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BlueCross BlueShield of Tennessee

Independent not-for-profit health plan serving Tennessee

Medicare Products Document Specialist

Regulatory Compliance & EthicsPosted on Nov 6
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • A Bachelor's degree or equivalent work experience is required; equivalent experience is defined as four years of professional work experience in a corporate environment.
  • Five years of experience in the healthcare industry is required.
  • Three years of experience with Medicare products is required.
  • Ability to work independently with minimal supervision or function in a team environment while sharing responsibility, roles, and accountability.
  • Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
  • Ability to organize work and handle multiple projects.
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills.

Responsibilities

  • Manage the end-to-end process for creating and fulfilling the annual member mailing, ensuring benefit information is accurate and delivered within designated deadlines.
  • Serve as department liaison with Product Strategy, Operations, Pharmacy, and Compliance to maintain open dialogue regarding plan design and administrative changes.
  • Review and interpret regulations that impact the company's Medicare plans and ensure compliance with governing bodies.
  • Implement and improve procedures for handling plan materials and regulatory documents for members or potential customers; analyze causes of difficulties and make changes as needed.

Desired Qualifications

  • Background in Marketing, Communications, or Business.
  • Experience researching and interpreting CMS regulations.
  • Experience reviewing marketing or member materials for compliance.
  • Comfort communicating and building relationships with external vendors.
  • A creative, process-improvement mindset, including interest in using AI to make day-to-day work more efficient.

About the Company

BlueCross BlueShield of Tennessee

Independent not-for-profit health plan serving Tennessee

BlueCross BlueShield of Tennessee is a not-for-profit health plan that provides health insurance and related services to people in Tennessee as an independent BlueCross BlueShield licensee. Members buy health plans that cover doctors, hospitals, prescriptions, and other care, and use a broad provider network while the plan handles billing and eligible expenses. It differs from many competitors by being locally governed and not-for-profit, focusing on community health, and by linking to the national BCBS network for consistent benefits across state lines. Its goal is to give peace of mind through better health by helping Tennesseans stay healthy today and build a healthier tomorrow.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Chattanooga, TN
Founded
1945

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