About Blue Cross

Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us.

How Is This Role Important to Our Work?

This position is responsible to perform complex work under limited supervision in support of driving the performance of vendor partners through research, process audit, performance oversight and analysis of data for the Operations Division. The focus is on end-to-end vendor support that drive the operation of the business to ensure services and transactions are processed in a timely and accurate manner.

A Day in the Life:

• Continually and proactively monitor vendor operations performance to ensure targets are met consistently.
• Frequently interacts with functional leads at vendor location to provide guidance and performance feedback.
• Participates in vendor or business process change and redesign to implement improvements (including business requirements and acceptance testing) to support the operations vendors.
• Communicates and collaborates with vendor stakeholders as needed to ensure quality calibration, communication of critical process changes and ensure overall Blue Cross exceptional customer experience.
• May provide training to vendor resources to achieve project objectives.
• Identifies opportunities and recommends solutions that increases automation and resolves system deficiencies.
• Maintains awareness of systems, processes and expertise to support operations outsourced business.
• Participates in assigned work groups, committees, and project implementations.
• Collaborates with business and technical units to serve as vendor champion with internal stakeholders.

Required Skills and Experiences:

• 3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Excellent collaborative, interpersonal, oral and written communication skills.
• Intermediate technical skills (Microsoft Office - Excel, Word, Access).
• Willingness to travel domestically and internationally, up to 4 weeks at a time.
• Desire to excel and ability to work in a high paced environment, handling multiple responsibilities and projects.
• Strong work ethic, flexible.

Nice to Have:

• Bachelor's degree.
• Utilization Management experience.
• Ability to review and audit a set of data.
• Health Insurance experience preferred.

Make A Difference

Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.

Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com.

All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.

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