Cross Blue Shield of North Carolina healthcare programs available to them and their employees. Using reporting and data... and programs that support the goals of the client, add value to Blue Cross NC and generate high customer satisfactions. Perform...
Job Description Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is seeking a Strategic Advisor... multiple hats when required. About the Care Delivery Services Team: Within Blue Cross NC’s Strategy and Diversified...
, the diversified business group, and the broader Blue Cross Blue Shield organization. · Independently lead and execute...Job Description The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care...
health insurance. At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we’re committed to making health care... environment, and is able to effectively balance multiple priorities About Life at Blue Cross NC We’re so much more than...
will be up to 12 months, beginning in Fall of 2024. Blue Cross Blue Shield of North Carolina provides exceptional health... representing Blue Cross NC at community events and supporting both potential and existing members. Your personal experience...
Job Description Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is seeking hands on problem solvers who... and operationalization of new and refreshed capabilities that Blue Cross NC will support in partnership with our asset companies...
, etc. for use in closing accounts. Responsible for representing Blue Cross NC and explaining corporate policy and its efforts... working with, learning and assisting others with technology and tools. Knowledge of Blue Cross NC’s product portfolio...
Job Description Blue Cross NC is continuing to expand its tribal strategy to create a strong foundation... and improve Blue Cross NC’s relations with NC tribes, partners and key stakeholders. Develop and implement strategic, community...
as necessary. Ensures compliance with necessary audit requirements. Represents Blue Cross NC in meetings with external parties... and coordinates matrix and/or cross-functional team. The successful candidate for this role will be visionary, strategic, analytical...
Job Description The Chief Financial Officer (CFO) of Healthy Blue’s North Carolina Medicaid Managed Care Program... initiative value, and cost efficiency while ensuring seamless cross-functional connectivity. Responsible for accounting...
pricing, forecasting, and strategic support for all Blue Cross NC Medicare products with a particular emphasis on Medicare... Part D. You will identify and evaluate risks and strategic opportunities involving Blue Cross NC’s Medicare business...
Job Description The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care..., investments and key assets at Blue Cross NC. Responsible for leading the team that is focused on monitoring, tracking, optimizing...
all Quality Management activities for assigned providers. Work closely with relevant Blue Cross NC stakeholders to educate... implementation of Blue Cross NC quality-based programs ensuring care cap closure (including HEDIS medical record abstraction...
ability to work in a cross-functional team environments. Strong communication and leadership skills. What You Bring Bachelor...
, and gap/problem analysis. Lead cross-functional teams to achieve outcomes and objectives in scalable ways related to the...
with cross-functional teams, including data engineers, data scientists, and DevOps engineers. Provide technical leadership...
Job Description Identifies, analyzes, and determines medical necessity, pre-existing conditions, benefit eligibility and/or individual consideration reimbursement allowances for novel and complex medical management related claims, using v...
Job Description Leads efforts to achieve innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages extensive industry experi...
Job Description In this role you will lead Business Process Management (BPM) maturity and the BPM tool suite including Business Landscape, Process Repository (Envision), and Process Mining Tools. You will utilize strong functional and t...
Job Description The Category Management Analyst will be responsible for providing support to the Enterprise Category Management process. This includes assisting with strategic planning, vendor evaluation and relationship management, ongoi...