The Compliance Advisor is responsible for performing day to day activities required to maintain an effective compliance program, including the coordination of complex, cross functional matters related to organizational compliance. Identifies compliance risks, develops and/or facilitates implementation of corrective action plans and conducts audits/compliance reviews to mo

The Quality and Risk Adjustment Engagement Specialist provides cross functional and cross team support for operational and/or healthcare functions supporting members in the Medicare Advantage and ACA populations and other LOBs as assigned, to ensure Quality and Risk Adjustment care gaps are addressed and closed by guiding the member to a PCP, advising of available benefit

IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better fo

IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better fo

The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovative health care organizations in North Carolina and beyond. We have a history of forging forward thinking partnerships and investments with like minded partners to create the blueprint of th

The Sr. Insights Analyst will be responsible for providing advanced analytic support, which includes data collection, trending, analytics, reporting and forecasting functions to ensure data integrity. The Senior Insights Analyst will prepare complex data for various internal and external customers. Conduct complex day to day ad hoc analytics, and work with analytics opera

Partner with business owners to define, plan, and deliver technical initiatives through all aspects of the project life cycle. This role manages projects of high complexity and may lead multiple projects concurrently. Serve as technical coordination point for projects and initiatives of high complexity and may lead multiple projects concurrently. Accountable for ensuring

s of programs. Establish and monitor performance metrics and goals for programs, including process measures, outcomes measures and financial measures . Document and present program results through operational reports, outcomes studies, presentations and publications. Monitor all program project executions, progress to plan and production of major deliverables, intervening

We are the model of what's possible in healthcare. The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovative health care organizations in North Carolina and beyond. We have a history of forging forward thinking partnerships and investments with

Lead medium scale, enterprise wide Product Development initiatives aimed at keeping the current product offering for a specific market segment current and competitive. Acts as the primary liaison between segment sales, segment strategy, and the different delivery teams ensuring that their respective refresh/scope optimally delivers on the desired business outcomes. Act as

Responsible for overseeing and directing the operational and tactical aspects of various projects, initiatives, and ongoing business tasks to align with organizational objectives. Identifies and resolves issues impacting project deliverables, collaborates with project team members, stakeholders, and sponsors to drive successful project implementation. Assesses project ris

This Account will prepare journal entries and account reconciliations related to Postal Services Health Benefits Program (PSHB) and Inter Plan Program (IPP). Specifically related to weekly cash draws, outstanding list, Postal administration charge, working capital and IPP daily Home/Host cash reconciliation. Assist with other monthly activities and general accounting func

The Sr Program Manager will leads and manages the operation of multiple Specialty Value Based Care programs within the Value Strategy and Program Operations team. Identifies, evaluates, and resolves issues that conflict with program operations and project deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully

The Sr Financial Portfolio Analyst will maximize value created through strategic programs by supporting value capture plan and monitoring and enforcing value capture activities to ensure organization achieves annual and three year value targets. Provide full end to end program management including strategic planning, needs analysis, content development, program design, im

The Sr Strategic Advisor, Healthcare will act as a senior member of the strategic function by contributing to the achievement of innovation based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages industry experience and expertise to promote enterprise understanding of