Company · 110 open roles
Careers at Bcbsnc
Bcbsnc has 110 active roles on ResuMinder right now, with 79% 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
Project/Program Manager
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring a National Committee Quality Assurance (NCQA) Program Manager to lead our Health Plan Accreditation activities with a primary focus on Member Experience and Credentialing standards. This role drives organizational readiness, ensures ongoing complianc…
Audit Associate-1
Bcbsnc·Remote Flex - North Carolina
Job Description Serves as audit coordinator and/or representative for broader departmental audits, including annual audits, control audits, and focused audits due to special business requests. Determines what information is needed for the audit and coordinates the information ga…
Senior Actuarial Analyst - Medical Economics
Bcbsnc·Remote Flex - North Carolina
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 affordabi…
Senior Strategic Advisor, Value Based Care
Bcbsnc·Remote Flex - North Carolina
Job Description We’re hiring a Senior Strategic Advisor to join the Value Based Care Program Strategy and Operations team! You will act as a Senior Member of the Strategic Function by contributing to the achievement of innovation-based goals through new forms of healthcare reimb…
Manager, Retention National Accounts
Bcbsnc·Remote Flex - North Carolina
Job Description Lead Strategic Client Consultants in the retention of profitable business. Develop and grow talent to ensure National Account market segment success. Represent market needs to the organization, accomplished through strategic partnerships with clients, consultants…
Membership Representative
Bcbsnc·Remote Flex - North Carolina
Job Description Responsible for administering member and group enrollment, eligibility, and membership activities to ensure accurate and compliant membership records across health plan products. Performs enrollment transactions, resolves eligibility and billing issues, researche…
Principal Strategic Advisor, Healthcare
Bcbsnc·Remote Flex - North Carolina
Job Description We are hiring for a Principal Strategic Advisor to lead the identification, development, and execution of innovative pharmacy strategies, products, and programs that reduce cost of care, generate new revenue opportunities, and drive operational efficiency. You wi…
Sr Actuarial Analyst - Medical Economics
Bcbsnc·Remote Flex - North Carolina
Job Description Blue Cross NC is hiring a Senior Actuarial Analyst to support healthcare economics and financial forecasting efforts that help drive informed business decisions and deliver value across the organization. In this role, you will apply your knowledge of mathematics,…
Principal Actuary, Cost of Care
Bcbsnc·Remote Flex - North Carolina
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 c…
Senior Counsel - Employment
Bcbsnc·Remote Flex - North Carolina
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…
Strategic Advisor, Enterprise Strategy
Bcbsnc·Hybrid Flex - Durham Campus
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 …
Senior Population Risk Performance Analyst (Value-Based Care)
Bcbsnc·Remote Flex - North Carolina
Job Description This role is responsible for providing advanced analytical and modeling expertise supporting value-based care performance measurement and population risk normalization. The Sr. Population Risk Performance Analyst applies population risk models to attributed membe…
Principal Value-Based Care Operations Advisor
Bcbsnc·Remote Flex - North Carolina
Job Description Leads enterprise efforts supporting the design, operationalization, and optimization of value-based care programs across the full operational lifecycle. The Principal Value-Based Care Operations Advisor provides subject matter expertise spanning program design, c…
Sr Clinical Pharmacist
Bcbsnc·Hybrid Flex - Durham
Job Description We are hiring for a Senior Clinical Pharmacist! This individual will serve as the strategic clinical pharmacy lead and primary pharmacy advisor for a large employer client. You will be responsible for developing, communicating, and executing pharmacy benefit stra…
BI Analyst
Bcbsnc·Remote Flex - North Carolina
Job Description Serves as a strategic analytics partner to the Special Investigations Unit (SIU) and Payment Integrity teams by delivering actionable business intelligence, financial reporting, operational insights, and statistically sound audit support. This role combines advan…
Principal Data & Analytics Governance & Quality Analyst
Bcbsnc·Hybrid Flex - Durham
Job Description The Principal Data & Analytics Governance & Quality Analyst leads the development and implementation of the enterprise’s Data and Analytics Governance strategy and compliance for business and consumption layer data assets. As the primary data owner, ensure the in…
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…