Blue Cross NC Jobs in United States

Analyze complex appeals for Blue Cross NC by reviewing medical necessity criteria corporate policy contract provisions legislation nd federal requirements. · ...

The Principal IT Governance Analyst provides expert advisory services, offering a proactive and strategic approach to help the organization achieve its business objectives while effectively managing technology, security, and compliance risks. · Leverage deep expertise in IT gover ...

Blue Cross NC is looking for an exceptional Principal Marketing & Print Category Management Analyst to shape innovative supplier strategies. · Implement Blue Cross NC enterprise sourcing strategy and drive millions in annual savings to meet established targets · Understand Blue C ...

As an Account Implementation Analyst, you'll lead the charge in delivering custom benefits for large employer groups within key customer segments. · ...

Join a team where technology meets strategy. As a Sr. Business Applications Analyst, you will play a crucial role in delivering technical data support and innovative solutions for Actuarial financial data systems and Marts. · 5+ years of SQL Development/Analysis experience5+ year ...

Healthy Blue Care Together (HBCT) is partnering with the North Carolina Department of Health and Human Services to operationalize the Children and Families Specialty Plan (CFSP). The Senior Program Manager will support monitoring and evaluation of key aspects of HBCT Plan executi ...

The Director of IT Cloud Infrastructure Solutions is responsible for leading teams dedicated to the detailed design and planning of our cloud infrastructure technology futures. · ...

This role plays a critical part in ensuring that high-quality, reliable data is available across the organization. · Troubleshoot, stabilize and enhance data assets across platforms (Snowflake), and enterprise data stores ( EDW, TAP, EODS MDM Analytics Insights Platform). · ...

The Vice President, Medical Economics is responsible for driving medical cost management and healthcare value initiatives across the organization. · This role oversees three critical areas: Cost of Care Analytics, Healthcare Value Strategy, and Healthcare Value Operations.Lead an ...

Lead a group of membership representatives within Commercial Membership. · Manage day-to-day business area activities; provide leadership and direction to the team and set team goals and expectations. · Act as a technical resource for a team; provide assistance on system issues, ...

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed sit amet nulla auctor, vestibulum magna sed,As the Federal Lobbyist for Blue Cross NC and CuraCor Goup this position plays a critical role in leading the development and implementation of a comprehensive federal public ...

Blue Cross NC Internship Program · We're committed to making health care better for all through our award-winning internship program. · You'll contribute to meaningful projects, collaborate with innovative leaders, and make a real impact on communities. · ...

We're seeking Utilization Management Specialists to join the Government Pharmacy Utilization Management Operations Team The · Conduct non clinical reviews based on applicable criteria and guidelines on requested services. · Communicate decision to provider and/or member, accordi ...

The Principal Financial Advisor is a strategic finance leadership role at the intersection of analysis, business strategy, and transformation. This position goes beyond traditional finance—it's about shaping decisions that drive financial operational expenses and organizational s ...

The Case Manager / Health Coach coordinates appropriate care, resources and/or services of selected member populations. Provides guidance and promotes effective utilization and monitoring of health care resources to drive quality care for our members. · ...

Responsible for the development, maintenance, and ongoing improvement of the IT controls framework, including documentation, risk management, training, and associated processes. · ...

Career development programs and tuition reimbursement for continued education. The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance flexibility and the autonomy to do great work. · ...

At Blue Cross and Blue Shield of North Carolina, we are committed to making health care better for all. Our award-winning internship program contributes to our company culture. · ...

Leads and manages the strategic and operational aspects of complex initiatives for the maternal health program. · Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities · Develops business cases strate ...

Leads and manages the day-to-day operational and tactical aspects of multiple or enterprise scale projects... · ...