Blue Cross and Blue Shield of Kansas

IT Support

• Define and maintain enterprise architecture principles, reference architectures, and standards across application, data, integration, security, and cloud domains
• Develop target-state architectures and multi-year roadmaps aligned to business capabilities, risk posture, and investment priorities
• Lead architecture governance, including reviews, exceptions, and decision records
• Ensure solutions are compliant, secure-by-design, and operationally ready
• Provide end-to-end solution architecture for initiatives, including application design, integration patterns, data flows, identity, and security controls
• Guide application modernization and platform adoption, including API-first, event-driven, and containerization approaches
• Shape cloud architecture guardrails covering landing zones, networking, identity, logging/monitoring, and cost governance
• Define data architecture direction to enable analytics and AI use cases
• Partner with Information Security and Compliance on threat modeling, least privilege, encryption/key management, and regulatory requirements
• Evaluate technologies and vendors and recommend adoption, consolidation, or retirement
• Mentor architects and engineering teams
• Promote CI/CD, Infrastructure as Code, testing, observability, and continuous reduction of technical debt

Enterprise Architect

Claims Specialist

• Review, analyze, and verify healthcare claims submitted by policyholders or medical providers
• Ensure documentation, ICD-10, CPT, HCPCS coding, and data are complete and accurate
• Check eligibility, coverage, and applicable benefits according to policy terms
• Enter and process claims information accurately in the system
• Apply deductibles, co-pays, co-insurance, and maximum coverage limits
• Approve or deny claims based on policy coverage and regulatory/company standards
• Adjust processed claims for corrective action
• Correspond with healthcare providers, patients, and internal departments to resolve discrepancies
• Investigate and resolve complex or escalated claim issues
• Ensure compliance with state and federal healthcare regulations
• Maintain accurate claims records for audits and reviews
• Meet individual and team performance targets for speed, accuracy, and quality
• Participate in ongoing training on policy and technology changes
• Monitor and work daily reports to ensure timely claim control
• Perform other assigned duties

Claims Examiner

Analyst

• Execute rating and underwriting for employer groups
• Perform production rating for self-funded and fully insured employer groups, including ASO, level-funded, and merit groups
• Assist with quality checking for production
• Support development and pricing of associations/AHPs
• Train Group Rating team members and Sales staff on rating policies, methodologies, and system functionalities
• Complete and process GRIT options, contracts, and related documents for enrolled and prospect groups
• Prepare and deliver prospect quotes using GRIT
• Respond to Sales inquiries regarding rating methodologies and group pricing
• Facilitate organization and maintenance of self-funded group contracts
• Track prospects, contracts, concessions, and reporting elements
• Collaborate with Sales and Underwriting to provide accurate group pricing and support inquiries
• Support the Team Lead, Group Rating, in production rating, quality checking, contract facilitation, and reporting

Group Rating Analyst

Backend Engineer

• Design, develop, test, and deploy robust, scalable, and secure application solutions
• Translate user stories and business needs into technical specifications and development tasks
• Enhance, refactor, and maintain existing applications for performance, stability, and scalability
• Collaborate with product owners, business analysts, QA engineers, and developers in an Agile/Scrum team
• Serve as a subject matter expert in debugging complex application issues and performance bottlenecks
• Ensure high-quality code through unit testing and peer reviews
• Contribute to architectural and design decisions
• Maintain technical documentation for systems, codebases, and development processes
• Monitor emerging technologies and propose innovative solutions
• Foster continuous learning and technical and leadership growth across teams

Lead Developer – .NET

Procurement

• Drive efficient acquisition of goods and services across the organization
• Oversee the sourcing lifecycle from understanding business needs through RFx events, contract negotiation and drafting, and source-to-pay management
• Conduct supplier selection activities, competitive bids, contract establishment, contract administration, and reporting
• Work with requestors to develop specifications, prepare bid documents, and evaluate and select suppliers
• Ensure supplier capacity, on-time delivery, compliance, and continuous improvement
• Collaborate with business areas and cross-functional teams to develop sourcing strategies and manage supplier contracts and relationships
• Generate and implement sourcing strategies through the RFx process
• Prepare and manage RFQs, RFPs, and other competitive bids
• Review proposals, analyze pricing, negotiate prices and contract terms, review scopes, and recommend selected bidders
• Develop and negotiate new supplier contracts and renegotiate existing contracts
• Maintain strategic sourcing relationships and develop supplier partnerships
• Generate total value estimates and expenditure forecasts
• Evaluate and streamline sourcing procedures and implement continuous-improvement solutions
• Drive strategic sourcing goals and action items
• Develop strategies to improve the organization's cost structure
• Optimize external spending through early sourcing involvement and stakeholder collaboration
• Negotiate contracts and manage vendor relationships, including IT services, IT infrastructure, and indirect spend
• Evaluate supplier competencies and competitive positioning with cross-functional stakeholders
• Analyze industry trends and emerging technologies to identify risks and opportunities
• Manage purchase order administration, including notices, change orders, new supplier onboarding, and contract closeout

Strategic Sourcing Specialist

• Mentor and coach entry- and mid-level sourcing team members
• Develop and negotiate contracts with new suppliers and renegotiate existing contracts to achieve lowest total system cost and savings objectives
• Analyze industry trends and evolving technology to identify issues, mitigate supplier and contractual risk, protect continuity of supply, and leverage emerging opportunities
• Optimize external spending through early involvement in the sourcing lifecycle and partnership with business stakeholders
• Maintain strategic sourcing relationships and develop strong partnerships
• Create cost estimates and expenditure forecasts related to procurement
• Evaluate sourcing procedures, present improvement strategies to leadership, and implement innovative solutions
• Support strategic sourcing management goals and implement action items to achieve them
• Lead the RFx process, including bid development, proposal evaluation, supplier selection, and contract negotiation
• Evaluate sourcing strategies, cost structures, and business risks; propose and implement improvements for long-term value and efficiency
• Manage complex contracts and agreements, vendor relationships, and sourcing areas including IT services, IT infrastructure, enterprise applications, and/or indirect spend
• Manage purchase order administration, notices and change orders, new supplier onboarding, and contract closeout
• Report to the Manager, Strategic Sourcing and Procurement
• Collaborate with cross-functional teams to develop sourcing strategies that optimize supplier value, quality, and service
• Analyze procurement data, identify cost-saving opportunities, and ensure compliance with company policies and regulatory requirements

Senior Strategic Sourcing Specialist

Business Intelligence Analyst

• Analyze large and complex datasets from various sources to identify trends, patterns, and correlations
• Translate data findings into actionable insights and recommendations
• Develop, test, and deploy predictive and prescriptive models and scenario forecasting using machine learning and statistical techniques
• Continuously evaluate and improve model performance
• Create data visualizations and dashboards for technical and non-technical stakeholders
• Work with finance, actuarial and underwriting, membership, marketing and customer experience, data warehouse and IT, health analytics, and human resources teams
• Understand business needs and translate them into data-driven solutions
• Present findings and recommendations clearly and concisely
• Maintain thorough and current documentation on data sources, preparation processes, mathematical models, dashboards, and business intelligence activities
• Ensure data quality, integrity, and security
• Develop and implement data collection, cleaning, and preparation processes
• Stay current with industry trends, tools, and technologies
• Explore and implement new methodologies to enhance data analysis capabilities

Business Intelligence Data Scientist

Operations

• Support clinical quality reporting and improvement initiatives, including HEDIS, accreditation, value‑based programs, and internal measures
• Collect, validate, analyze, and submit quality, enrollment, cost, and population risk data and reports
• Monitor quality performance, identify trends and gaps, and maintain program and process documentation
• Provide administrative and operational support, including meeting coordination, documentation management, logistics, and maintenance of electronic files, shared resources, and databases
• Track action items, deadlines, and deliverables
• Assist with reports, presentations, and communications
• Provide cross-coverage and backup support across lines of business during peak workloads or absences

Clinical Quality & Accreditation Operations Associate

Inside Sales

• Complete required training and continuing education
• Convert leads to sales using company sales models through inbound and outbound call-center activities
• Match prospects with appropriate products and enroll members
• Sell Medicare Supplement, Medicare Advantage, Part D, and direct-enrolled individual health insurance products
• Upsell dental, life, cancer, hospital indemnity, disability, and travel policies
• Overcome objections and position products against competitors while balancing intensity and integrity
• Execute cold calls to convert sales leads into enrollments
• Meet or exceed monthly and annual sales goals
• Meet department productivity standards based on outbound calls, call scoring, and close ratio
• Conserve policies at risk of cancellation and support member retention
• Plan and complete daily sales-process activities
• Complete production and competitive-environment reports
• Communicate federal and state legislation, underwriting guidelines, and rating practices affecting Blue Cross and Blue Shield of Kansas or its clients
• Maintain knowledge of product benefits, deductibles, coinsurance, waiting periods, limitations, exclusions, business lines, and OBRA/COBRA/MSP COBRA regulations
• Use the telephone 90% of the day, sit 90% of the day, and key data 50% of the day while managing multiple monitors
• Maintain working knowledge of LTS/METS to ESM policies and procedures while minimizing MTM errors
• Work evenings, weekends, and holidays on a rotating schedule