
5001 - 10000 employees
Founded 1952
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.
🔥 5 minutes ago
🎸 Tennessee – Remote
⏰ Full Time
🟠 Senior
🤖 Artificial Intelligence
🦅 H1B Visa Sponsor
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5001 - 10000 employees
Founded 1952
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.
• Own operational oversight, quality standards, and escalation management for AI-enabled member service processes • Lead complex issue triage, root cause analysis, and corrective action planning • Define and maintain operational validation standards, sampling approaches, and quality measures • Lead requirements definition, prioritization, and validation for enhancements and releases • Drive user acceptance testing, operational readiness reviews, and post-release validation • Define, monitor, and communicate key performance indicators and operational insights to leadership • Serve as the primary operational liaison across Operations, Quality, IT, Analytics, and vendor partners • Mentor analysts and establish repeatable standards, documentation practices, and best practices • Translate AI strategy into dependable, compliant performance for member-facing virtual assistants • Convert performance insights into prioritized cross-team actions that improve the virtual assistant while protecting reliability and compliance
• Bachelor’s degree or equivalent work experience required • Equivalent experience is defined as four years of professional work experience in a corporate environment • 4 to 5 years in service operations, operations analysis, contact center operations, quality, or business analysis • Demonstrated success leading complex operational issue resolution and cross-functional initiatives • Advanced experience documenting operational requirements and validating solutions through testing • Proven ability to present operational findings and recommendations to leadership audiences • Advanced analytical and problem-solving skills • Reporting or analytics experience using Tableau, Access, Cognos, or data warehouse tools is a plus • Ability to define operational standards and drive continuous improvement • Strong operational judgment and ability to influence outcomes without direct authority • Advanced proficiency with Microsoft Office tools including CoPilot • Ability to mentor peers and build operational capability across the team • Sponsorship is not available for this role
• Remote work arrangement • Occasional travel to BCBST headquarters • AI-enabled tools and proven workflows, templates, and policies to support everyday work
Apply Now🔥 1 hour ago
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