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Bcbs Jobs (NOW HIRING)

Citigroup, Inc.

Head of BCBS 239 Program - C16

New York, NY · On-site

$250K - $500K/yr

The Head of BCBS 239 program will oversee the implementation and maintenance of BCBS 239 standards across the organization. This role requires a deep understanding of diverse systems, theories, and ...

CPSI

BCBS Biller

$19.25 - $24.50/hr

Investigates, analyzes, negotiates, resolves, documents and reports on consumer and commercial billing issues and complaints against the organization | Identifies solutions that address billing ...

CPSI

BCBS Biller

$19.25 - $24.50/hr

Investigates, analyzes, negotiates, resolves, documents and reports on consumer and commercial billing issues and complaints against the organization | Identifies solutions that address billing ...

Excellus BCBS

Publishing Sys Eng I

Utica, NY · On-site

Excellus BCBS is focused on providing healthcare solutions, and they are seeking a Publishing Systems Engineer to join their Document Solutions team. This role involves programming and maintaining ...

Excellus BCBS

Publishing Sys Eng I

Binghamton, NY · On-site

Excellus BCBS is focused on providing healthcare solutions, and they are seeking a Publishing Systems Engineer to join their Document Solutions team. This role involves programming within various ...

Excellus BCBS

Publishing Sys Eng I

Rochester, NY · On-site

Excellus BCBS is focused on providing healthcare solutions, and they are seeking a Publishing Systems Engineer to join their Document Solutions team. This role involves programming within various ...

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Bcbs information

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$29.5K

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$71K

How much do bcbs jobs pay per year?

As of Aug 24, 2026, the average yearly pay for bcbs in the United States is $65,716.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $69,000.00 per year, depending on experience, location, and employer.

What is BCBS?

BCBS stands for Blue Cross Blue Shield, which is a federation of 34 independent and locally operated health insurance companies in the United States. These companies provide health insurance to millions of Americans, offering a range of plans for individuals, families, and employers. BCBS companies are known for their broad network of healthcare providers and their commitment to making healthcare accessible and affordable. They operate in all 50 states, the District of Columbia, and Puerto Rico.

What are the key skills and qualifications needed to thrive as a Blue Cross Blue Shield healthcare claims processor?

To thrive as a BCBS Healthcare Claims Processor, you need a strong understanding of medical terminology, insurance policies, and claims adjudication, often backed by a high school diploma or associate degree. Familiarity with claims management software, electronic health record (EHR) systems, and regulatory coding standards such as ICD-10 and CPT is essential. Attention to detail, problem-solving skills, and effective communication help you resolve discrepancies and provide quality service. These competencies ensure accurate claims processing, regulatory compliance, and customer satisfaction in a highly regulated insurance environment.

What are some common challenges faced by professionals working in a Blue Cross Blue Shield claims processing role, and how can they be addressed?

Professionals in BCBS claims processing often encounter challenges such as keeping up with frequently changing healthcare regulations, managing large volumes of complex claims, and ensuring accuracy to prevent denials or delays in payments. Staying updated through regular training and leveraging available software tools can help streamline workflows. Collaborating closely with providers, policyholders, and other internal teams also supports timely resolution of issues and contributes to a positive member experience.

What is the difference between Bcbs vs Medical Billing Specialist?

AspectBcbsMedical Billing Specialist
CredentialsVaries; often requires insurance or healthcare certificationsCertification often preferred; CPC or similar
Work EnvironmentInsurance companies, healthcare providers, or third-party payersMedical offices, billing companies, healthcare facilities
Industry UsageInsurance industry, healthcare administrationHealthcare providers, billing services
Job FocusClaims processing, insurance policy managementBilling, coding, claims submission

The main difference is that Bcbs (Blue Cross Blue Shield) roles focus on insurance policy management and claims within the insurance industry, while Medical Billing Specialists handle billing and coding tasks in healthcare settings. Both roles require knowledge of healthcare procedures, but Bcbs positions are more insurance-centric, whereas Medical Billing Specialists work directly with healthcare providers to ensure accurate billing and reimbursement.

More about Bcbs jobs

What cities are hiring for Bcbs jobs?

Cities with the most Bcbs job openings:

What are the most commonly searched types of Bcbs jobs?

The most popular types of Bcbs jobs are:

What states have the most Bcbs jobs?

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Bcbs jobs near you
Infographic showing various Bcbs job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 90% Full Time, 6% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $65,716 per year, or $31.6 per hour.

Head of BCBS 239 Program - C16

Citigroup, Inc.

New York, NY • On-site

$250K - $500K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Citibank rating

8.4

Company rating: 8.4 out of 10

Based on 179 frontline employees who took The Breakroom Quiz

38th of 172 rated banks

Job description

The Head of BCBS 239 program will oversee the implementation and maintenance of BCBS 239 standards across the organization. This role requires a deep understanding of diverse systems, theories, and practices relevant to risk reporting and data management, complemented by extensive practical experience across business cycles. An in-depth knowledge of the industry landscape and competitors' offerings is essential for achieving the business's commercial objectives.
The position demands a thorough grasp of the strategic direction within the organization, supported by robust Risk and Data frameworks and practical expertise specific to Data Governance. Superior communication skills are vital for influencing a broad range of stakeholders through extensive internal and external negotiations that significantly impact organizational areas.
This role involves defining an overarching vision for BCBS 239 compliance, refining and ensuring continuous improvement of an existing BCBS 239 methodology and execution framework, crafting technology tools to track and forecast progress towards compliance, and establishing appropriate policies and standards across a three lines of defense operating model. This role also involves leading the development of robust data governance controls in partnership with the bank's other control frameworks, ensuring compliance with regulatory commitments, and reducing the inherent risk of the bank's data capabilities.
As a senior leader, this role entails full management accountability for multiple teams, encompassing oversight of personnel, budgeting, and strategic planning. The incumbent possesses authority to independently negotiate and make critical decisions affecting company's risk management practices, budget allocations, or business operations in relation to BCBS 239 framework.
Responsibilities:
  • Develop a strategic plan for BCBS 239 compliance and risk and finance data dependency
  • Refine the BCBS 239 compliance methodology and execution framework, including an ongoing continuous improvement capability
  • Define a clear operating model between the three lines of defense
  • Provide leadership and direction to cross-functional teams to ensure alignment with regulatory standards
  • Serve as a subject matter expert on BCBS 239 principles and best practices
  • Ensure the organization meets all BCBS 239 requirements and other relevant regulatory obligations. Requires strong understanding of BCBS 239 standards for risk reports
  • Regularly liaise with regulatory bodies and internal audit teams to maintain compliance
  • Develop and implement policies and procedures to support data governance and quality
  • Drive improvements in data quality and risk reporting processes
  • Collaborate with senior management and other stakeholders to integrate risk data insights into strategic decision-making
  • Communicate complex risk data concepts effectively to non-technical stakeholders
  • Build and manage a high-performing team of risk data professionals
  • Provide mentorship and professional development opportunities to team members

Skills and Qualifications:
  • 15+ years of relevant experience including leading a data governance function or supporting function in a large global organization
  • Strong understanding of BCBS 239 Heightened Standards, data governance, data quality management, and data risk management principles
  • Proven track record of leading large-scale data management projects, preferably related to BCBS 239 compliance
  • Strong understanding of regulatory requirements and best practices in risk data aggregation and reporting
  • Culture awareness and emotional intelligence
  • High level of professionalism, ethics, self-motivation and sense of urgency
  • An ability to interface with senior leaders, Executive Management and Board level
  • Strong partnership and collaboration skills
  • Ability to drive results through influence
  • Provide critical thinking and effective challenge
  • Forward planning and strategic thinking
  • Track record of successfully managing BAU processes and successful execution of global projects
  • Ability to pro-actively identify issues and ensure timely delivery and implementation of the remediation plans
  • Familiarity with US and International regulatory requirements for risk reporting
  • Flexibility and Adaptability - Ability to balance strategic and tactical initiatives
  • Ability to drive change across a complex organization
  • Strong decision-making, problem-solving and analytical skills
  • Excellent verbal and written communication skills
  • Evidenced commitment to staff development and employee satisfaction

Education:
  • Bachelor's/University degree, Master's degree preferred in Finance, Risk Management, Data Science, or a related field

Job Family Group:
Data Governance
Job Family:
Data Owner
Time Type:
Full time
Primary Location:
New York New York United States
Primary Location Full Time Salary Range:
$250,000.00 - $500,000.00
In addition to salary, Citi's offerings may also include, for eligible employees, discretionary and formulaic incentive and retention awards. Citi offers competitive employee benefits, including: medical, dental & vision coverage; 401(k); life, accident, and disability insurance; and wellness programs. Citi also offers paid time off packages, including planned time off (vacation), unplanned time off (sick leave), and paid holidays. For additional information regarding Citi employee benefits, please visit citibenefits.com. Available offerings may vary by jurisdiction, job level, and date of hire.
Anticipated Posting Close Date:
Apr 01, 2025
Citi is an equal opportunity and affirmative action employer.
Qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Citigroup Inc. and its subsidiaries ("Citi") invite all qualified interested applicants to apply for career opportunities. If you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi.
View the "EEO is the Law" poster. View the EEO is the Law Supplement.
View the EEO Policy Statement.
View the Pay Transparency Posting

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About Citigroup Inc

Sourced by ZipRecruiter

We live in an increasingly complex world. Companies these days are either born global or are going global at record speed. Business and geopolitics are forging an entirely new dynamic and consumers now expect financial services to be a seamless part of their digital lives. Citi is a bank that’s uniquely positioned for this moment. Through our vast global network and our on-the-ground expertise, we can connect the dots, anticipate change and empathize the needs of our clients and customers in ways that other banks simply cannot. Citi's mission is to serve as a trusted partner to our clients by responsibly providing financial services that enable growth and economic progress. We have set expectations for how we must act to bring our mission to life. These expectations are at the heart of our Leadership Principles – we take ownership, we deliver with pride and we succeed together.

Industry

Banking and credit intermediation

Company size

5,001 - 10,000 Employees

Headquarters location

New York City, NY, US

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