At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.
The Impact You Will HaveThis position is accountable for performing the overall management, monitoring, and delivery of a wide variety of services related to BCBSMN peer review services. The position works closely with the Medical Director of Utilization Management and the Medical Director of Behavioral Health services to facilitate a timely review process. This role collaborates with medical directors to ensure that BCBSMNs appeals process meets internal and regulatory processes and standards.
Your Responsibilities- Coordinates physician and allied health case reviews for both internal MDs and external vendors. Identifies necessary time frames and contacts the appropriate Review Consultants.
- Manages Peer to Peer phoneline. Triages calls and completes intake forms for scheduling of peer to peer calls. Acts as a resource for the peer review process in the Health Management Division.
- Develops and maintains processes specific to position functions. Develops and maintains the Peer Review Policy and Procedure Manual.
- Annual verification process of state licensure and board certification of reviewers.
- 1+ year of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- Excellent interpersonal skills.
- Strong organizational skills, ability to prioritize responsibilities with attention to detail.
- Strong verbal and written communication skills.
- Must be self-motivated able to take initiative in process development.
- Must be able to work independently with minimal oversight to meet timelines.
- High school diploma (or equivalency) and legal authorization to work in the U.S.
- Associate's degree.
- Knowledge of medical terminology and procedures extremely helpful
Anchored in Connection
Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.
Compensation and Benefits$21.64 - $27.05 - $32.46 HourlyPay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
To discover more about what we have to offer, please review our benefits page.
Equal Employment Opportunity StatementAt Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [email protected].
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Skills Required
- 1+ year of related professional experience
- High school diploma (or equivalency) and legal authorization to work in the U.S.
- Excellent interpersonal skills
- Strong organizational skills
- Strong verbal and written communication skills
- Self-motivated with ability to take initiative
- Ability to work independently with minimal oversight
Blue Cross and Blue Shield of Minnesota Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Blue Cross and Blue Shield of Minnesota and has not been reviewed or approved by Blue Cross and Blue Shield of Minnesota.
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Retirement Support — The program combines a 401(k) match with additional company retirement contributions and a cash balance pension. This multi-pronged design strengthens long-term financial security beyond standard offerings.
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Parental & Family Support — Benefits include fully paid parental leave, adoption/surrogacy/foster assistance, and childcare support. These resources provide meaningful support across diverse family needs.
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Leave & Time Off Breadth — PTO that increases with tenure, multiple paid holidays, personal days, and paid volunteer time are paired with flexible scheduling. This breadth supports sustained work-life balance across career stages.
Blue Cross and Blue Shield of Minnesota Insights
What We Do
Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. Chartered in 1933 as Minnesota’s first health plan, we’ve promoted wider, more economical and timely availability of health services for the people of Minnesota for 80+ years. Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross® and Blue Shield® Association.
