Blue Shield of North Carolina

Job DescriptionThe Senior Change and IT Release Analyst is responsible for governing and executing the IT Change Management process ensuring changes are effectively evaluated authorized and implemented with minimal risk to the organization. This role partners with IT teams and vendors

Job DescriptionThe Senior Change and IT Release Analyst is responsible for governing and executing the IT Change Management process ensuring changes are effectively evaluated authorized and implemented with minimal risk to the organization. This role partners with IT teams and vendors

Job DescriptionThe Senior Data Modeler designs implements and documents more complex data architecture and data modeling solutions which include the use of relational dimensional and NoSQL databases. These solutions support enterprise data management business intelligence machine lear

Job DescriptionThe Senior Data Modeler designs implements and documents more complex data architecture and data modeling solutions which include the use of relational dimensional and NoSQL databases. These solutions support enterprise data management business intelligence machine lear

Job DescriptionCuraCor Solutions is seeking a results-oriented organized analytical and intellectually curious finance professional who wants to make a strong impact in driving financial optimization across multiple organizations as part of the Financial Monitoring & Analysis (FMA) te

Job DescriptionCuraCor Solutions is seeking a results-oriented organized analytical and intellectually curious finance professional who wants to make a strong impact in driving financial optimization across multiple organizations as part of the Financial Monitoring & Analysis (FMA) te

Job DescriptionWhat Youll DoSuccessfully 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.Utilize probing a

Job DescriptionWhat Youll DoSuccessfully 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.Utilize probing a

Job DescriptionCuraCor 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 that invo

Job DescriptionCuraCor 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 that invo

Job DescriptionWhat Youll DoSuccessfully utilizes knowledge of product types functional and/or technical skills to solution focused end to end service to our customers on complex insurance questions and issues.Utilize probing and creative problem solving as well as critical thinking s

Job DescriptionWhat Youll DoSuccessfully utilizes knowledge of product types functional and/or technical skills to solution focused end to end service to our customers on complex insurance questions and issues.Utilize probing and creative problem solving as well as critical thinking s

Job DescriptionThe Provider Education Program Manager is responsible for designing implementing and managing a health plan provider education program focused on identifying and addressing billing patterns indicative of potential upcoding documentation variance and other provider billi

Job DescriptionThe Provider Education Program Manager is responsible for designing implementing and managing a health plan provider education program focused on identifying and addressing billing patterns indicative of potential upcoding documentation variance and other provider billi

Job DescriptionWere hiring an Episodic Case 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 medical necess

Job DescriptionWere hiring an Episodic Case 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 medical necess

Job DescriptionWere hiring a Clinical Appeals Analyst to join the Commercial Member Appeals Team! You will be responsible for the analysis research and completion of complex non-routine appeals and grievances within the company. You will address all customer concerns and ensure resol

Job DescriptionWere hiring a Clinical Appeals Analyst to join the Commercial Member Appeals Team! You will be responsible for the analysis research and completion of complex non-routine appeals and grievances within the company. You will address all customer concerns and ensure resol

Job DescriptionStrategic 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 business stra

Job DescriptionStrategic 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 business stra

Job DescriptionWere seeking a Business Analyst to join the Reimbursement Policy team in our Payment Integrity department! You will be responsible for performing research and analysis to support reimbursement policy governance and related business operations. Elicits documents develop

Job DescriptionWere seeking a Business Analyst to join the Reimbursement Policy team in our Payment Integrity department! You will be responsible for performing research and analysis to support reimbursement policy governance and related business operations. Elicits documents develop

Job DescriptionLeads the strategy and implementation of initiatives to ensure children and youth in North Carolina grow up in strong and supportive communities that provide them and their families with the best opportunity to be mentally healthy and thrive across prevention early int

Job DescriptionLeads the strategy and implementation of initiatives to ensure children and youth in North Carolina grow up in strong and supportive communities that provide them and their families with the best opportunity to be mentally healthy and thrive across prevention early int

Job DescriptionIn this role you will lead small to medium scale enterprise-wide Product Development initiatives. Acts as a thought leader for the generation of ideas and carries through to product design requirements definition execution and launch to the market.Advise our Diversifie

Job DescriptionIn this role you will lead small to medium scale enterprise-wide Product Development initiatives. Acts as a thought leader for the generation of ideas and carries through to product design requirements definition execution and launch to the market.Advise our Diversifie

Job DescriptionWere hiring a Senior Business Analyst Member Payments to join the Member Digital Strategy team! You will be responsible for facilitating and performing complex research and analysis to support member payment business operations. Discerns business needs elicits document

Job DescriptionWere hiring a Senior Business Analyst Member Payments to join the Member Digital Strategy team! You will be responsible for facilitating and performing complex research and analysis to support member payment business operations. Discerns business needs elicits document

Job DescriptionThe Manager Member Marketing & Sales Support is responsible for planning and executing member-facing marketing programs that drive onboarding engagement retention and healthcare program adoption while also delivering marketing support for Sales and distribution partners

Job DescriptionThe Manager Member Marketing & Sales Support is responsible for planning and executing member-facing marketing programs that drive onboarding engagement retention and healthcare program adoption while also delivering marketing support for Sales and distribution partners

Job DescriptionEvaluates analyzes and monitors staff or provider performance to achieve excellence in quality. Provides timely relevant accurate and objective feedback to staff providers and the management team which includes a plan of action or recommendations when deficiencies are i

Job DescriptionEvaluates analyzes and monitors staff or provider performance to achieve excellence in quality. Provides timely relevant accurate and objective feedback to staff providers and the management team which includes a plan of action or recommendations when deficiencies are i

Job DescriptionLeads and oversees the design of population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Works alongside senior leadership to monitor the effectivenes

Job DescriptionLeads and oversees the design of population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Works alongside senior leadership to monitor the effectivenes

Job DescriptionUtilizing strong functional/technical area knowledge and expertise with relevant systems/applications. The incumbent defines evaluates and validates requirements business functional design and technical design for complex business issues within their domain areas. They

Job DescriptionUtilizing strong functional/technical area knowledge and expertise with relevant systems/applications. The incumbent defines evaluates and validates requirements business functional design and technical design for complex business issues within their domain areas. They

Job DescriptionThe 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. This role advises on significa

Job DescriptionThe 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. This role advises on significa

Job DescriptionThe Content Strategistis responsible fordeveloping and leading content strategies with a heightened focus on social media that educate inspire and empower key audiences while advancing Blue Cross NC business and brand priorities. This role translates enterprise campaign

Job DescriptionThe Content Strategistis responsible fordeveloping and leading content strategies with a heightened focus on social media that educate inspire and empower key audiences while advancing Blue Cross NC business and brand priorities. This role translates enterprise campaign