Create a healthy check in process. ¿ Set a clear deadline for an assessment to be completed by, for BCBSA and Service Provider resource to work toward common goal. ¿ Provide a written risk ...
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63 Bcbsa Jobs Hiring Near You
Create a healthy check in process. ¿ Set a clear deadline for an assessment to be completed by, for BCBSA and Service Provider resource to work toward common goal. ¿ Provide a written risk ...
Responsible for managing and controlling (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program Quality Program, (b) the National Committee ...
Responsible for managing and controlling (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program Quality Program, (b) the National Committee ...
National Programs Analyst
Newark, NJ · On-site +1
$63K - $84K/yr
Acts as a liaison between internal divisions and the BCBSA, coordinating National Programs compliance activities aligned to the guidelines of the Association. * Reviews provider files, working ...
National Programs Analyst
Newark, NJ · On-site +1
$63K - $84K/yr
Acts as a liaison between internal divisions and the BCBSA, coordinating National Programs compliance activities aligned to the guidelines of the Association. * Reviews provider files, working ...
National Programs Analyst
$63K - $84K/yr
Acts as a liaison between internal divisions and the BCBSA, coordinating National Programs compliance activities aligned to the guidelines of the Association. * Reviews provider files, working ...
National Programs Analyst
$63K - $84K/yr
Acts as a liaison between internal divisions and the BCBSA, coordinating National Programs compliance activities aligned to the guidelines of the Association. * Reviews provider files, working ...
... BCBSA guidelines for Member Touchpoint Measures (MTM), BCBSA Line Desk Level Audit (LDLA), and Multi-State Plan (MSP). • Extensive Knowledge of all key operating systems such as Interplan ...
... BCBSA guidelines for Member Touchpoint Measures (MTM), BCBSA Line Desk Level Audit (LDLA), and Multi-State Plan (MSP). • Extensive Knowledge of all key operating systems such as Interplan ...
Regulatory Policy Consultant (Remote)
Baltimore, MD · On-site +1
Federal, BCBSA, Government Programs, State. Provides internal and external liaison functions, workflow, customer service, communications, training, strategic delivery, efficiency, cost reduction and ...
Regulatory Policy Consultant (Remote)
Baltimore, MD · On-site +1
Federal, BCBSA, Government Programs, State. Provides internal and external liaison functions, workflow, customer service, communications, training, strategic delivery, efficiency, cost reduction and ...
Responsible for managing and controlling (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program Quality Program, (b) the National Committee ...
Responsible for managing and controlling (a) the BCBSA's Member Touchpoint Measures (MTM), Licensee Desk Level Audit (LDLA), and Federal Employee Program Quality Program, (b) the National Committee ...
Quality Specialist
Philadelphia, PA · On-site
All services administered by the Plans that cover enrollment, claims and customer service must be measured and reported in accordance with the BCBSA Program Guides. Audit documentation utilized to ...
Quality Specialist
Philadelphia, PA · On-site
All services administered by the Plans that cover enrollment, claims and customer service must be measured and reported in accordance with the BCBSA Program Guides. Audit documentation utilized to ...
This position is responsible for auditing samples of enrollment, claims, and customer service interactions to determine the accuracy in accordance with BCBSA mandated programs, group customer ...
This position is responsible for auditing samples of enrollment, claims, and customer service interactions to determine the accuracy in accordance with BCBSA mandated programs, group customer ...
AWS Platform Engineer
Austin, TX · On-site
... BCBSA internal teams Hours : 8:00am to 5:00pm Education : Additional Job Details : AWS Certificated with at least 4 years on AWS.
AWS Platform Engineer
Austin, TX · On-site
... BCBSA internal teams Hours : 8:00am to 5:00pm Education : Additional Job Details : AWS Certificated with at least 4 years on AWS.
Lead and distribute BCBSA communications to appropriate individuals within the Plan working with various internal departments. This includes coordinating payment for claims due to dual or more ...
Lead and distribute BCBSA communications to appropriate individuals within the Plan working with various internal departments. This includes coordinating payment for claims due to dual or more ...
This role supports CMS ONC, BCBSA, and enterprise interoperability initiatives, with a strong focus on FHIR based APIs, SmileCDR, and high volume ETL/ELT pipelines built on modern DataWorks platforms.
This role supports CMS ONC, BCBSA, and enterprise interoperability initiatives, with a strong focus on FHIR based APIs, SmileCDR, and high volume ETL/ELT pipelines built on modern DataWorks platforms.
Develop and maintain leadership positions in national organizations, such as the National Health Care Anti-Fraud Association and BCBSA, to stay informed about industry trends and best practices.
Develop and maintain leadership positions in national organizations, such as the National Health Care Anti-Fraud Association and BCBSA, to stay informed about industry trends and best practices.
... BCBSA), and state and federal agencies. Key Responsibilities: Strategic Leadership: • Develop and implement comprehensive strategies and high-level tactics to prevent and detect FWA involving ...
... BCBSA), and state and federal agencies. Key Responsibilities: Strategic Leadership: • Develop and implement comprehensive strategies and high-level tactics to prevent and detect FWA involving ...
Lead and distribute BCBSA communications to appropriate individuals within the Plan working with various internal departments. This includes coordinating payment for claims due to dual or more ...
Lead and distribute BCBSA communications to appropriate individuals within the Plan working with various internal departments. This includes coordinating payment for claims due to dual or more ...
Develop and maintain leadership positions in national organizations, such as the National Health Care Anti-Fraud Association and BCBSA, to stay informed about industry trends and best practices.
Develop and maintain leadership positions in national organizations, such as the National Health Care Anti-Fraud Association and BCBSA, to stay informed about industry trends and best practices.
Software Engineer - Interoperability & Data Platforms
Pittsburgh, PA · On-site
$107K - $128K/yr
This role supports CMS ONC, BCBSA, and enterprise interoperability initiatives, with a strong focus on FHIR based APIs, SmileCDR, and high volume ETL/ELT pipelines built on modern DataWorks platforms.
Software Engineer - Interoperability & Data Platforms
Pittsburgh, PA · On-site
$107K - $128K/yr
This role supports CMS ONC, BCBSA, and enterprise interoperability initiatives, with a strong focus on FHIR based APIs, SmileCDR, and high volume ETL/ELT pipelines built on modern DataWorks platforms.
Gather and synthesize research studies, industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies. * Conduct data analysis to ...
Gather and synthesize research studies, industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies. * Conduct data analysis to ...
Gather and synthesize research studies, industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies. * Conduct data analysis to ...
Gather and synthesize research studies, industry information, and BCBSA resources to gain insight and apply best practices to health care quality improvement strategies. * Conduct data analysis to ...
Plano, TX and Chicago, IL Duration: Long Term Contract BCBSA is looking for Apigee and Solortuning experts 2 positions to start in mid-September. Please share suitableprofiles. There will be client ...
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Plano, TX and Chicago, IL Duration: Long Term Contract BCBSA is looking for Apigee and Solortuning experts 2 positions to start in mid-September. Please share suitableprofiles. There will be client ...
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Job description
Associate Security Consultant MAHIN-JOB-32728
Location: PLANO
¿ Experience in Cloud Auditor / Auditor for Cloud Applications is a MUST ¿ Experience helping an organization directly through a SOC II audit (internal audit support) o Example: Worked for Walmart and helped Walmart through their SOC II audit ¿ Must hold good experience as a project manager for SOC II audit projects. ¿ Supporting from a third party / vendor review or support perspective is not what customer is looking for. ¿ Strong understanding of audit activities including engagement with control owners ¿ Direct stakeholders on control requirements, automation, continuous monitoring, and evidence submission as a part of the security audit program ¿ HITrust experience strongly preferred.
¿ Provide support for reporting and security audits. ¿ Monitor and review questionnaires to keep vendors on track. ¿ Work with business and third parties to address any concerns over our questions or the evidence that BCBSA is requiring and make sure to keep that well documented as part of the process.
Create a healthy check in process. ¿ Set a clear deadline for an assessment to be completed by, for BCBSA and Service Provider resource to work toward common goal. ¿ Provide a written risk assessment for each questionnaire reviewed along with recommendations and risk scores.
¿ Use technology to streamline the process. ¿ Excellent understanding on InfoSec processes ¿ Exposure to CMS, HIPAA, HiTrust, PCI, FISMA ¿ Bachelor¿s degree in information systems or related discipline and CISA, CISM, certified in risk and information systems control (CRISC), certified information privacy professional (CIPP), CISSP or equivalent certification. 1 3+ years of professional experience in IT or Information Security Risk consulting/management.
About Keylent
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Keylent Inc, based in Wilmington, DE, US, operates in the dynamic IT services and solutions industry. Their official platform, keylent.com, further details their robust suite of services which primarily comprise software consulting, quality assurance, project management, and business intelligence. Keylent Inc has been an integral part of the industry since its inception, serving diverse clients with their specialized, innovative IT solutions. This customer-centric firm is founded on the core values of reliability, integrity, and zealous innovation. Their mission is to empower businesses in navigating the complex technological landscape with ease, efficiency, and confidence. Notably, Keylent Inc has been recognized for its commitment to exceptional service delivery and the profound impact of its solutions in facilitating business growth.
Industry
Internet and it
Company size
11 - 50 Employees
Headquarters location
Wilmington, DE, US
Year founded
2010