bcbsms
RN Medical Reviewer, FEP
Healthy Careers Start Here The RN Medical Reviewer, FEP is responsible for thorough clinical review of the Federal Employee Program pre-service requests and post-service claim review for medical and medical drug services. The RN Medical Reviewer, FEP is responsible for determining if the requested s
Specialist, Claims and Adjustments - FEP
Healthy Careers Start Here Job Summary The FEP Claims and Adjustment Specialist is responsible for maintaining inventories which focus on the accurate and timely processing of member claims and benefit plan updates. The FEP Claims and Adjustment Specialist will process claims in both the NAS (intern
Web Systems Engineer II
Healthy Careers Start Here This position is 100% on-site in Flowood, MS. It does not have a remote or hybrid function. The Web Systems Engineer II is responsible for developing new Web applications and enhancing existing web applications that promote effective information transfer between BCBSMS bus
Actuarial Analyst
Healthy Careers Start Here Healthy Careers Start Here Your career begins here! Be part of a vision for a healthier Mississippi as an Actuarial Analyst. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which en
Compliance Coordinator
Healthy Careers Start Here Job Summary: This position is responsible for supporting the Manager, Corporate Compliance; Director, Legal Operations; and the General Counsel in managing corporate compliance activities and operations to ensure compliance with local, state and federal laws which govern t
Network Hospital Quality Coordinator
Healthy Careers Start Here Be part of a vision for a healthier Mississippi as a Network Hospital Quality Coordinator. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to li
Maternal Care Management Coordinator, RN
Healthy Careers Start Here The Maternal Care Management Coordinator is responsible for working with high-risk pregnant Members to provide individualized, expert clinical support, helping them navigate the complexities of their prenatal, antenatal, and postpartum journey. The incumbent will conduct t
Maternal Care Management Coordinator, RN
Staff Accountant, Treasury Administration
Healthy Careers Start Here Staff Accountant, Treasury Administration Your career begins here! Be part of a vision for a healthier Mississippi as a Staff Accountant, Treasury Administration. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a
Treasury Analyst
Healthy Careers Start Here Treasury Analyst Your career begins here! Be part of a vision for a healthier Mississippi as a Treasury Analyst. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages eve
RN Care Management Coordinator
Healthy Careers Start Here Your career begins here! Be part of a vision for a healthier Mississippi as an RN Care Management Coordinator. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every
Facilities Technician
Healthy Careers Start Here Job Summary – This position is responsible for proactively monitoring and maintaining all the BCBSMS facilities and grounds along with equipment and furniture moves. Completing assigned Facilities Request Forms on time and accurately. Coordinating and assisting with workst
Clinical Pharmacist
Healthy Careers Start Here The Clinical Pharmacist provides clinical support for a wide range of pharmacy management programs designed to encourage appropriate utilization of the BCBSMS pharmacy and medical benefits in collaboration with the Manager, Clinical Pharmacy and Medical Director. The Clini
Provider Administration Coordinator
Healthy Careers Start Here Job Summary The Provider Administration Coordinator is essential in maintaining complete and accurate provider contracting documentation and directory information to meet the service needs of our customers and Network Providers. The Provider Administration Coordinator is r
Provider Clinical Quality Specialist
Healthy Careers Start Here Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life. This mission requires a talented and m
Patient Service Coordinator
Healthy Careers Start Here The Patient Service Coordinator ensures a positive, efficient patient experience at the BlueHealth Baptist Care Center. Responsibilities include greeting patients in a courteous manner, patient scheduling, and ensuring patient and Care Center readiness prior to appointment
Customer Support Specialist
Healthy Careers Start Here Your career begins here! At Blue Cross & Blue Shield of Mississippi (BCBSMS), we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life. This mission requires a talente
BlueHealth Mobile Nurse Practitioner
Healthy Careers Start Here Be part of a vision for a healthier Mississippi as a traveling Nurse Practitioner with BlueHealth Mobile. We are seeking a Nurse Practitioner who will travel as part of our mobile team to the Mississippi Delta, Starkville and Oxford areas on alternating weeks. This clinic
Claims & Adjustment Specialist
Healthy Careers Start Here Your career begins here! Be part of a vision for a healthier Mississippi as a Claims & Adjustment Specialist. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every
Housekeeper
Healthy Careers Start Here This position is responsible to perform various janitorial services in all BCBSMS buildings including the Executive building. Various cleaning activities such as vacuuming, dusting, disinfecting, emptying trash, cleaning restrooms, offices and conference rooms are included
Blues Cafe Steward
Healthy Careers Start Here Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast- paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the ti