Current Career Opportunities

Help Desk Analyst I Responsibilities

• Facilitate the prompt and effective resolution of technical and production issues for all workforce members of Blue Cross.
• Use judgment, analysis, and initiative to resolve problems, make recommendations based on corporate standards, and deliver impromptu end-user operational assistance as needed.
• Maintain communications with requestors throughout the analysis and resolution process particularly in higher severity incidents, keeping them informed of status and escalating issues if deemed necessary. 
• Identify systemic issues (e.g., system outages, widespread processing errors) and take ownership of the end-to-end process to optimize the customer experience.

Help Desk Analyst I Qualifications

• Minimum Associates Degree in computer science or a related field; Bachelor's degree preferred.
• In-depth knowledge of computer systems and mobile devices.
• Hands on experience with diagnosing and resolving basic technical issues.
• Excellent communication and interpersonal skills, customer-oriented and patient.

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Responsibilities

• Work in partnership with internal and external stakeholders to develop media strategies relating to Blue Cross VT programs and activities.
• Maintain relationships, develop, and pitch stories within Vermont and other targeted national media outlets, journalists, and other public stakeholders.
• Draft press releases, statements and other materials relating to health care issues, policy developments, and company initiatives.
• Contribute to the tracking, monitoring, and analysis of political, legislative and regulatory developments to enable timely development of strategy and program involvement when necessary. This includes deep understanding and engagement with key agencies and stakeholders in the regulatory review and response process, with a focus on legislative and regulatory analysis, position development and action plans.
• Register as a lobbyist with the state representing Blue Cross VT and maintain up-to-date filing requirements and deadlines.
• Successfully communicate up, down and across Blue Cross VT. Understand internal and external audiences and tailor communication appropriately.
• Attend external meetings at locations around the state with regulators, special committees, and stakeholders including times outside of regular work hours such as early mornings or evenings.

Qualifications

• Bachelor’s degree in government, political science, public policy, English, or a related field is required.
• Master’s degree preferred.
• Minimum of 5 years of work experience in fields relating to these areas.
• Strong written and verbal communication skills including the ability to interact effectively with all levels of staff and leadership is essential.

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Responsibilities:

• Responsible for performing initial clinical reviews for various service requests
• Collaborate closely with the Utilization Management team and the Senior Medical Director to ensure that Utilization Management reviews are completed within the required timeframes set by the State and NCQA.
• Conduct Provider-to-Provider (P2P) calls and manages medical policy and vendor relationships as needed.
• Contribute to enhancing UM operations to improve efficiency and effectiveness.
• Collaborate with the Quality, Case Management, and Provider Relations teams as needed.

Qualifications:

• Based on leadership and infrastructure requirements of Vermont State Law, URAC, and NCQA, possession of an unrestricted Vermont medical license.
• M.D. or D.O. degree.
• Board certification in an American Board of Medical Specialties (ABMS) approved specialty.
• 5 years of clinical practice experience combined with 3 years of clinical management experience is required.
• Prior medical administrative background is highly desirable.
• Advanced management degree or equivalent preferred.
• Must be a Vermont resident.

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Staff Accountant Responsibilities

• Prepare monthly journal entries to record subscription income, claims, administrative expenses, and other financial activity for the Plan and its subsidiaries.
• Provide professional accounting support to a variety of financial functions for the Plan, including the monthly financial close process, journal and general ledger activities, and corporate wide accounts payable and accounts receivable activities.
• Generate and prepare monthly invoices to clear cash activity between the Plan and its subsidiaries.

Staff Accountant Qualifications

• BS degree in Accounting or Finance
• One to three years of professional accounting required
• Advanced knowledge in general accounting theory and practice
• Advanced knowledge in journal entry and reconciliation  
• Proficiency in Fixed Asset Accounting

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