Careers at Blue Cross and Blue Shield of Minnesota

Sales

Sales is responsible for Blue Cross' growth in the group markets sector, which includes acquisition and retention of mid- and large-commercial groups as well as public employer business. An additional focus is growing customer relationships and ensuring that the voice of the customer is represented to other areas of the company. The sales team is also responsible for responding to bid requests.

Marketing

Marketing is responsible for managing the company’s brand strategy. This team coordinates the development and execution of external marketing campaigns as well as promotional materials for clients and members. This is a highly collaborative department, working closely with the sales team and other key areas to ensure alignment of strategies and goals.

Product

Product is responsible for delivering innovative and differentiated products for businesses and consumers. The team also manages the company's brand strategy and coordinates the development and execution of marketing campaigns across all divisions. This is a highly collaborative department, working closely with the sales team and other key areas to ensure alignment of strategies and goals.

Profile of Success

To be most successful, team members have the following skills:

• Ability to learn quickly and think big
• Deep understanding of and interest in health care
• Ability to grow and maintain business relations
• Creative spark
• Excellent communication skills
• Strong analytical and negotiating skills

Customer Service

Our Customer Service Representatives are the "face" of Blue Cross and serve as the important first line of contact. Our team is specially trained to provide the information and resources our members (individuals with Blue Cross insurance), providers (hospital and clinic staff and doctors) and licensed Blue Cross agents need.

Profiles of Successs

To be most successful, team members have the following skills:

• Associate's degree or 1+ year of customer service experience in a contact center
• Good listener with a passion to help people
• Strong computer skills with the ability to multitask in a fast-paced environment
• Outstanding communication skills
• A patient and positive attitude

Claims

Our claims processing team members are detail-oriented and enjoy working independently. Team members receive excellent training through our claims processor program, which is recognized as one of the best in the industry. Team members take pride in doing a thorough job and are comfortable using a computer to find the information needed to pay claims. We regularly audit random claims to ensure that they are being paid correctly, so attention to detail is essential.

Profiles of Success

To be most successful, team members have the following skills:

• High School diploma or equivalency
• Strong computer skills
• Ability to work in multiple systems with dual screens
• Ability to manage your own work and balance the demands for speed and accuracy

Membership

This important department handles enrollment and billing to ensure that members have appropriate access to health care. The team reviews and processes enrollment applications, responds to membership inquiries, produces invoices and reconciles premium payments from members and clients. Their goal is to process all member transactions accurately and timely, so attention to detail is essential. Team members take pride in doing a thorough job, enjoy serving our members and working independently.

Profiles of Success

To be most successful, team members have the following skills:

• High School diploma or equivalency
• Strong problem solving and decision making skills
• Strong attention to detail and level of accuracy
• Strong computer skills
• Ability to manage your own work and balance the demands for speed and accuracy
• Customer focused

Human Resources

These teams provide the services, programs and data needed to help Blue Cross attract, retain and develop a successful workforce and an inclusive work environment. They also provide company news, information and training that builds employee engagement and understanding of business goals and strategies. They work to develop goodwill within Blue Cross and enhance the image of the organization as a corporate citizen through volunteerism and company events. The Human Resources teams include: Compensation, Benefits & HRIS; Talent Acquisition; HR Business Partners and Talent Management; Internal Communications; Community Relations and Data Analytics.

External Relations

These teams are focused on leading the conversation on health care reform, engaging communities and people to reach their full health potential, improving the community conditions that affect health, and tackling the root causes of preventable disease. They also develop corporate policy positions and legislative strategy for the organization along with external communications that create visibility, build our brand and reinforce the value that Blue Cross delivers to our members. The External Relations team includes Policy & Legislative Affairs; Public Relations; The Blue Cross Foundation and The Center for Prevention.

Profiles of Success

To be most successful, team members have the following skills:

• Ability to grow and maintain business relationships
• Collaborative spirit
• Empathetic and compassionate communicator
• Deep understanding of Blue Cross' strategies
• Strong interest in community-based health and health care improvement

IT supports our interactions with health care providers, agents and other companies we work with. Additionally, Blue Cross has technology systems that require ongoing support. The IT team is made up of dedicated and energetic people with all kinds of technical backgrounds — from Help Desk Support to Cyber Security.

Our information technology jobs fall into three main areas:

Identifying and implementing business solutions

These positions support e-commerce, application integration, data integration, project management, business intelligence and quality assurance.

Establishing a premiere IT foundation

These jobs are focused on future state architecture, infrastructure as a service, information protection.

Enabling emerging technologies

These jobs are primarily focused on mobile computing and cloud computing.

Profiles of Success

To be most successful, team members have the following skills:

• Bachelor's degree in computer science, information systems or related field
• Forward-thinking change leader
• Collaborative team player
• Strong analytical and organizational skills
• Ability to develop new skills or improve existing skills to keep up with advances in technology
• An understanding of the health care industry

Legal Affairs

This team coordinates legal services for the company and its affiliates, working with a wide variety of different business units. Legal services cover such diverse areas as litigation, vendor and customer contracts, provider contracting, regulatory support, government programs, employment matters, and corporate governance.

Internal Audit

This team manages, executes and evaluates the effectiveness of risk management, control, and governance processes.

Regulatory affairs, ethics and compliance

This area's primary accountability is to oversee the company's Ethics, Compliance and Privacy program.

Strategic Sourcing, Procurement and Facilities

This team coordinates the physical workplace, buildings and grounds for Blue Cross. They are also responsible for the management and sourcing of vendors and contractors, and all activities related to the procurement of all non-employee labor and consulting services, resources and supplies.

Information Security Services

This team manages and monitors capabilities to mitigate risks to the confidentiality, integrity, and availability of the company's information.

Profiles of Success

To be most successful, team members have the following skills:

• Works collaboratively to resolve problems and identify process improvements
• Knowledge of state and federal regulatory policies
• Strong writing skills
• Ability to research, analyze problem solve and resolve complex issues

Actuarial

The key focus of the actuarial department is to evaluate Blue Cross actuarial liabilities, monitor claims trends and recommend pricing trends.

Treasury and investments

This team manages all cash flows and investment assets of the organization. They are also responsible for all financial and fiduciary elements of Employee Retirement Income Security Act (ERISA) assets.

Underwriting

The underwriting team's primary role is to evaluate risk to set rates so that enrollment and margin goals are achieved.

Business Development

The Business Development team focuses on strategic initiatives related to building new businesses, enhancing existing business and capabilities, and making investments.

Profiles of Success

To be most successful, team members have the following skills:

• Accounting or finance degree
• Strong analytical and organizational skills
• Ability to interpret financial data
• Ability to clearly and confidently present budget and/or financial recommendations
• Strong computer spreadsheet skills
• Experience with full journal entries and general ledger reconciliation

Government Market Solutions has three main areas:

Program management

This team assures adherence to contractual obligations with the Department of Human Services and the Centers for Medicare and Medicaid Services for our Minnesota members. They also develop programs for low-income families, children, pregnant women, single adults and low-income elderly individuals in the state.

Compliance

The Compliance team develops, implements and manages Medicare products. They also serves as the company's resource to ensure understanding and implementation of Medicare and rules.

Operations

The Operations team translates regulatory requirements and facilitates the implementation of changes, typically within the functional areas of enrollment, claims, customer service and membership.

Profiles of Success

To be most successful, team members have the following skills:

• Bachelor's degree in health care or related field
• Knowledge of health care industry including familiarity with government program plans & product features
• Collaborative team player with experience in project management
• Effective, concise and professional written, verbal and presentation skills
• Because we work with state- and federally-funded programs — which require strict compliance with national and state government policies — attention to detail is also critical

Case Management

In Case Management, we work with members, providers, and community resources to promote optimal health and coordinate access to services across the continuum of care. The goal is to promote high quality, cost effective outcomes for members with medical and behavioral health conditions that require ongoing or intermittent care.

Utilization Management

Our Utilization Management team ensures a positive member and provider experience, and balance the health and safety of our members through evidence and regulatory-based utilization and education of services.

Provider Relations & Pharmacy

The Provider Relations and Pharmacy team focuses on developing and implementing contractual relationships with providers that will create value for our members, managing costs and optimizing the provider network.

Formal requirements

• Registered nurse with a current unrestricted Minnesota license
• One to three years of clinical experience, depending on position
• Behavioral Health license — one or more of the following:
  • Licensed professional counselor
  • Certified licensed alcohol and drug counselor
  • Licensed marriage and family therapist

Profile of success

To be most successful, team members must be:

• Outstanding communicators, providing daily interaction that is collaborative, respectful and resourceful
• Strong critical thinkers
• Flexible and adaptable; a change-management agent
• Knowledgeable about state and federal regulations, medical necessity criteria sets and clinical pathways
• Compassionate and calm when dealing with people in crisis
• Able to incorporate best practices into individual clinical growth
• Knowledgeable about the barriers that members might encounter within the health care system or as a result of a condition they may have

The goal of our program is to create a pathway to a position that you love within our organization. Our interns are fully integrated into the business, which allows you to gain a realistic perspective of life at Blue Cross. Through individual and group assignments, you will develop your technical and professional skills and gain experience in your field.

Internship Areas

Business

• Actuarial
• Communications
• Sales
• Marketing
• Finance
• Health economics
• Government programs
• Human resources

Information Technology

• Application development
• Infrastructure
• Quality assurance
• Information data management
• Security
• Project management/requirements

Internship Benefits

• Paid opportunity
• "Meet and Greets" with the executive leadership team
• Case study competition
• End-of-program presentation to executive leaders
• External vendor networking opportunities
• Volunteer opportunities
• Social events
• Business casual dress every day
• Free on-site fitness centers
• On-site cafeteria with healthy menu choices available daily
• Ergonomic sit/stand workstations

Qualifications

• Current student working toward a 4-year degree with a strong academic standing (3.0 GPA or above)
• Demonstrated leadership, collaboration, communication and decision-making skills
• Excellent analytical and problem-solving skills
• Strong planning and organizational skills