. Designs, codes, tests, debugs, documents, and integrates complex applications, scripts, and system procedures. Troubleshoots production failures, performance issues, vulnerabilities, and data-processing problems across Windows, on-premises, OpenShift, and cloud environments. Develops automation, test plans, and reliability improvements while serving as a technical resource to development teams. Participates in on-call support and collaborates with technical and business stakeholders.

Designs, develops, tests, debugs, documents, and supports customer-facing React Native applications for iOS and Android. Responsibilities include building reusable components, integrating APIs and third-party services, optimizing performance, troubleshooting distributed systems, responding to failures, creating test plans, and contributing technical leadership through code reviews and engineering best practices.

Lead enterprise architecture and technical product ownership for Microsoft ecosystem (M365, Power Platform, Azure, Foundry). Define platforms, guardrails, and roadmaps to operationalize GenAI and LLM solutions, collaborate with engineering and business stakeholders, and ensure scalable, secure, production-ready AI capabilities aligned to enterprise strategy.