Blue Cross and Blue Shield of Nebraska

Actuary

• Assists, advises, or consults with the Actuarial Services team and management.
• Pulls, studies and analyzes health insurance data.
• Maintains and enhances assigned systems and models.
• Applies fundamentals of forecasting and financial analysis.
• Makes recommendations to stakeholders for informed business decisions.
• Demonstrates understanding of intermediate actuarial concepts and the health insurance industry.
• Partners with other applicable areas to understand connections and impacts.

Actuarial Analyst

Human Resources

• Provide front-line employee relations support, consulting with managers and employees on complex HR matters.
• Lead or support advanced HR projects, including performance management, merit processes, job description development, and organizational initiatives.
• Manage onboarding and offboarding processes for employees and contractors.
• Administer and optimize HR systems (e.g., LMS, HRIS), troubleshoot issues, and collaborate on system enhancements.
• Conduct and analyze compensation, job leveling, and pay practices, partnering with department leaders.
• Facilitate documentation and process improvements for cross-training and operational efficiency.
• Serve as a resource for centers of excellence, supporting specialized HR functions as needed.
• Generate and interpret reports from HR systems to inform decision-making and strategy.
• Ensure compliance with HR policies and procedures, and contribute to policy development and employee investigations as applicable.

Senior HR Generalist

Auditor

• Perform quality reviews/audits of claim, enrollment and inquiry transactions.
• Research issues identified in reviews by performing additional investigation into applicable documentation, as well as collaborating with operations personnel.
• Communicate/report errors and findings to the appropriate stakeholders.
• Assist with other Plan Performance audit/work as needed.
• Collaborate and serve as a corporate resource to other departments or operational areas.
• Coordinate and organize daily workflow, maintain documentation, attend meetings and other administrative activities.

Performance Auditor

Customer Support

• Handle incoming phone calls and primary customer interface for inquiries.
• Inform and educate customers, serving as a member advocate.
• Research customer information to effectively respond to and resolve issues.
• Comply with State and Federal regulations and mandates.

Actuarial Analyst

Senior HR Generalist

Performance Auditor

Customer Service Rep