Blue Cross and Blue Shield of Kansas

Procurement

• Generate and implement efficient sourcing strategies through the RFx process.
• Prepare and manage competitive bids (RFQ, RFP, etc.), including document preparation, proposal review, price analysis, negotiation of price and contract terms, scope review, and recommending selected bidders.
• Develop and negotiate contracts with new suppliers and renegotiate existing contracts to achieve the best value solutions and savings objectives.
• Maintain strategic sourcing relationships and foster the development of strong supplier partnerships.
• Generate total value estimates and expenditure forecasts related to procurement.
• Evaluate and streamline sourcing procedures, present improvement strategies to leadership, and implement solutions for continuous enhancement.
• Drive the success of strategic sourcing goals and implement action items to ensure those objectives are met.
• Develop strategies to improve the organization's cost structure.
• Optimize external spending through early involvement in the sourcing lifecycle and collaboration with business stakeholders.
• Demonstrate strong business judgment, integrity, financial acumen, and sourcing expertise.
• Negotiate contracts and manage vendor relationships, focusing on key areas such as IT services, IT infrastructure, and indirect spend.
• Evaluate supplier core competencies and competitive positioning, working with cross-functional stakeholders to reach agreements on contract terms and conditions.
• Analyze industry trends and emerging technologies to proactively identify risks and opportunities, minimizing supply chain disruptions and ensuring continuity of supply.
• Manage all aspects of purchase order administration, including submitting notices, change orders, new supplier onboarding, and closing out contracts.

Strategic Sourcing Specialist

Manager

• Support the strategic and operational execution of Medicaid and ACA programs
• Build and manage detailed workplans, timelines, milestones, and accountability structures across the portfolio
• Oversee day-to-day execution of initiatives, ensuring alignment to financial, operational, and regulatory objectives
• Monitor and interpret key ACA performance indicators
• Develop and maintain dashboards and recurring performance reports
• Identify trends, risks, and opportunities; convert insights into actionable recommendations
• Lead cross-functional coordination across multiple departments
• Facilitate working sessions, manage dependencies, track decisions, risks, and deliverables
• Support regulatory and compliance readiness
• Prepare executive-ready materials and performance summaries

Medicaid & ACA Manager

Operations

• Collaborate with the Regional Sales Manager and other teams to enhance performance and resolve challenges
• Plan, organize, and coordinate all regional office activities to support growth objectives and ensure optimal service levels based on workload projections and staffing needs
• Coordinate workflows and scheduling to ensure timely handling of sales and service inquiries during peak periods
• Oversee sales and service interactions, offering feedback to administrators and representatives to reinforce sales goals and ensure compliance with professional practices and procedures
• Propose and implement improvements to internal procedures to boost efficiency and effectiveness
• Accountable for performance monitoring, policy enforcement, termination process, disciplinary action, hiring, compliance and team development
• Maintain accurate records of all hiring, firing and disciplinary actions
• Monitor and maintain the Territorial Management System for the region
• Conduct monthly verification and monitoring of regional sales goals to ensure they are accurately represented
• Prepare the annual budget for assigned areas, monitor the effective use of allocated funds, analyze budget variances, and recommend staffing, equipment, and supply needs while managing inventory for office supplies and marketing materials
• Ensure all licensed personnel meet continuing education requirements and submitted timely to the Kansas Insurance Department.

Regional Operations Manager

Customer Support

• Research, resolve, and respond to inquiries and correspondence via telephone, written, and email communication
• Inquiries can be regarding contract benefits, eligibility, coverage and plan changes, payments, claims, prior authorization, appeals, and complaints
• Resolve customer inquiries and complaints in a timely and accurate manner according to company and regulatory requirements
• Work with peers, other departments, and leadership to find appropriate solutions to problems
• Perform assigned job-related duties as required, including any special projects

Customer Experience Representative

• Oversee full software development lifecycle (SDLC) for health insurance systems, including enrollment, claims, provider networks, and customer portals.
• Lead application modernization efforts, including cloud migration or refactoring monolithic systems into microservices.
• Collaborate with business and product teams to understand requirements and translate them into technical solutions.
• Ensure adherence to regulatory and security standards (e.g., HIPAA, HITRUST).
• Drive adoption of best practices in coding, testing, DevOps, and Agile delivery.
• Manage resource allocation, project timelines, and development budgets.
• Evaluate and implement new tools, technologies, and architectures to optimize application performance.
• Coordinate with infrastructure, data, and cybersecurity teams to ensure system integrity and scalability.
• Resolve complex technical issues and lead root cause analysis to prevent recurrence.
• Regularly influence, update and report to senior IT leadership and business stakeholders; Influence cross-functional stakeholders, including product, compliance, and operations teams.
• Accountable for performance monitoring, policy enforcement, termination process, disciplinary action, hiring, compliance and team development. Maintaining accurate records of all hiring, firing and disciplinary action.

Manager, Application Development & Support

Underwriter

• Oversee and execute quality reviews of Group Rating Intake Tool (GRIT) requests and monthly production work, ensuring accuracy and compliance with actuarial rating methodologies and underwriting guidelines.
• Conduct actuarial, underwriting, and financial impact analysis, including short/long stop-loss period analysis, credibility studies, and underwriting risk assessments to drive data-backed recommendations.
• Develop and implement training materials, procedure manuals, and departmental documentation to ensure standardization and knowledge retention of actuarial methodologies and underwriting practices.
• Identify and implement efficiencies in underwriting workflows, leveraging automation, predictive modeling, and data-driven process improvements to optimize team productivity.
• Develop and deliver technical training on underwriting practices, actuarial methodologies, rating factor adjustments, and risk evaluation techniques.
• Collaborate with internal and external audit teams to support actuarial and underwriting compliance, quality controls, and regulatory reporting.
• Review and validate with final quality reviews for monthly mailings and other underwriting communications to ensure accuracy and clarity.
• Develop, analyze, and maintain rating factors and risk models that support underwriting and actuarial tools, ensuring data-driven decision-making.
• Support SERFF rate filings with the Kansas Department of Insurance (KDOI) ensuring accurate and timely submission of rate justifications and regulatory documents.
• Oversee enhancements to underwriting tools and actuarial databases, ensuring seamless integration of rating models and optimization of underwriting systems.

Underwriting Quality and Tools Analyst

Backend Engineer

• Design, develop, test, and deploy scalable and secure application solutions.
• Analyze user requirements and translate them into technical specifications.
• Perform maintenance and enhancements to existing applications.
• Collaborate with business analysts, QA testers, and other developers in an Agile development environment.
• Troubleshoot and resolve application issues, bugs, and performance bottlenecks.
• Ensure code quality through unit testing and peer code reviews.
• Participate in design and architecture discussions.
• Maintain documentation of systems, processes, and technical specifications.
• Stay current with emerging technologies and recommend improvements.

Developer, Java

Software Engineer

• Design, develop, test, and deploy robust, scalable, and secure application solutions to support complex business requirements.
• Interpret user stories and business needs into technical specifications and actionable development tasks.
• Enhance, refactor, and maintain existing applications with a focus on performance, stability, and scalability.
• Work collaboratively with product owners, business analysts, QA engineers, and fellow developers in an Agile/Scrum team.
• Serve as a subject matter expert in debugging and resolving complex application issues and performance bottlenecks.
• Ensure the delivery of high-quality code through comprehensive unit testing and participation in peer reviews.
• Contribute to architectural and design decisions, offering insights based on experience and best practices.
• Maintain accurate, up-to-date technical documentation for systems, codebases, and development processes.
• Stay informed on emerging technologies and propose innovative solutions that improve productivity and system performance.

Developer

System Administrator

• Administer and maintain servers, networks, and other IT systems to ensure optimal performance.
• Install, configure, and update software and hardware components for systems.
• Monitor system performance, conduct regular audits, and perform routine maintenance to prevent downtime.
• Ensure system security by implementing best practices for firewalls, antivirus software, backups, and user access controls.
• Provide technical support for users, troubleshooting hardware, software, and network issues in a timely manner.
• Perform system backups and disaster recovery procedures.
• Manage user accounts and permissions, ensuring proper access control and security compliance.
• Collaborate with IT teams to plan and implement software and system upgrades or enhancements.
• Document system configurations, troubleshooting procedures, and other relevant information for team use.
• Assist with network management, ensuring seamless connectivity across the organization.
• Respond to system alerts and perform root cause analysis on issues to prevent recurrence.
• Manage cloud-based infrastructure and services (if applicable), ensuring integration with on-premises systems.
• Stay updated with the latest industry trends, technologies, and best practices.