BlueCross BlueShield of Tennessee

Customer Support

• Receiving, investigating and resolving all customer inquiries timely and accurately.
• Handling customer service inquiries and problems via the telephone.
• Ensuring all customer communication is clearly documented.
• Interact through various channels such as Chat, Phone, E-mail and TEAMS.
• Educating caller to ensure resolution is achieved on first contact.
• Must be able to pass required testing.
• Work overtime as required.

Customer Service Trainee

Product Analyst

• Serve as a Product Owner supporting EDI front-end electronic transactions
• Analyze features such as feasibility, associated costs, time, and compatibility of new programs
• Leading efforts in discovering, eliciting, and documenting business requirements
• Performing complex application programming activities, including coding, testing, debugging, documenting
• Leads sprint review meetings and prioritization discussions with development teams and provider stakeholders

eBusiness Product Analyst

• Engage with members to handle customer service inquiries via the telephone.
• Receiving, investigating, and resolving all customer inquiries timely and accurately.
• Handling customer service inquiries and problems via the telephone.
• Ensure all customer communication is clearly documented.
• Educating callers to ensure resolution is achieved on first contact.
• Must be able to pass required testing.
• Participation and attendance are mandatory.
• Work overtime as required.

Customer Service Trainee – Commercial

Full-stack Engineer

• Design, build, and operate services for AI-powered digital experiences
• Build, manage, and deploy web services that power AI experience
• Formulates and defines system scope and objectives through research and fact-finding to design, develop, modify, or integrate complex information systems.
• Devises or modifies application systems and procedures to optimize functional requirements including capacity, operating time, response time, and form of desired results.
• Designs, codes, tests, debugs, and documents programs, subroutines, and scripts.
• Develops and implements program/system test plans.
• Devises data verification methods and standard system procedures.
• Responds to system failures and performance events by taking appropriate measures to reduce system downtime and eliminate recurrence of problems.
• May conduct research on software and hardware products to justify recommendations and support management in budgeting and purchasing efforts.
• Acts as expert technical resource to development staff in all phases of the development and implementation process.

Senior Software Engineer – Integration

Artificial Intelligence

• Enterprise Process Discovery & Opportunity Assessment
• Lead discovery sessions with business leaders and SMEs to map current processes, uncover inefficiencies, and identify high impact automation opportunities.
• Use structured interviews, system data, and workflow analysis to size opportunities and align on measurable outcomes.
• Translate business needs into clear, actionable automation requirements.
• Automation Workflow Design & Enablement
• Architect and develop end to end automated workflows that streamline operations across multiple business domains.
• Integrate with internal systems and external platforms while following governance, privacy protections, and healthcare compliance requirements.
• Build solutions that balance reliability, scalability, and usability—favoring practical automation patterns over highly complex AI architectures.
• Maintain documentation, operational guidance, and change control processes for all deployed workflows.
• Business Partnership, Communication & Stakeholder Education
• Serve as a trusted advisor to functional and executive or division leaders, guiding them through automation strategy, prioritization, and value definition.
• Communicate solutions in accessible language that supports informed decision making across technical and nontechnical audiences.
• Lead training, demos, and hands on sessions to enable adoption, build confidence, and ensure long term ownership by business teams.
• Change Leadership & Adoption Management
• Champion a culture of responsible automation by addressing concerns, building trust, and shaping readiness across teams.
• Create and promote internal playbooks, best practices, and frameworks that support consistent automation development across the enterprise.
• Partner with operational, compliance, and security teams to ensure solutions meet payer industry requirements and align to enterprise guardrails.
• Governance, Standards & Influence
• Establish enterprise automation standards, design patterns, and guidance to ensure consistent quality and responsible use.
• Influence enterprise strategy by evaluating tools, platforms, and capabilities needed to sustain long term automation growth.
• Provide strategic insight to leadership based on cross functional trends, recurring challenges, and emerging opportunities.

Principal AI Workflow Engineer

Manager

• Support utilization management functions for complex and non-routine cases
• Liaise between members, providers, and internal/external customers
• Oversee complex cases to ensure effective interventions and efficiency in benefits utilization
• Perform essential case management activities: assessment, planning, implementation, coordinating, monitoring, outcomes, and evaluation

RN Case Manager – Federal Employees Program

• Design, build, and operationalize AI‑enabled workflows to improve efficiency, scalability, and outcomes
• Partner with security and legal teams to ensure all AI solutions are compliant with healthcare regulations, including HIPAA
• Conduct qualitative and quantitative analysis to define clear business requirements and translate operational challenges into actionable workflow designs
• Architect and deploy AI-enabled workflows integrating internal systems, APIs, and third-party platforms
• Present workflow solutions to stakeholders and lead training sessions
• Establish telemetry for performance, drift, and cost
• Troubleshoot issues and identify opportunities to improve workflow efficiency and additional automation

Senior AI Workflow Engineer

• Build and support enterprise APIs
• Partner with application teams to design and deliver integration solutions
• Support production environments through incident response, release management, and deployments
• Drive continuous improvement in API performance, governance, and overall platform health

Software Engineer – Integrations

Ecommerce

• Supports outreach campaigns by helping with strategy, development, QA, reporting, and operations
• Ensures content is accurate and data is clean
• Contributes to improving team processes
• Identifies efficiencies
• Brings a fresh, member-focused perspective to communications
• Builds skills in digital engagement and analytics

Intern, Digital Experience

Data Analyst

• Support advanced pharmacy analytics and reporting efforts within a modern, cloud-based environment
• Contribute directly to the team’s ongoing SAS-to-Databricks migration and broader analytics transformation
• Play a key role in testing and validation to ensure data accuracy and reliability
• Support AI-enabled analytics, infrastructure enhancements, and ongoing maintenance of critical business deliverables
• Partner with cross-functional teams to deliver scalable, data-driven insights, fulfill custom reporting requests
• Actively contribute to AI initiatives through hands-on involvement in agent training and optimization.

Pharmacy Data Analyst II

Vice President

• Responsible for the Profit and Loss of the business segment
• Provide strategic direction to senior management team to ensure operations support enterprise strategies, performance guarantees customer satisfaction and competitive positioning
• Collaborate with Medicare and BlueCare business leaders to ensure alignment across products and initiatives
• Oversee Medicare Dual Special Needs Plan products operations, including timely development and submission of the annual bid
• Ensure effective contract administration by projecting funding needs and negotiating budget settlements consistent with CMS funding and organizational requirements
• Drive achievement of required D‑SNP performance measures in partnership with Corporate Quality, including audit readiness and reimbursement activities
• Monitor and interpret regulatory and program changes impacting Medicare products and ensure ongoing contract compliance, including fraud, waste, and abuse requirements
• Oversee implementation of product changes and maintain strong cross-functional partnerships to support operational, network, and enterprise objectives
• Build and maintain effective working relationships with CMS, TennCare and other federal and state bodies as it relates to the line of business
• Recruit, develop and lead a high-performing management

VP, Dual Special Needs Plan

Scrum Master

• Be an enterprise evangelist of agile ceremonies, practices and values.
• Understand and champion the scope of Agile transformations and participate in standardization of Agile processes and best practices in the enterprise.
• Articulate and convey the purpose of Agile Practices (i.e. answer the question “why do we do it this way”) and provide maturity assessments.
• Coach teams and programs in providing business value through effective Agile product management and delivery.
• Provide role-based coaching on Agile ceremonies, practices, values, and role responsibilities.

Senior Agile Coach

QA Engineer

• Develop end-to-end test strategies covering functional, integration, and regression testing
• Build robust automation frameworks and validate data flows and APIs
• Troubleshoot defects across front-end and back-end systems
• Document and communicate test status and results at individual level
• Align with and apply BCBST QA best practices
• Review technical design documents and develop E2E integration test scenarios

SQA Analyst II

IT Support

• Lead a high-visibility initiative focused on evolving the platforms our members rely on to access critical healthcare services.
• Guide a team of engineers while partnering closely with Product, Architecture, Security, and business stakeholders to deliver reliable, high-quality solutions that enhance the member experience.
• Help stabilize and modernize Node/React-based platforms, improve delivery predictability and system reliability, and drive meaningful outcomes across cross-functional teams.
• Blend leadership and hands-on engagement—mentoring engineers, overseeing solution design and code quality, and advancing the use of AI-assisted development practices.
• Manage the day-to-day operations of a team with a focus on the maintenance and development of systems and supervising system modifications.
• Assign, monitor, and review progress and accuracy of work.
• Provide staff management oversight including hiring, promoting, or making recommendations for staff.
• Conduct performance reviews and assessments, manage performance, engage in skills assessment, and promote professional development of staff.
• Direct, motivate, and develop staff, maximizing their individual contribution, professional growth, and ability to function effectively with their colleagues as a team.
• Ensure adherence to policies, plans, objectives, budgets and staffing allocations.
• Manage and track team-level project details and serve as the technical subject matter expert and provide leadership during periods of transition.
• Participate in a weekly on-call rotation.

EIT Engineering Team Lead

• Supporting utilization management functions for more complex and non-routine cases as needed.
• Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs.
• Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits.
• Performing the essential activities of case management: assessment, planning, implementation, coordinating, monitoring, outcomes and evaluation.
• Digital positions must have the ability to effectively communicate via digital channels and offer technical support.