Capital Blue Cross

5 open remote positions

Capital Blue Cross is a health insurer and independent licensee of the Blue Cross Blue Shield Association. Its employees have voted it a Best Place to Work in PA, with a supportive culture focused on community and wellbeing.

Salary Distribution 5 of 5 jobs

Benefits Overview 3 of 5 jobs

Dental (3) Medical (3) Tuition Reimbursement (3) Vision (3) Holidays (2) Incentive Plan (2) PTO (2) Retirement Plan (2) Volunteer Time Off (2) Paid Time Off (1) Retirement (1)

Open Positions

$57,020–$105,890/yr

  • Provide analytical, technical, and problem-solving support for Large Group delinquency processes while managing payment arrangements and mitigating risk.
  • Develop, automate, and maintain delinquency reports, tracking tools, and variance analyses for complex receivables.
  • Lead medium-scale projects and collaborate with Legal, Operations, Sales, IT&D, and other areas on system changes and process improvements.

  • Conduct coverage reviews and render determinations based on member benefits and medical policies.
  • Document clinical findings and actions in accordance with regulatory and accreditation requirements.
  • Engage in peer-to-peer discussions with providers and collaborate on benefit determinations.

Underwriter II

$55,100–$103,810/yr

  • Generate rate proposals for new business and renewal cases, including pricing of alternate benefit sets and assessment of dental and vision utilization.
  • Consult with Sales and Account Executives by providing advice, presenting information to groups and brokers, and offering opinions on financial consequences of insurance arrangements.
  • Approve financial contract pages for renewing groups and provide training and peer review to Underwriter I team members.