BlueCross BlueShield of Tennessee

Threat Intelligence Specialist

• Identifies, analyzes, and reports threats or hidden events within the enterprise network
• Provides technical expertise on the development and support of all activities, processes, and tools needed to protect information security
• Develops and implements security standards, procedures, and guidelines for multiple platforms and diverse system environments
• Participates in penetration testing and vulnerability assessment on enterprise systems and networks to enhance network security
• Employees may be required to participate in a weekly on-call rotation.

Cyber Threat Hunter

Engineer

• Support the enterprise Process Improvement & Intelligent Automation function by designing, building, and evolving the data infrastructure
• Develop scalable data pipelines, transformations, and curated data layers
• Partner across operations, IT, HR, and executive leadership to deliver data products
• Enable how the organization measures the impact of AI and automation initiatives
• Define how data moves across systems, design and optimize ETL/ELT processes

Data Enablement Engineer

• Supports maintenance and enhancement of existing ETL/ELT data pipelines, transformations, and datasets using SQL, Python, and Databricks
• Contributes to updates of data models and curated data layers to improve reliability, consistency, and usability of established analytics assets
• Assists with development and maintenance of BI datasets, semantic models, and reports
• Performs data validation, reconciliation, and quality checks within existing ETL/ELT processes
• Translates defined business requests into structured technical requirements with guidance
• Documents data logic, transformations, and metric definitions, including workflows within ETL/ELT pipelines

Associate Data Enablement Engineer II

Machine Learning Engineer

• Ensuring that machine learning models are deployed efficiently and reliably into production environments
• Continuously monitoring the performance of models to detect issues like model drift and ensure they remain accurate and effective
• Automating the machine learning pipeline, including tasks like data preprocessing, model training, and evaluation
• Working closely with data scientists, software engineers, and IT operations to integrate machine learning models into business processes
• Managing version control for models and ensuring compliance with governance policies
• Identifying and implementing ways to improve the performance and scalability of ML systems
• Exploring cloud tools and technologies that assist data science with implementing their usecases.

Associate MLOps Engineer

Consultant

• Providing support for the implementation and usage of new or existing analytics applications.
• Leading the development, testing and implementation of new functions, features and capabilities of analytics applications.
• Evaluating and scoping user requests for feasibility, costs and time requirements to align with business value and the overall data strategy.
• Customizing and configuring analytics applications and platforms and optimizing the ETL/ELT process.
• Responsible for data management, integrations, reporting and quality solutions.
• May require supervising and administrating staff.

Provider Data Consultant

Security Engineer

• Operate as a hands-on security engineer with broad influence across the enterprise
• Partner directly with engineering, platform, and business teams to shape secure outcomes
• Provide practical security guidance and assess risk in real-world implementations
• Help ensure that new tools, platforms, and integrations are designed and deployed securely
• Contribute across multiple areas including security tooling, cloud security, and emerging domains such as AI
• Collaborate with technical teams and cloud service providers to ensure compliance with security best practices

Senior Cyber Security Engineer

IT Support

• Collaborate with a diverse workforce within a matrix environment and be able to communicate effectively in obtaining and synthesizing requirements.
• Manages a team of Enterprise Architects and works across the architecture disciplines on strategic planning and implementation.
• Provides architectural leadership, guidance, and support for technology teams, including leadership for the development, implementation, and evaluation of enterprise architecture technology strategies.
• Define EA maturity road map and practices related to EA governance and partners with key stakeholders to implement architecture governance frameworks.

Manager, Enterprise Architecture

Systems Engineer

• Leads requirements analysis and verification, ensuring that requirement statements are complete, consistent, traceable, feasible, and verifiable
• Ensures that requirements specifications are captured in standard templates and are written using natural language in clear, unambiguous, and concise terms
• Defines quality attributes, external interfaces, constraints, and other nonfunctional requirements
• Manages changing requirements by communicating with project sponsor and project team members on impact of change and alerts project managers and project teams of potential risks and issues of importance
• Collaborates with the technical and SQA teams to ensure that the results of the project fully satisfy the needs embodied in the requirements
• Proactively identifies opportunities for improvement in requirements gathering, documentation, and translation
• May serve one or more project team roles, such as project lead, business systems analyst lead, or technical lead, for small to medium efforts

Business Systems Analyst I

Manager

• Initiate referrals to ensure appropriate coordination of care.
• Seek the advice of the Medical Director when appropriate, according to policy.
• Assists non-clinical staff in performance of administrative reviews.
• Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, and special review requests, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility.
• Occasional weekend work may be required.

Clinical Review Manager

Analyst

• Function as an analyst supporting a wide range of internal business partners by producing recurring and ad-hoc reporting across clinical, operational, and financial domains
• Analyzing and processing data, building and maintaining models and report templates
• Supporting Consultants on using business intelligence data for predictive analytics
• Identifying appropriate performance measures to be produced including lifts, efficiencies, confidence intervals, and other statistical metrics
• Under supervision, providing business clients with detailed, actionable reports documenting the findings from data processing and data analysis

Associate Bio-Stat Research Analyst

• Work with contracted providers to resolve data issues related to line of business quality programs.
• Update and educate contracted providers and their staff of changes and updates to the clinical quality programs.
• Serves and educates contracted providers on measures in the line of business quality program, preferred quality reporting, quality measure clinical documentation and BCBST Quality programs policies, procedures, and technologies.
• Work with Supervisor to update policies and procedures as needed to improve operations of the line of business quality program.
• Travel required approximately 60% of the time

Quality Incentive Consultant

Data Engineer

• support the delivery of high-impact dashboards and reporting solutions used across the organization.
• partner with senior Tableau developers and business stakeholders to help translate data into clear, intuitive visualizations that support decision-making.
• build and enhance Tableau dashboards, assist with data modeling using SQL and cloud data sources such as Google BigQuery, and help support well-governed reporting solutions that can be scaled for broader enterprise use.

Associate Data Engineer

• 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.

Nurse Case Manager

Full-stack Engineer

• Assist in analyzing, triaging, developing, and implementing various application systems
• Formulates and defines system scope and objectives through research and fact-finding to design, develop, modify, or integrate 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
• Maintains technical skill set for software languages, databases, platforms, operating systems, utilities and networks needed to support work assignments
• Responds to system failures and performance events by taking appropriate measures to reduce system downtime and eliminate recurrence of problems
• May conduct presentations to provide end users with knowledge to maximize their use of developed systems

Associate Software Engineer

• Support coding and reimbursement processes across all lines of business
• Research, design, analysis, implementation, and coordination of coding and reimbursements
• Prepare coding and reimbursement policies and procedures
• Coordinate data collection for implementation of coding, reimbursement, and billing changes