The Chief Compliance Officer (CCO) is responsible for leading a team of professionals in developing, implementing and overseeing the company’s compliance and ethics program, and ensuring BCBSKS operates with the highest standards of compliance. This role requires a deep understanding of regulatory requirements and ethical standards, and a strategic approach to risk management. The CCO will work closely with various departments to ensure adherence...
Blue Cross and Blue Shield of Kansas is looking to add to our Cafeteria and Facilities team and has an opportunity for a Manager, Cafeteria Operations. This position is responsible for overseeing all aspects of cafeteria foodservice operations. This role ensures efficient budget management, exceptional food quality, and fosters positive employee and customer relations. Works closely with staff to ensure professional service, high-quality food, an...
Why Join Us. Make a Positive Impact. Your work will directly contribute to the health and well-being of Kansans. Lead and Inspire. Guide and mentor your team to achieve their full potential and success. Family. Comes First. Total rewards package that promotes the idea of family first for all employees. Dynamic Work Environment. Collaborate with a team of passionate and driven individuals. Trust. Work for one of the most trusted companies in Kansa...
With the support of the lead Medicare Advantage nurse coordinator, carries primary and independent responsibility for the day-to-day operations of reviewing, processing, and communicating with members and providers involved in case management activities which may include determining appropriateness and cost effectiveness of care in light of quality-of-care objectives. This position serves as primary negotiator with medical providers/vendors regar...
Blue Cross and Blue Shield of Kansas is looking to add to our HR Strategy team and has a new opportunity for an HR Business Partner. This position will play an essential role in establishing and driving talent strategies and HR programs forward, while ensuring they align with an organization’s overall business strategy. HR Business Partners cultivate collaborative partnerships with senior leaders to a build a high-performance culture that support...
With the support of the lead Medicare Advantage nurse coordinator, carries primary and independent responsibility for the day-to-day operations of reviewing, processing, and communicating with members and providers involved in case management activities which may include determining appropriateness and cost effectiveness of care in light of quality-of-care objectives. This position serves as primary negotiator with medical providers/vendors regar...
The Associate Vice President (AVP) of Provider Network Solutions (PNS) will be a strategic leader in collaborations with the VP of PNS, will assist in developing and executing a comprehensive strategy and roadmap that enhances provider network efficiency, operational effectiveness, and supports sustainable growth. In partnership with the Vice President (VP) of PNS, the AVP will lead the alignment of business objectives across the division, workin...
Blue Cross and Blue Shield of Kansas is looking to add to our provider records team and has an opportunity for a Supervisor Provider Records. This position is responsible for the accuracy and completeness of professional provider records. This position will oversee provider records staff and participate in the maintenance of the professional provider pricing and payment records, and auditing activities. The position impacts accuracy, completeness...
The Manager Traffic Manager is responsible for managing the efficient flow of projects and optimization of resources across the Marketing Organization. The Marketing Traffic Manager acts as the central point of coordination between incoming work requests and the CMXO teams (product marketing, creative studio, corporate communications and customer experience/digital experience). The Marketing Traffic Manager builds master calendars, schedules and ...
Under the direction of the Director, Provider Network Solutions Operations, position is responsible for divisional operations activities for the BCBSKS provider networks including enrollment, procedural and record quality initiatives, record maintenance, and provider communications. Designs, implements and monitors procedures to ensure smooth, accurate and timely workflow within the department and works collaboratively across BCBSKS to ensure pro...
Blue Cross and Blue Shield of Kansas has a new leadership opportunity on our Underwriting team for a Director Underwriting. This position will lead the Group Rating, Underwriting Quality & Systems, and Underwriting teams to ensure effective risk management, pricing strategies, and operational efficiency that align with the company’s overall objectives. This role is responsible for developing and executing underwriting strategies, establishing pro...
Blue Cross and Blue Shield of Kansas has a new leadership opportunity on our Actuary team for a Director Actuary. This position will lead and provide strategic oversight to the Pricing, Forecasting & Reserving, and Data, Analytics & Reporting teams, ensuring the development of actuarial models and methodologies that support the company’s financial stability, growth, and risk management objectives. This role is responsible for driving the executio...
