About Blue Cross and Blue Shield of Minnesota

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 Have

This position is responsible for activities associated with the credentialing process and completing the set-up and maintenance of practitioner and provider information in the provider credentialing system. These activities will adhere to regulatory agency credentialing requirements, such as National Committee for Quality Assurance (NCQA), Department of Human Services (DHS), Centers for Medicare and Medicaid Services (CMS), Minnesota Department of Health (MDH) and TRIWEST.

Your Responsibilities

• Determine credentialing status by screening and assessing all credentialing materials.
• Research, analyze and process routine credentialing cases.
• Set up and maintain accurate provider and practitioner information in the provider credentialing system.
• Respond to customers regarding provider and practitioner eligibility and credentialing decisions and/or related issues.
• Maintain credentialing quality and production performance metrics.
• Contribute to process improvements to ensure an efficient operation.
• Special projects as assigned.

Required Skills and Experiences

• 4+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• 1 year experience in the area of Provider Credentialing Ability to handle multiple tasks or projects.
• Detail-oriented with a quality focus.
• Ability to work independently and demonstrate problem-solving skills.

Compensation and Benefits:

Pay Range: $21.00 - $26.25 - $31.50 Hourly

Pay 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 Statement

At 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: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.