Bcbsnc
46 open jobs
Actuarial Analyst
Job Description Blue Cross NC is seeking an Actuarial Analyst to support rating and pricing, valuation, healthcare economics, and financial forecasting. Under general guidance, this role applies knowledge of mathematics, probability, statistics, and business principles to
Case Manager
Job Description We’re hiring a Case Manager to join the Commercial Case Management team! Dependent on clinical discipline, the Case Manager / Health Coach coordinates appropriate care, resources and/or services of selected member populations. Provides guidance and promotes
Team Leader, Appeals
Job Description We are hiring for a Team Leader, Appeals to supervise the process to ensure the resolution of appeals, coding disputes and grievances consistent with organizational policies and procedures and which are compliant with state and federal guidelines. This individual
Senior Developer
Job Description We are seeking a Senior Developer to help design, build, and enhance our external customer-facing web portal, delivering secure, scalable, and intuitive digital experiences for our customers. In this role, you will develop and support high-performance
Intake Specialist
Job Description We’re hiring an Intake Specialist to join the Commercial UM Operations Team! Based on established guidelines, the Intake Specialist processes a variety of internal and external member/provider requests and transactions,. Receives, screens, and enters data in
Claims Specialist
Job Description We’re hiring a Claims Specialist to join the Claims Operations Team! With moderate supervision, the Claims Specialist reviews and timely adjudicates claims and administers them in accordance with contractual benefits and health care policies. The Claims
Client Financial Associate
Job Description Responsible for financial claims expense invoicing, reporting, analysis, determining reimbursement and forecasting including the preparation of financial claims expense, weekly invoicing and statements through the month end closing. Delivers reporting and trends
Principal Treasury Analyst
Job Description Blue Cross NC is seeking a Principal Treasury Analyst to develop, manage, and continuously improve cash forecasting capabilities for Blue Cross and Blue Shield of North Carolina and its subsidiaries. This role will lead the analysis of cash flow trends, identify
Senior Counsel - Employment
Job Description As a Senior Counsel - Employment, you will provide strategic legal guidance on complex matters that may include high-value transactions, litigation, regulatory compliance, and corporate initiatives with significant financial impact. You’ll bring deep expertise in
Senior Financial Advisor
Job Description Blue Cross NC is seeking a Senior Financial Advisor to lead and coordinate financial work efforts that provide divisional leadership with analytical insights, financial discipline, and business outputs that support our financial strategy. This role builds
Senior Risk Advisor
Job Description The Senior Risk Advisor provides audit and advisory services for CuraCor Group’s (CCG) non-insurance operating assets, focusing on financial, strategic, and entity-level risks and controls. This role partners with management to develop, strengthen, and
Sr. Onsite Clinical Care Navigator (New Bern, NC - CarolinaEast Medical Center)
Job Description **This is an Onsite M-F position. New Bern, NC - CarolinaEast Medical Center** We’re hiring a Sr. Onsite Clinical Care Navigator to join the Commercial Case Management Team! Dependent on clinical discipline, the Onsite Clinical Care Navigator coordinates
Applyto Sr. Onsite Clinical Care Navigator (New Bern, NC - CarolinaEast Medical Center) at Bcbsnc seen live 11h ago posted 4 days agoSenior Financial Advisor
Job Description We are seeking a Senior Financial Advisor to lead and coordinate financial analysis and planning efforts that provide divisional leaders with actionable insights, financial discipline, and business outputs that support our financial strategy. This role builds
Senior Business Systems Analyst
Job Description Blue Cross NC is seeking a Senior Business Systems Analyst to leverage strong functional and technical expertise across relevant systems and applications. This role defines, evaluates, and validates requirements, business functional design, and technical design
2027 SkillBridge Intern (Military Engagement Advisor) *Open to Active Duty US Military Only*
Job Description At Blue Cross NC, we recognize the dedication, discipline, and leadership that transitioning service members bring to the workforce. Through our DoW SkillBridge Program, we provide a unique opportunity for military personnel in their final months of service to
Applyto 2027 SkillBridge Intern (Military Engagement Advisor) *Open to Active Duty US Military Only* at Bcbsnc seen live 11h ago posted 4 days agoSenior Accountant
Job Description Responsible for the preparation and review of the financial statements through the coordination of the month end close and reporting process. Responsible for gathering and analyzing complex financial information, evaluating accounting implications, and
Client Financial Analyst
Job Description Responsible for financial claims expense invoicing, reporting, analysis and forecasting. Prepares financial claims expense invoices, reports and operating trends. Prepares financial claims expense statements through the coordination of the month end close and
Associate Counsel – State Health Plan Administration
Job Description We're seeking an Associate Counsel to join our legal team as dedicated legal support for Blue Cross NC's Third-Party Administrator (TPA) services provided to the North Carolina State Health Plan for Teachers and State Employees. This position is assigned
Applyto Associate Counsel – State Health Plan Administration at Bcbsnc seen live 11h ago posted 6 days agoAssociate Medical Director
Job Description The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an interface between the company and physicians, providers, employer and community groups, and members as needed. Utilizes
Actuarial Analyst
Job Description The Commercial Reserving team is seeking an actuarial professional to support financial forecasting, reserve valuation, and healthcare analytics initiatives. In this role, you will apply actuarial principles, statistical analysis, and business acumen to deliver
Team Leader, Coordination of Benefits (COB)
Job Description Blue Cross NC is seeking a Team Leader, Coordination of Benefits (COB) to lead departmental staff, oversee workloads, and support the execution of operational goals. This role provides guidance on issue resolution, promotes member and customer satisfaction, and
Senior Portfolio Analyst
Job Description As a Senior Portfolio Analyst, you will actively analyze, manage, and provide tactical and strategic expertise to portfolios of strategic and more complex initiatives and projects. Enable effective enterprise portfolio management by ensuring data integrity and
Principal Solution Architect - Data Focus
Job Description Blue Cross NC is seeking a highly experienced Principal Solution Architect (Data Focus) to provide enterprise-level architecture leadership across complex business and technology initiatives. This role serves as a strategic technology leader responsible for
Senior IT Category Manager
Job Description As the Senior IT Category Manager, you will lead sourcing and vendor governance activities for assigned IT categories, including hardware, software, and services. This role focuses on reducing total cost of ownership through effective sourcing strategies, tools,
Senior Technical Project/Program Manager
Job Description The Senior Technical Project/Program Manager leads complex, technology-driven projects and initiatives from planning through delivery, release, and post-implementation transition. This role is responsible for and equally accountable for the successful completion
Associate Counsel – Pharmacy Benefit Management
Job Description We’re seeking an Associate Counsel to join our legal team as legal support for Blue Cross NC’s Pharmacy Benefit Manager (PBM) services, including services provided to the North Carolina State Health Plan for Teachers and State Employees. This role is well-suited
Applyto Associate Counsel – Pharmacy Benefit Management at Bcbsnc seen live 11h ago posted 12 days agoSenior Strategic Advisor, Healthcare
Job Description The Senior Strategic Advisor leverages deep pharmacy industry expertise to identify and advance innovative cost-of-care savings opportunities, develop revenue-generating pharmacy products and programs, optimize existing solutions for greater impact and
Senior Infrastructure Design Engineer
Job Description Responsible for the engineering of various and complex aspects of both physical and cloud hosted data center infrastructures which might include network, compute, storage, platform, middleware, database and telephony. Independently analyze current and future
Senior Business Operations Advisor
Job Description Provide advanced department, divisional and/or segment-focused business and operational leadership support for Medicare Advantage and Medicare Supplement lines of business, including business relationship management, business plan development, reporting, data and
Principal Business Architect
Job Description As a Principal Business Architect, you will deliver internal consulting services and change leadership to enhance the effectiveness of the organization at the enterprise level. Link business strategy to the development of capabilities, people, process,
Lead Center Specialist (Boone, NC)
Job Description What You'll Do Successfully utilizes added and specialized knowledge of product types, functional and/or technical skills to provide the highest level of solution focused, end to end service to our customers on highly complex insurance questions and issues.
Senior System Configuration Analyst
Job Description Support the delivery of IT services by ensuring the Configuration Management Database (CMDB) is maintained keeping it current and accurate. Configuration Management processes fall under the ITIL Framework Model and report into the ITIL Service Operation
Business Solutions Developer
Job Description The Business Solutions Developer creates technical solutions to address moderately complex business capability needs by utilizing at least one technical application; including but not limited to: Business Objects, Access, Crystal Reports, SQL, VBA, etc. Acts as
Manager, Treasury Operations
Job Description Blue Cross NC is hiring a Manager, Treasury Operations to oversee cash management and treasury operations for Blue Cross and Blue Shield of North Carolina and its subsidiaries. In this role, you’ll manage banking relationships, collaborate with internal partners,
Senior Infrastructure Facets Design Engineer
Job Description Responsible for the engineering of various and complex aspects of both physical and cloud hosted data center infrastructures which might include network, compute, storage, platform, middleware, database and telephony. Independently analyze current and future
Applyto Senior Infrastructure Facets Design Engineer at Bcbsnc seen live 11h agoSr Strategic Advisor, Specialty Pharmacy Networks
Job Description Acts as a senior member of the strategic function by contributing to the achievement of pharmacy affordability goals through specialty pharmacy network design, contracting strategy, network optimization, and innovative market-based pricing approaches. Leverages
Applyto Sr Strategic Advisor, Specialty Pharmacy Networks at Bcbsnc seen live 11h agoStrategic Advisor, Enterprise Strategy
Job Description CuraCor Solutions is seeking a Strategic Advisor with experience in provider strategy and health data analytics to join our growing Care Delivery Services team. In this role, you will help drive healthcare innovation by delivering rigorous market and competitive
Applyto Strategic Advisor, Enterprise Strategy at Bcbsnc seen live 11h agoPrincipal Facets Application System Analyst
Job Description Responsible for the end to end completion of requirements elaboration and system functional design to solution the most complex enterprise-wide business demands through enabling technology and/or business processes that impact multiple business units, lines of
Applyto Principal Facets Application System Analyst at Bcbsnc seen live 11h agoFinancial Analyst – Financial Monitoring & Analysis
Job Description CuraCor Solutions is seeking a results-oriented, organized, analytical, and intellectually curious finance professional, who wants to make a strong impact in driving financial optimization across multiple organizations as part of the Financial Monitoring &
Applyto Financial Analyst – Financial Monitoring & Analysis at Bcbsnc seen live 11h agoDirector, Enterprise Risk Management
Job Description Blue Cross NC is hiring a Director, Enterprise Risk Management to lead the design, execution, and continuous improvement of the organization’s enterprise risk management framework. This role is responsible for proactively identifying, assessing, managing, and
Applyto Director, Enterprise Risk Management at Bcbsnc seen live 11h agoPrincipal Facets Developer
Job Description This is your chance to radically change the game and use your strong technical skills to transform healthcare. You'll be the subject matter expert on assigned projects, leading the work of an agile, high energy and innovative team responsible for the design,
Applyto Principal Facets Developer at Bcbsnc seen live 11h agoPrincipal Strategic Advisor, Provider-Side Care Delivery Strategy
Job Description CuraCor Solutions is seeking a Principal Strategic Advisor with deep expertise in provider-side strategy and care delivery transformation to join our growing Care Delivery Services team. In this role, you will help drive health care innovation by shaping
Senior Actuarial Analyst - Medical Economics
Job Description Blue Cross NC is seeking a Senior Actuarial Analyst to join our Medical Economics Enablement team. In this role, you will apply actuarial expertise and advanced analytical skills to transform complex healthcare data into actionable insights that improve
Applyto Senior Actuarial Analyst - Medical Economics at Bcbsnc seen live 11h agoSenior AI/ML Scientist
Job Description Serve as the senior AI/ML scientist to identify, research, and develop transformational predictive, prescriptive, and Generative AI (GenAI) solutions that translate structured and unstructured data into sound organizational decisions. Senior AI/ML scientist will
Applyto Senior AI/ML Scientist at Bcbsnc seen live 11h agoPrincipal Actuary, Cost of Care
Job Description The Principal Actuary delivers a broad range of actuarial or analytical work for the company, such as conducting pricing and actuarial strategy for a business segment, evaluating advanced care management models, performing competitive benchmarking analysis, and
Applyto Principal Actuary, Cost of Care at Bcbsnc seen live 11h agoSenior Data Modeler
Job Description The Senior Data Modeler designs, implements, and documents more complex data architecture and data modeling solutions, which include the use of relational, dimensional, and NoSQL databases. These solutions support enterprise data management, business
Applyto Senior Data Modeler at Bcbsnc seen live 11h ago