Company · 110 open roles
Careers at Bcbsnc
Bcbsnc has 110 active roles on ResuMinder right now, with 58% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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110 positions at Bcbsnc
Team Leader, Appeals
Bcbsnc·Remote Flex - North Carolina
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…
Case Manager
Bcbsnc·Remote Flex - North Carolina
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 effec…
Principal Business Architect
Bcbsnc·Remote Flex - North Carolina
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, technology…
HR Audit & Compliance Analyst
Bcbsnc·Hybrid Flex - Durham
Job Description The HR Audit & Compliance Analyst supports accurate, compliant, and efficient HR service delivery across employee, non-employee, Workday, audit, and operational governance processes. This role manages HR operations casework, maintains the HR Operations Compliance…
Case Manager
Bcbsnc·Remote Flex - North Carolina
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 effec…
Director, Enterprise Architecture
Bcbsnc·Remote Flex - North Carolina
Job Description Job Description Summary The Director, Enterprise Architecture & Technology Strategy will oversee architecture as a centralized, strategic function, ensuring that technology selection, integration, and innovation are approached holistically across the enterprise. …
Senior System Configuration Analyst
Bcbsnc·Hybrid Flex - Durham
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 organizat…
BI Analyst
Bcbsnc·Remote Flex - North Carolina
Job Description Responsible for the design and development of high quality, user-friendly visualizations/ dashboards, reports, and related analytic content for business partners. Work with the analytics team to develop new and high impact visualizations that makes analysis and d…
Claims Representative
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring a Claims Representative to join the Claims Team! Under direct supervision, the Claims Representative reviews and timely adjudicates claims and administers them in accordance with contractual benefits and health care policies. The Claims Representativ…
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. …
Principal Program Manager - Vendor Integration
Bcbsnc·Remote Flex - North Carolina
Job Description In this role you will oversee Blue Cross NC’s Vendor Integration program for clients requesting employer-specific integrations with their third-party vendors. Provide full end-to-end program management including strategic planning, needs analysis, resource develo…
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…
Business Solutions Developer
Bcbsnc·Remote Flex - North Carolina
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 t…
Senior Workday People Insights Analyst
Bcbsnc·Hybrid Flex - Durham
Job Description The Senior Workday People Insights Analyst is responsible for building, maintaining, and enabling Workday reporting and dashboard solutions that help stakeholders access reliable, actionable workforce data. This role combines hands-on reporting and dashboard deve…
Manager, Treasury Operations
Bcbsnc·Hybrid Flex - Durham
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,…
Director, Enterprise Risk Management
Bcbsnc·Remote Flex - North Carolina
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 com…
Senior Strategic Advisor: Pharmacy
Bcbsnc·Remote Flex - North Carolina
Job Description Acts as a senior member of the strategic function by contributing to the achievement of innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages ind…
Principal Facets Developer
Bcbsnc·Hybrid Flex - Durham
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, deve…
Strategic Advisor, Care Delivery Services
Bcbsnc·Hybrid Flex - Durham
Job Description CuraCor Solutions is seeking a Strategic Advisor with experience delivering innovative, consumer-centric healthcare workstreams to join our growing Care Delivery Services Team! We are looking for a driven and entrepreneurial individual that is excited by a role t…
Sr Strategic Advisor, Specialty Pharmacy Networks
Bcbsnc·Remote Flex - North Carolina
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 i…
Director, Value Based Care Operations and Execution
Bcbsnc·Durham
Job Description We’re seeking a Director of Value Based Care Operations & Execution to join the Value Program Strategy and Operations Team. You will lead the operational execution and delivery of value-based care programs across the enterprise. This role is accountable for ensur…
Senior Manager, Operations
Bcbsnc·Hybrid Flex - Durham
Job Description The Senior Manager, Operations roles is a pivotal in overseeing multiple functions which may include membership, enrollment, system support, customer service, claims, and fulfillment processes. This position ensures efficiency and productivity deliver operational…
Manager, Claims
Bcbsnc·Remote Flex - North Carolina
Job Description The Manager, Claims implements end to end service model across provider segments and ensures delivery against business targets. The role sets performance and process targets within customer segment(s) to enable high level of claims processing, claims financial pr…
Principal Facets Application System Analyst
Bcbsnc·Durham
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 bu…