Company · 85 open roles
Careers at Bcbsnc
Bcbsnc has 85 active roles on ResuMinder right now, with 75% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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85 positions at Bcbsnc
Manager, Financial Accounting & Reporting
Bcbsnc·Remote Flex - North Carolina
Job Description Blue Cross NC is seeking a Manager, Financial Accounting & Reporting to lead the accounting and reporting team and deliver accurate, timely, and high-quality financial reporting. This role oversees accounting controls, reporting policies, close activities, and ge…
Senior Infrastructure Facets Design Engineer
Bcbsnc·Remote Flex - North Carolina
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 requ…
Business Process Advisor
Bcbsnc·Remote Flex - North Carolina
Job Description In this role you will lead work to enhance effectiveness of the organization at the enterprise level by linking business strategy to business process. This position will work on cross functional teams to drive process improvements. What You'll Do • Support BCBS…
Director, Pharmacy
Bcbsnc·Remote Flex - Georgia
Job Description We're seeking a Director, Part D Stars Strategy to join our Government Pharmacy Programs Department. The Director, Part D Stars Strategy, is responsible for driving the day to day strategy, execution, and performance management of Medicare Part D Star Ratings. Th…
Team Leader, Government Pharmacy UM Operations
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring a Team Leader, Government Pharmacy UM Operations. This individual will be responsible for leading a team of departmental staff, including oversight of workload and execution of operational goals. Provides guidance on problem resolution, ensures membe…
VP, Payment Integrity
Bcbsnc·Hybrid Flex - Durham
Job Description To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and coding requirements and post payment recoupment, to promote accuracy in claims payment and correct …
AVP, Underwriting & Strategic Pricing
Bcbsnc·Hybrid Flex - Durham
Job Description Accountable for the underwriting of group prospects and renewals for both fully-insured and self-funded health & ancillary products. Ensures equitable and consistent application of underwriting principles and strategic pricing practices to drive profitable member…
Principal Data Scientist
Bcbsnc·Remote Flex - North Carolina
Job Description The Principal Data Scientist will serve as the principal lead to provide accurate and quality analyses that translate data in sound organizational decisions. In this role you will provide strategic thought leadership and partner with other functional areas to del…
Actuarial Analyst
Bcbsnc·Remote Flex - North Carolina
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 provid…
Principal Actuary
Bcbsnc·Remote Flex - North Carolina
Job Description Blue Cross NC is seeking a Principal Actuary to provide advanced actuarial analysis and technical support for complex rating and pricing, valuation, and financial forecasting work. This role applies deep knowledge of mathematics, probability, statistics, health i…
Manager, Workday People Strategic Insights
Bcbsnc·Hybrid Flex - Durham
Job Description Manages the People Insights function, delivering workforce analytics, reporting, and insights that enable informed business and talent decisions. Partners with HR, Finance, and business leaders to address workforce challenges through data-driven analysis and cons…
Episodic Care Manager
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring an Episodic Care Manager to join the Medicare Utilization Management Team! The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based on medica…
Business Systems Analyst
Bcbsnc·Remote Flex - North Carolina
Job Description We're hiring a Business Systems Analyst to join the Member Enrollment & Operations Team! This role serves as a liaison between Operations, Business, IT, and vendor partners to support enrollment processes, operational stability, issue resolution, process improvem…
FEP Claims Team Leader, Operations
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring an FEP Claims Team Leader, Operations to join the Claims Team! Responsible for leading a team of departmental staff, including oversight of workload and execution of operational goals. Provides guidance on problem resolution, ensures member and custo…
Manager, Behavioral Health Case Management
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring a Manager, Behavioral Health Case Management, to collaborate and engage with multiple internal stakeholders and external customers (i.e. providers, vendors, employer groups) to implement population health management and promote a collaborative, integ…
Senior Account Implementation Analyst
Bcbsnc·Remote Flex - North Carolina
Job Description Responsible for activities that support sales lifecycle to ensure successful implementation of custom groups. Designs and manages detailed project plans for each new business or renewal implementation while identifying emerging issues and determining potential so…
Senior Manager, Pharmacy
Bcbsnc·Remote Flex - North Carolina
Job Description We're hiring a Senior Manager, Pharmacy, to oversee utilization management operations and clinical review teams in support of strategic and operational priorities for an assigned line of business (Commercial or Government) within the Pharmacy UM and Compliance ve…
Principal Strategic Advisor, Healthcare
Bcbsnc·Hybrid Flex - Durham
Job Description We're hiring a Principal Strategic Advisor, Healthcare to lead efforts to achieve innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages extensive…
Manager, Healthcare Category Management
Bcbsnc·Remote Flex - North Carolina
Job Description Join us as our Manager, Healthcare Category Management—a pivotal leader driving strategic sourcing and vendor governance for essential categories. In this dynamic role, you will lead and inspire a talented team to secure high-value goods and services, shape cost-…
Senior Organizational Development Advisor
Bcbsnc·Hybrid Flex - Durham
Job Description Strategic driver who specializes in enhancing the overall effectiveness and performance of the organization through comprehensive planning and implementation of culture, change, and leadership initiatives. This multidisciplinary role combines human resources, bus…
IT Governance Analyst
Bcbsnc·Remote Flex - North Carolina
Job Description The IT Governance Analyst assists in the identification, assessment, monitoring, and risk mitigation associated with third-party vendors and suppliers. This role serves as a trusted advisor to business stakeholders, procurement teams, information security, legal,…
Lead Center Specialist (Boone, NC)
Bcbsnc·Boone
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 Business Applications Analyst
Bcbsnc·Remote Flex - North Carolina
Job Description Identify business requirements and solutions related to the support of the specific business area for implementation of a packaged system software. Lead configuration and administration of the Packaged Software, and participating in process design, and system tes…
Sr Technical Project/Program Manager
Bcbsnc·Remote Flex - North Carolina
Job Description Partner with business owners to define, plan, and deliver technical initiatives through all aspects of the project life cycle. This role manages projects of high complexity and may lead multiple projects concurrently. What You'll Do • Serve as coordination poin…