• Take personal ownership of high-impact escalations, driving resolution with urgency and clear stakeholder communication • Lead difficult customer conversations with composure, setting realistic expectations while maintaining trust • Exercise sound judgment on when and how to engage senior leadership and cross-functional partners, keeping escalations from becoming broader organizational disruptions • Hold the team to a high standard of backlog hygiene and case progression across all assigned accounts • Partner with Support Operations to ensure coverage, capacity, and process efficiency • Proactively identify trends affecting customer experience and drive improvements before they become escalations • Lead cross-functional engagement with Product, Engineering, Customer Success, and Services to resolve complex customer issues • Advocate assertively for customer needs and influence prioritization decisions at the program level • Drive continuous improvement of the dedicated support model, bringing a point of view on what should change and why

Job Description Dependent on clinical discipline, the Case Manager / Health Coach coordinates appropriate care, resources and/or services of selected member populations. Provides guidance and promotes effective utilization and monitoring of health care resources to drive quality care for our members. Collaborates as needed with varied members of the healthcare team to achieve optimal clinical and/or resource outcomes. • Serve as a team member on a multidisciplinary team, coordinating care, resources and/or services for members to achieve optimal clinical and resource outcomes. • Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or discharge planning. • Develop a member-centric plan tailored to members’ needs, health status, educational status and level of support needs; identify barriers to meeting goals or plan of care • Utilize community resources and funding sources as needed in the development of the plan of care. • Perform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation, assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member acuity. • Evaluate and facilitate care provided to members through the continuum of care (physician office, hospital, rehabilitation unit, skilled nursing facility, home care, etc). • Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes • Effectively document all aspects of the plan from the initial assessment, development of the plan, implementation, monitoring, and evaluating outcome. • May outreach directly to members identified as high risk, high cost, or high utilization cases. • May review alternative treatment plans for case management candidates and assess available benefits and the need for benefits exception or flex benefit options, where eligible. • May evaluate medical necessity and appropriateness of services as defined by department. • As needed, develop relevant policies/procedures, education or training for use both internally and externally. Hiring Requirements • RN, RD or LCSW with 3 years of clinical and/or case management experience required. For some roles a Master's in Social Work with 5 years of related experience may be considered. • For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience. • Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties. • For some roles, additional specialty certification (i.e. CCM, CDCES) may be required. If so, incumbents must obtain relevant certification within 2 years of employment. 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. $73,698.00 - $117,917.00 Skills Care Plan Development, Care Planning, Clinical Outcomes, Health Care, Healthcare Utilization Management, Nursing Fundamentals, Patient Advocacy, Patient Care, Patient Care Coordination, Patient Evaluations_____________________________________________________________________ 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.

What Privacy contributes to Cardinal Health The Enterprise Privacy Office & Cybersecurity Counsel (EPOCC) is responsible for providing advice, counsel, and support in the areas of privacy and data protection. The EPOCC leads the Global Privacy Program and partners with other members of the Legal & Compliance organization, privacy professionals working within the business, as well as business leaders and their teams. Members of this team identify and address potential privacy issues and risks and help Cardinal Health comply with the rapidly evolving privacy laws, regulations, and contractual requirements. Responsibilities - Serve as a functional Privacy expert for Cardinal Health’s “other” specialty businesses such as Nuclear Pharmacy and OptiFreight Logistics, working closely with and advising business leaders, commercial counsel, and other colleagues on all legal aspects of privacy, including data protection, data retention, data usage, data security, and data breaches - Provide guidance, direction, and practical translation of legislative and regulatory privacy requirements to cross-functional teams on complex projects - Assist with the management of legislative and regulatory inquiries, investigations, or administrative actions related to privacy and data security - Assist colleagues with the review and negotiation of data privacy agreements, data processing agreements, business associate agreements, and other similar agreements - Support acquisitions, divestitures, and joint ventures as they relate to privacy matters - Develop and deploy privacy policies and procedures to ensure compliance with applicable data privacy laws and regulations - Lead efforts to promote awareness of privacy risks and promote a culture of privacy compliance on the design and provision of privacy training program - Create and deliver tailored privacy training programs for diverse audiences - Direct the investigation and resolution of privacy incidents and data breach reporting processes in coordination with EPOCC leadership - Remain up to date on legislative developments in the field of privacy at the state, federal, and international levels that may affect applicable businesses, and work with commercial counsel and government relations to identify potential strategic changes that might be adopted Requirements - Proven expertise in HIPAA Privacy and Security Rules - Extensive knowledge of U.S. privacy and cybersecurity laws, regulations, and standards, including HIPAA, state privacy laws (e.g., comprehensive state privacy laws, state breach notification, etc.), as well as consumer protection and employment-related privacy laws and regulations - Prior experience acting supporting businesses with digital and technology solutions in healthcare space (e.g., advanced analytics tools, data lakes, and direct-to-consumer digital offerings) and advising and collaborating with different business teams (Product, Engineering, Information Security) to ensure privacy controls are designed and implemented - Strong relationship-building and collaboration skills - Solution and results oriented, with the ability to prioritize and deliver key initiatives - Project management skills with the ability to keep multiple projects moving forward simultaneously - Ability to juggle multiple tasks and prioritize under tight time constraints - Knowledge of international privacy and data security laws, including GDPR, preferred - CHPC, CHPS, or CIPP certification, preferred Qualifications - 8-12 years of experience, preferred - Bachelor’s degree in related field, or equivalent work experience, preferred What is expected of you and others at this level - Manages department operations and supervises professional employees, front line supervisors, and/or business support staff - Participates in the development of policies and procedures to achieve specific goals - Ensures employees operate within guidelines - Decisions have a short-term impact on work processes, outcomes, and customers - Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management - Interactions normally involve resolution of issues related to operations and/or projects - Gains consensus from various parties involved Anticipated salary range: $105,100 - $150,100 Bonus eligible: Yes Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. - Medical, dental and vision coverage - Paid time off plan - Health savings account (HSA) - 401k savings plan - Access to wages before pay day with myFlexPay - Flexible spending accounts (FSAs) - Short- and long-term disability coverage - Work-Life resources - Paid parental leave - Healthy lifestyle programs Application window anticipated to close: 6/2/2026* if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.​ ​ As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Lighthouse Case Coordinator. Candidates must be open to working 11am-8pm EST and this position will be based remotely. Lighthouse is a fully functional 3D Print digital prosthetic lab supporting Aspen Dental Branded practices for removable prosthetics inclusive of surgical guides, night guards, and digital dentures. Responsibilities - Maintain Lighthouse Queue and the Lighthouse Tracker spreadsheet: - Research cases in Lighthouse Print queue that are missing CAM files, 3ShapeCommunicate and or LabRx supporting data. - Prepare LabRx scripts for cases in Lighthouse Queue to be printed at Lighthouse Print: - Print LabRx scripts and sort based on print material batching. - Maintain the Lighthouse Billing Tracker. - Enter all cases from Lighthouse Portal into Lighthouse Case Tracker spread sheet which includes: - Ensuring design files are current and adequately stored for printing. - Suppling an all-encompassing reference list. - Ensuring accuracy for Finance to use for monthly billing. - Maintain Lighthouse queue support which includes: - Case tracking inquiries. - Responding to any office inquiries of case location, approximate delivery dates, and any additional questions. - Contacting designer or Lighthouse team to determine delivery estimation. - Manage Lighthouse Portal which includes: - Cross checking cases in the Lighthouse Portal (3Shape) for matching lab script in the to Designer Queue (LabRx). - Manage To Designer Queue which includes: - Cross checking cases in the To Designer Queue for matching cases in the Lighthouse Portal. - Instruct office team members on 3Shape Communication and LabRx protocols as needed. - Customer service support via phone, live chat agent, and ticketing system. Minimum Education and Experience - High School Diploma or equivalent required. - Experience working in a fast paced, customer driven environment. - Desire to exceed customer service expectations. - Data entry experience. - Proficient with Microsoft Excel. - Organized and detail-oriented. - Base pay range: $20.00 - 22.00 per hour (Actual pay may vary based on experience, performance, and qualifications.) - A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match. - If you are an applicant residing in California, please view our privacy policy here: https://careers.aspendental.com/us/en/tag-privacy-policy-for-california-employees