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© All Rights Reserved. ApplyBlast.com
Capital Blue Cross
The Specialist is responsible for identifying, reviewing, and analyzing policy and procedure issues while ensuring compliance with organizational, CMS, and regulatory requirements. This role handles appeals related to enrollment, billing, benefits, and claims for various Medicare and supplemental programs. The position involves researching customer and provider requests, preparing case files, and resolving complex appeals to ensure timely and accurate outcomes.
Headquarters
Harrisburg, Pennsylvania, United States
Company Size
1001-5000 employees
Founded
1938
Capital Blue Cross is a regional health insurer serving Pennsylvania that provides medical and related coverage for individuals, families, employers and Medicare-eligible members. Its plans give access to a large network of doctors, hospitals and wellness resources, with care-management and preventive programs to help members stay healthy. The company emphasizes member-focused service and digital tools (online account management and provider search) to simplify care and claims. It positions itself as more than an insurer by partnering with employers, providers and community organizations to improve local health outcomes.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Capital Blue Cross.
Capital Blue Cross didn’t post a salary, so this is our estimate from similar listings.
32% below the average for this role
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