BlueCross BlueShield of Minnesota | Diversity Employer

www.bluecrossmn.com

About BlueCross BlueShield

BlueCross BlueShield of Minnesota, chartered in 1933, was one of the state’s first health plans. Its founding mission was to promote a wider, more economical and timely availability of health services for the people of Minnesota. We’ve remained true to that mission for more than 70 years.

Membership

BlueCross BlueShield of Minnesota is the largest health plan in Minnesota, providing health coverage to more than 2.7 million members. BlueCross BlueShield of Minnesota offers coverage for individuals and groups of all sizes, as well as for state and federal
employees in every county throughout the state. BlueCross BlueShield of Minnesota also serves more than 125,000 members enrolled in government-sponsored programs and 184,000 members enrolled in Medicare programs.

In 2003, BlueCross BlueShield of Minnesota was one of the first in the country to offer consumer-directed health plans. BlueCross BlueShield of Minnesota currently serves 155,000 members in its Options Blue plans, which combine a high-deductible health plan
with a financial account and support from health management services and an online member service center.

Financial stability

BlueCross BlueShield of Minnesota, a not-for-profit, taxable organization, and its affiliates — under the parent corporation Aware Integrated Inc. — had total premium and premium equivalents in 2004 of more than $6 billion. More than 90 percent of health care premiums it received were paid back out for health care claims. BlueCross BlueShield of Minnesota realized a 0.2 percent net income and paid more than $106 million in 2004 in taxes and assessments.

Network strength and service

BlueCross BlueShield of Minnesota offers its customers access to 100 percent of nonfederal hospitals and more than 93 percent of professional providers statewide. Its plans offer true statewide coverage and access to providers in all areas of the state. The National Committee for Quality Assurance (NCQA) has awarded its highest accreditation status, for service and clinical quality, to the three main components of BlueCross BlueShield of Minnesota’s managed care business.

Health improvement

BlueCross BlueShield of Minnesota strives to empower people to improve their health through its contracting and credentialing requirements, benefit designs that cover preventive services and programs that help people with chronic diseases and illnesses live healthier lives. BlueCross BlueShield of Minnesota focuses extensive efforts on three areas: tobacco reduction, influenza, and chronic disease management. We also provide programs for healthy pregnancies and births, hypertension management, ensuring follow-up care after hospitalization, nurse advice lines, and a variety of health education/consumer information services.

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Manager - Behavioral Health Utilization Management

Eagan, Minnesota

BlueCross BlueShield of Minnesota

About Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and th...

Job Type

Full Time