The incumbent is responsive to the dynamic MA market and regulatory landscape market by anticipating and implementing changes to ensure operational compliance and market leadership. The Director sets operational objectives, monitors key performance indicators, and implements corrective action as needed.
Under general direction, evaluates the internal technical needs of an organization and recommends solutions. Documents system and functional requirements. Creates detailed test cases and supports testing team in execution of test cases.
Perform installation, configuration, administration, and tuning of software application software. Coordinate and administer all Software Configuration Management (SCM) activities including defect tracking, configuration identification, change management, status accounting, and verification.
Promote and support the BlueCross and BlueShield of Louisiana (BCBSLA) Mission Statement. Responsible for executing population-based quality improvement programs for health plan accreditation, Health Effectiveness Data and Information Set.
Responsible for providing support and collaborating with our provider partners to implement best clinical practices with the goal of helping our value based providers partners to reduce total cost of care and improve quality and patient experience.
Participates and leads other Integration Specialists in the development and execution of data integration solutions using such tools as Informatica PowerCenter, Web Services, SSIS or other means based upon the direction determined with the Integration Architect and Manager.
This position provides analytics in understanding and improving how health care is valued, utilized and provided. This position leads in problem solving, solution development and strategic planning and decision making.
Responsible for aligning IT Operations vision with business strategy by integrating company processes with the appropriate technologies and for all aspects of developing and implementing IT Operations initiatives within the organization.
The Business Data Analyst will be responsible for developing an understanding of business data and analytic needs, assessing the impact of those needs, and the capture, analysis and documentation of requirements.
This position provides analytics in understanding and improving how health care is valued, utilized and provided. This position will develop analytic attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjusted revenue optimization, medical cost management, and behavior attributes on patient/provider engagement.
Responsible for overseeing and ensuring the successful operation of the Corporate Project Management Office (Portfolio Governance, Measurement, Project Management, Requirements, Execution), Quality Management (Testing, Testing Environments/Data Management, Quality Assurance), and Resource /Workforce Management and Engagement.
Blue Cross and Blue Shield of Louisiana • Baton Rouge, LA and 1 other location
Responsible for aligning technology vision with business strategy by integrating company processes with the appropriate technologies and for all aspects of developing and implementing technology initiatives within the organization.
Blue Cross and Blue Shield of Louisiana • Metairie, LA and 2 other locations
This position is responsible for driving and achieving company defined distribution channel sales goals and objectives. This position is directly responsible for the execution of market strategy, agent recruitment, agent onboarding, agent engagement, agent production, agent compliance and territory sales goals.