Jobs at BlueCross BlueShield of Tennessee

Develop, enhance, and support enterprise applications using Java and SQL. Design, code, test, debug, document systems, respond to failures, maintain technical skills, and provide end-user support. Participate in occasional on-call rotation and final on-site interviews.

The Behavioral Health Case Manager will support members with IDD, coordinating care, managing complex cases, and collaborating with providers. A strong focus on member advocacy and organizational skills is essential.

Partner with contracted providers to resolve data issues, educate on clinical quality programs (HEDIS/Medicare/CMS Stars), update policies, analyze trends, and drive quality improvement. The role requires frequent provider-facing travel, presentations, and use of Excel and analytics to improve provider performance and patient outcomes.

Design, build, and support enterprise APIs and integration solutions across the full lifecycle. Provide production support, incident response, deployments, release management, documentation, and mentor junior engineers. Participate in on-call rotation and collaborate with application teams to ensure reliability, scalability, and performance of integration platforms.

Lead delivery and configuration of core business processing (Facets) and large application initiatives. Define technology strategy, maintain client and IT relationships, ensure technical quality and performance, and recruit, develop, and manage high-performing management teams to drive business transformation for a healthcare payer.

Lead the design and development of AI solutions in healthcare, mentor engineers, and work on AI engineering and MLOps tasks.

The Legal Assistant provides high-level administrative support, prepares legal documents, coordinates meetings, and manages correspondence for attorneys, requiring strong organizational skills and proficiency with Microsoft Office.

Lead enterprise business and cyber resilience initiatives: run BIAs, risk assessments, recovery strategy development, and resilience testing across on-premises, cloud, and hybrid environments. Drive tabletop and technical recovery exercises, coordinate disaster recovery planning and testing, and build actionable standards for business and technical teams.

Lead enterprise expense planning, budgeting, and monthly forecasting; maintain budget and forecasting tools; provide actionable financial insights to senior leadership; partner cross-functionally to drive expense discipline; manage and develop a planning team and improve planning processes.

Remote RN Case Manager responsible for coordinating care for members with newly diagnosed oncology and Type 1 Diabetes. Conducts assessments, care planning, utilization management, multidisciplinary referrals, digital and telephonic communications, and follow-up to ensure appropriate interventions, benefits use, and improved outcomes.

Lead enterprise AI workflow modernization for clinical operations: discover opportunities, design and integrate automated workflows, ensure HIPAA-compliant governance, enable adoption through stakeholder engagement, training, and operational guidance, and influence long-term automation strategy.

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.

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.