Blue Cross and Blue Shield of North Carolina logo

Blue Cross and Blue Shield of North Carolina

Remote Jobs

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

67 open rolesTeam 5001-10000Latest: May 22, 2026, 12:00 AM UTC
Insurance
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67 Jobs

Blue Cross and Blue Shield of North Carolina logo

Intake Specialist

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Full TimeRemoteMid LevelTeam 5,001-10,000

Role Description Based on established guidelines, the Intake Specialist processes a variety of internal and external member/provider requests and transactions. Receives, screens, and enters data in preparation for review. Complies with timeliness standards and reduces unpaid claims and rework by accurately processing requests. May also assist on special projects as needed. This role is designated as Remote Flex – no standard weekly in-person onsite expectations. There may be opportunities to meet on campus up to 2 times per year. What You’ll Do - Process a variety of requests, inquiries and transactions via phone, email, fax, and mail - Review requests to ensure accuracy - Support internal & external customers via phone or email - Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable - Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process - Screen inquiries to determine if authorization is required - Verify member benefits and eligibility and/or provider setup - Maintain and update Service Requests and research incorrect or missing information - Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff - Provide clinical review outcome notification to members and providers (verbal and written) Qualifications - High school diploma or GED - 3+ years of experience in related field Requirements - Prior call center experience, strongly preferred - Excellent verbal and written communication skills Benefits - Annual Incentive Bonus* based on annual corporate goal achievement and individual performance - 401(k) with employer match - Paid Time Off (PTO) - Competitive health benefits and wellness programs Salary Range $41,600.00 - $66,561.00 Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

United States
$41.6K - $66.6K / year
Blue Cross and Blue Shield of North Carolina logo

Sr BI Analyst

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Full TimeRemoteSeniorTeam 5,001-10,000

Role Description Responsible for leading the design and development of high quality, user-friendly analytic visualizations/dashboards, reports, and related analytic content for business partners in Payment Integrity, Special Investigations Unit, and our enterprise partners. - Work with the analytics team to deliver key strategic insights that help drive down medical expense across the company. - This role requires the ability to become a key consultative partner to business, clinical, and technical staff across the organization. - Collaborate and consult with business areas (PI, SIU, BH, Claims, Legal, Medical Economics, Enterprise Strategy) to ensure analytics work delivers high ROI value to the organization. - Collaborate with other analysts to build user-friendly data assets. - Mentor and provide knowledge transfer to junior team members by guiding them on development best practices. - Design and architect high performance data visualization solutions for large-scope projects to enable delivery analytic value and ensure they are maintainable and scalable as business needs dictate. - Facilitate cross-functional problem-solving sessions to arrive at optimal solutions accounting for stakeholder needs to ensure successful project delivery. - Provide team status in various projects, escalate issues as needed, access and communicate risks to the development schedule and project to represent the Viz Team's interests in cross-functional project teams and ensure project success. Qualifications - Bachelor's degree or advanced degree (where required). - 5+ years of experience in Healthcare Payment Integrity or a Fraud, Waste and Abuse related field. - In lieu of degree, 7+ years of experience in Healthcare Payment Integrity or a Fraud, Waste and Abuse related field. Requirements - Agile Methodology - Business Intelligence (BI) - Data Analysis - Data Governance - Data Modeling - Data Science - Data Visualization - Enterprise Application Development - Microsoft Power Business Intelligence (BI) - Structured Query Language (SQL) Benefits - Annual Incentive Bonus* based on annual corporate goal achievement and individual performance. - 401(k) with employer match. - Paid Time Off (PTO). - Competitive health benefits and wellness programs. Salary Range $98,092.00 - $156,947.00

United States
$98.1K - $156.9K / year
Blue Cross and Blue Shield of North Carolina logo

Manager, Financial Planning & Analysis

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Full TimeRemoteLeadTeam 5,001-10,000

Role Description As the Manager, Financial Planning & Analysis, you’ll lead a finance team and serve as a trusted partner to assigned operating divisions. In this role, you’ll provide leadership across financial reporting, budgeting, forecasting, and analysis while helping senior leaders make informed financial and operational decisions. You’ll also help ensure strong stewardship of enterprise resources and provide the tools, insights, and financial discipline needed to support both short- and long-term business strategy. - Works with other units in Finance and other areas of the company to develop financial products for the benefit of key stakeholders. - Serves as a key liaison to engage and mobilize financial resources as needed to address business problems. - Accountable for leading efforts with divisional leadership to develop and communicate annual operating budgets and monthly forecasts ensuring alignment with enterprise and divisional strategic goals and objectives. - Responsible for the integration of operational metrics, analytics and informatics into financial management goals and strategies. - Understands emerging business trends and operational drivers and translates operational performance into financial results. - Ensures that reporting and analysis of budgets, forecasts, cost allocations, staffing, and benchmarking are in alignment with and support business financial models. - Identifies underlying business drivers, capacity levels, and operating constraints to maximize throughput at minimum financial cost. - Advises divisional senior management on financial matters, assessing and explaining long and short-term implications of proposed/implemented initiatives for the organization. - Participates in business case development including staffing/performance modeling and financial management requirements for assigned functions. - Works with related finance units to align that long-term operating expense targets with target market pricing/affordability requirements. - Effectively communicates with COO leadership to maximize and maintain focus on corporate, divisional, and business unit goals and objectives. Qualifications - Bachelor's degree or advanced degree (where required). - 8+ years of experience in related field. - In lieu of degree, 10+ years of experience in related field. Bonus Points - Experience utilizing Workday and Adaptive Planning. Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $118,691.00 - $189,906.00 Skills - Cost Analysis - Finance Strategy - Financial Analysis - Financial Forecasting - Financial Management - Financial Performance - Financial Performance Analysis - Financial Planning and Analysis (FP&A) - Financial Resources - Operating Budgets - Operational Performance - People Management - Strategic Planning Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on our careers page . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

United States
$118.7K - $189.9K / year
Blue Cross and Blue Shield of North Carolina logo

Senior Treasury Analyst

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Analyst5 days ago
Full TimeRemoteSeniorTeam 5,001-10,000

Role Description The Senior Treasury Analyst for the Federal Employees Program (FEP) manages treasury operations—including cash management, liquidity oversight, and funding strategy—to ensure accurate cash flow, timely funding, and regulatory compliance. The role requires strong analytics, operational discipline, and strategic insight for the FEP business. - Lead all treasury operations for the FEP line of business, including daily cash positioning, funding, payment execution, account reconciliation, and liquidity oversight. - Monitor and optimize working capital by analyzing cash inflows, disbursement timing, and funding requirements. - Develop and manage short-term cash flow forecast and provide actionable insight to support daily operations. - Partner with business areas and the Blue Cross and Blue Shield Association to understand operational drivers impacting cash flow. - Ensure compliance with internal controls and government standards while mitigating financial and operational risk. - Provide timely support and documentation for required audits. - Recommend and implement solutions to strengthen operational controls. Qualifications - Bachelor's degree or advanced degree - 5+ years of treasury experience - In lieu of degree, 7+ years of experience in related field. Requirements - Experience working in highly regulated environments or government programs such as FEP - Experience supporting internal and external audits and/or regulatory exams - Experience working with Treasury Management System (Kyriba, GTreasury, FIS, etc.) - Strong attention to detail with a focus on accuracy and controls - CTP Designation - Strong Excel skills Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance - Career development programs and tuition reimbursement for continued education - 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications, and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $89,174.00 - $142,679.00 Skills - Budgeting - Cash Flow - Cash Flow Management - Finance Strategy - Financial Analysis - Financial Data - Financial Modeling - Financial Planning and Analysis (FP&A) - Financial Reporting and Analysis - Treasury Analysis - Treasury Management

United States
$89.2K - $142.7K / year
Job Closed
Blue Cross and Blue Shield of North Carolina logo

Senior Strategic Advisor, Health Plan Strategy

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Strategy6 days ago
Full TimeRemoteSeniorTeam 5,001-10,000

Role Description As a senior member of the strategic function, provide detailed assessment and understanding of the current and future external market environment, develop insights and identify opportunities to actualize our organizational mission, vision and activate the strategy across multiple time horizons. - Support a focus on insight-driven decisions, innovation, customer centric experience and local/national collaborations. - Work collaboratively to build coalition and support as well as drive action with both internal and external partners. - Develop and refine strategic plans and initiatives to positively impact the management of today’s business while supporting efforts for the definition and evolution towards a health solutions company. - Work directly with staff and senior leadership across the company to proactively identify and prioritize strategic needs and create meaningful and actionable outputs. - Drive the strategic development process to address these needs and integrate and align work to the company’s overall strategic goals. - Build and facilitate efforts with partner and/or vendor relationships to understand the value proposition and business case aligned to our business strategy. - Drive decision making and collaborate with the business areas to implement. - Develop and maintain relationships with both internal and external partners to drive complex project/initiative work focused on significant business strategies, opportunities and innovation efforts. - Leverage customer and consumer insights to develop holistic strategies, programs and plans to effectively drive innovation and business outcomes and maximize ROI in varied areas. - Consolidate research, authorship of key findings, and communication of timely, periodic strategic intelligence reports to senior management and Blue Cross NC Board. - Contribute to the development of corporate strategic positions and related annual and long-term planning efforts. - Collaborate and execute critical activities such as strategic planning, compliance, complex financial/qualitative analysis and thought leadership at a departmental, multi-function, and enterprise level. - Design and develop the innovation program for Blue Cross NC – its offerings, innovation events, delivery methods, and definition of the success points of the program. - Act as a “Champion of Innovation” and work across the organization to drive a culture of innovation in all that we do. - Partner and consult with internal clients to identify, plan and execute innovation efforts; help them better understand what problems they are trying to solve, articulate their vision and define and enable success. - Provide methods and resources to support their execution of those plans. - Develop new ideas that solve existing or emerging issues the business faces. - Prototype and evaluate those ideas to determine viability and opportunity for success and follow through to implementation as necessary. - Identify, analyze and monitor relevant industry, regulatory, technology and market based trends to determine market entry or exit as appropriate and to ensure alignment to the company’s strategic positions and interests. Qualifications - Bachelor's degree or advanced degree (where required) - 5+ years of experience in related field. - In lieu of degree, 7+ years of experience in related field. Requirements - Business Strategies - Enterprise Strategies - Innovation - Innovation Development - Market Research - Market Trend Analysis - Strategic Alliances - Strategic Planning - Strategy Development - Strategy Plan Benefits - Annual Incentive Bonus* - 401(k) with employer match - Paid Time Off (PTO) - Competitive health benefits and wellness programs *Based on annual corporate goal achievement and individual performance. Salary Range: $107,901.00 - $172,642.00 Company Description We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

United States
$107.9K - $172.6K / year
Job Closed
Blue Cross and Blue Shield of North Carolina logo

Consulting Actuary

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Actuary7 days ago
Full TimeRemoteMid LevelTeam 5,001-10,000

Role Description As a Consulting Actuary - ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include: - Leading pricing strategies and actuarial initiatives for business segments. - Evaluating advanced care management models. - Conducting competitive benchmarking analyses. - Designing and pricing sophisticated insurance products. - Providing reliable, actionable actuarial insights and recommendations. - Proactively identifying and addressing complex risks and opportunities. - Ensuring our actuarial practices remain at the forefront of innovation and excellence. What You’ll Do: - Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work. - Provide proactive and strategic thought leadership to improve processes, reduce risks, and meet department and enterprise objectives. - Achieve segment financial targets and provide concise explanations of results and variances to expectations. - Communicate effectively with all levels and divisions within the organization, including Divisional Leadership. - Manage external partnerships with vendors, auditors, regulators, and health care providers. - Develop and maintain strong business relationships with internal partners. - Meet continuing education standards required for job function and maintenance of actuarial credentials. Qualifications - Bachelor's degree or advanced degree (where required). - Member of the American Academy of Actuaries. - Fellow of the Society of Actuaries. - 7 years of relevant actuarial experience; related experience may be considered. - In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) with at least 9 years of relevant actuarial experience. Requirements - Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred. - Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred. - Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes. - Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations. Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price. Our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications, and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. Salary Range: $143,616.00 - $229,786.00 Skills - Actuarial Analysis - Actuarial Management - Actuarial Science - Actuarial Services - Affordable Care Act (ACA) - Complex Care Management - Financial Reporting and Analysis - Hiring Management - Insurance Industry - Organizational Leadership - Regulatory Compliance

United States
$143.6K - $229.8K / year
Blue Cross and Blue Shield of North Carolina logo

Senior Business Systems Analyst

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Full TimeRemoteSeniorTeam 5,001-10,000

Role Description As a Senior Business Systems Analyst – Provider Network Pricing (Commercial Professional), you will leverage your advanced expertise in both functional and technical areas for claims and provider pricing to drive impactful solutions across sophisticated systems and applications (i.e., Facets, NetworX, Optum). You’ll play a key role in shaping business strategies by defining, assessing, and validating requirements, and designing effective business and technical solutions for complex challenges within Provider Network Pricing. - Provide Network Pricing knowledge and support in system/application and procedural issues to the business and IT. - Use judgment and initiative to review, analyze and develop solutions and applicable business processes for business systems. - Identify and quantify the business impact of solutions to ensure quality, cost effectiveness, timeliness, and customer service. - Provide systems (Facets, NetworX, Optum) analysis expertise and consider the business implications of technology applications. - Coordinate ongoing user support for ad hoc questions, inquiries, and service requests. - Ensure efficiency of reporting and data tools for supported business area use and for trend analysis. - Coordinate the development of system support processes with IT; resolve production support issues. - Document, track, and report all system support activities. - Work collaboratively on projects and initiatives with the business and IT to test and implement long-term solutions. - Act as Business Lead/Coordinator on large, complex departmental and/or corporate projects/initiatives. - Facilitate project intake, scheduling, implementation, post-implementation support, and review technical specifications. - Serve as point of contact for business testing activities and influence testing strategy. - Analyze and verify results for accuracy, relevance, and completeness. - Provide impact assessments and make recommendations regarding issues and risks. - Train/coach others on appropriate testing protocol, execution, and test plan creation. - Assist IT in identifying business area impacts for hardware and software upgrades. - Configure and maintain critical system tables and data elements across multiple system environments. - Analyze, develop, and implement configuration changes to improve system performance and user efficiency. Qualifications - Bachelor's degree or advanced degree (where required). - 5+ years of experience in related field. - In lieu of degree, 7+ years of experience in related field. Requirements - Intermediate expertise with Facets, NetworX, and Optum. - Strong PC skills with intermediate expertise in Microsoft Excel. - Understanding of provider contractual terms regarding pricing. - Understanding of UB04 and HCFA1500 billing practices. - Strong interpersonal skills. Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price. Our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications, and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. Salary Range: $89,174.00 - $142,679.00 Skills - Business Processes - Business Process Improvements - IT Service Management (ITSM) - Problem Management - Process Improvements - Requirements Analysis - Requirements Gathering - Solutions Development - Systems Analysis - Technical Development Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

United States
$89.2K - $142.7K / year
Blue Cross and Blue Shield of North Carolina logo

Consulting Actuary - Pharmacy

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Actuary7 days ago
Full TimeRemoteMid LevelTeam 5,001-10,000

Role Description The Consulting Actuary – Pharmacy serves as a senior-level individual contributor within the Pharmacy Analytics team, supporting the organization’s pharmacy strategy through advanced actuarial and analytical expertise. This role is responsible for performing complex actuarial analyses, generating actionable insights, and informing strategic decision-making to drive business outcomes. This position collaborates closely with cross-functional stakeholders and other actuarial teams to ensure alignment with enterprise priorities and to deliver high-quality, data-driven solutions. In addition, the Consulting Actuary provides guidance and oversight to junior team members, supporting the development of talent and ensuring consistent, accurate, and timely deliverables. What You’ll Do - Communicate effectively with all levels and divisions within the organization, including Divisional Leadership. - Support pharmacy rebate trend and forecasting. - Monitor and forecast pharmacy profitability and communicate this information to leadership. - Provide actuarial support for corporate pharmacy initiatives. - Communicate and collaborate effectively with key pharmacy stakeholders, including senior leadership, on relevant pharmacy topics. - Monitor industry news and ensure the company is competitively well-positioned in a dynamic marketplace. - Proactively review advanced data analytic methods and identify opportunities to improve team processes. - Work effectively with external vendors, including PBM partner contacts. - Represent actuarial team during meetings with management from other functional areas. - Perform other duties and special projects as required. - Meet continuing education standards required for job function, thought leadership, and maintenance of actuarial credentials. Qualifications - Bachelor's degree or advanced degree (where required). - Member of the American Academy of Actuaries. - Fellow of the Society of Actuaries. - 7 years of relevant actuarial experience; related experience may be considered. - In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience. Bonus Points - Experience with Pharmacy Analytics is Highly Preferred. Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications, and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $143,616.00 - $229,786.00 Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

United States
$143.6K - $229.8K / year
Blue Cross and Blue Shield of North Carolina logo

Senior Analyst – Financial Data Modeling and Analytics

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Data Analyst10 days ago
Full TimeRemoteSeniorTeam 5,001-10,000

Role Description We are seeking a highly skilled Senior Analyst – Financial Data Modeling and Analytics to support advanced financial analysis, cost modeling, budgeting, forecasting, and reporting across the organization. This role combines senior level financial judgment, deep financial modeling expertise, and strong data analytics capability. The individual serves as a key finance partner to leaders, ensuring financial insights are accurate, scalable, and decision focused. This role brings a People First mindset, pairing strong financial judgment with curiosity, courage, and accountability. The individual balances intuition with data, seeks to understand stakeholder needs deeply, and uses insight and innovation to elevate decision making across the organization. The ideal candidate brings strong financial acumen, technical expertise, and the ability to translate complex data into clear, actionable insights. What You’ll Do - Financial Analysis & Decision Support - Serve as a senior financial partner to leaders, providing insights and recommendations that support strategic and operational decisions. - Interpret financial results, trends, and forecasts, translating complex analyses into clear business implications. - Financial Modeling & Scenario Analysis - Design, develop, and maintain complex financial models to support: - Cost allocation and driver‑based analysis. - Scenario, sensitivity, and what‑if analysis. - Translate assumptions and business drivers into quantified financial outcomes. - Translate complex modeling outputs into clear, actionable insights that drive business decisions. - Develop and refine driver-based and predictive modeling approaches. - Ensure models are structurally sound, well‑documented, and reproducible over time. - Financial Data & Analytics Foundation - Define and validate core financial datasets used for actuals, budget, and forecast. - Ensure consistency of metrics and methodologies across reporting and analysis. - Design scalable analytical structures, dashboards, and reporting tools (e.g., Excel, Power BI). - Reduce manual effort by improving automation, structure, and reuse of financial analyses. - Independently build end-to-end data and analytics solutions (i.e. ingesting data, modeling data, analyzing data, developing reports/dashboards, and sharing insights) to meet organizational priorities and timelines. - Process Improvement & Knowledge Leadership - Continuously improve financial analysis processes, tools, and methodologies. - Document models, assumptions, and analytical approaches to enable knowledge transfer. Qualifications - Bachelor’s degree in finance, Accounting, Economics, or a related field. - 5+ years of progressive experience in financial analysis, FP&A, cost accounting, or financial modeling. Bonus Points - Advanced proficiency in Microsoft Excel (financial modeling, complex formulas) and Power BI or similar tools (data modeling, dashboards, data visualization) – Highly Preferred. - Strong analytical skills with the ability to synthesize large, complex datasets into clear, actionable insights. - Experience building and maintaining complex financial models and supporting enterprise-level budgeting, forecasting, or cost allocation processes - Highly Preferred. - Experience working in complex or highly regulated industries (e.g., healthcare, insurance, financial services), including familiarity with financial governance, audit support, and CAS/FAR regulations. - Experience with financial systems, reporting platforms and data integrations. - Excellent problem-solving, critical thinking, and attention to detail, with a proactive, solution-oriented mindset and growth orientation. – Highly Preferred. - Strong communication, collaboration, and relationship-building skills with the ability to work effectively across cross-functional teams. - Experience contributing to cross-functional initiatives or projects, with exposure to project management practices. Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $89,174.00 - $142,679.00 Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on our careers page . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

United States
$89.2K - $142.7K / year
Blue Cross and Blue Shield of North Carolina logo

Senior System Configuration Analyst

Blue Cross and Blue Shield of North Carolina

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

Analyst12 days ago
Full TimeRemoteSeniorTeam 5,001-10,000

Role Description The Configuration Manager supports the delivery of IT services by ensuring the Configuration Management Database (CMDB) remains accurate, current, and reliable. Operating within the ITIL framework and reporting into the ITIL Service Operations organization at Blue Cross, this role is responsible for managing the lifecycle of all Configuration Items (CIs), including their attributes and relationships. The Configuration Manager owns the Configuration Management System (CMS) and its integrations with discovery tools and other ITSM applications, ensuring that configuration management processes are clearly defined, consistently executed, and aligned with ITIL standards to maintain a high-quality, up-to-date CMDB. - Own and manage the Configuration Management System (CMS), including the ServiceNow CMDB and ITOM modules (Discovery, Service Mapping, Event Management). - Lead CMDB upgrades, migrations, and lifecycle management to maintain platform stability and data integrity. - Serve as the key liaison between IT service teams, ServiceNow platform teams, and business owners to align configuration data with business processes and service definitions. - Build and maintain strong relationships with ServiceNow module owners to ensure configuration data supports desired business outcomes. - Translate complex CMDB and ITOM concepts into clear, business‑focused language for non‑technical stakeholders. - Define, govern, and enforce ITIL Configuration Management processes to ensure an accurate, trusted CMDB. - Design and maintain CMDB architecture, including discovery patterns, data models, CI relationships, service mapping, and access controls. - Integrate patching and vulnerability data (e.g., cloud patching, Tenable) across cloud, infrastructure, and containerized environments. - Evolve CMDB and discovery capabilities to support modern platforms such as AWS, Kubernetes, and OpenShift. - Monitor and validate CMDB accuracy, discovery results, performance, and capacity; drive remediation of inconsistencies. - Ensure all authorized Change, Release, Discovery, and Cloud activities are accurately reflected in the CMDB. - Provide reporting, audits, and continuous improvement recommendations while operating effectively in a matrixed, shared‑ownership environment. Qualifications - Experience working in a ServiceNow CMDB environment. - Understanding of service mapping concepts and business service relationships. - Understanding of cloud platforms (AWS) and knowledge of container technologies (Kubernetes or OpenShift). - Bachelor's degree or advanced degree. - 5+ years of experience in related field. - In lieu of degree, 7+ years of experience in related field. Requirements - Familiarity with ITIL or ITSM frameworks certifications. - ServiceNow and/or ITIL certifications. Benefits - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Job Alert Fraud We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .

United States
$107.9K - $172.6K / year

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