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Healthcare Operations

About

The Healthcare Operations team at Blue Cross and Blue Shield of Vermont is focused on enhancing the delivery of health care services to Vermonters through effective management of medical operations, coding, claims processing, and wellness programs. This team collaborates with healthcare providers and community organizations to ensure seamless service delivery, timely claims adjudication, and the implementation of innovative health initiatives that improve quality and accessibility of care for members. Additionally, they play a crucial role in audit and anti-fraud programs to maintain the integrity of health benefits and services.