Capital Blue Cross

4 open remote positions

Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association providing health insurance and related services. They value a flexible, supportive work culture and prioritize employee growth, consistently being voted one of the “Best Places to Work in PA.”

Salary Distribution 4 of 4 jobs

Benefits Overview 3 of 4 jobs

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