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 cli

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 cli

As an Enterprise Strategy Senior Consultant, you'll develop new and groundbreaking strategies to further our purpose to make health care better for all by solving complex challenges that transform health care and have a real impact on the lives of our customers and communities. The Enterprise Consulting team leads at the intersection of health care and strategy to deliver

Blue Cross NC Corporate Pharmacy Department is seeking an Associate Vice President (AVP) for Government Pharmacy. The role involves leading teams in the Medicare Segment with plans for expansion into other Government Segments. The ideal candidate will have demonstrated experience in team leadership, product development, Utilization Management, Cost of Care, and quality st

Blue Cross and Blue Shield of North Carolina is seeking innovative thinkers and strategists who have a passion to take a hands on role in building the future model of 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

This is a provider facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls with other internal BCNC teams for collaboration on Blue Premier success. Provides timely, relevant, accurate, and objective feedback to providers, and the management team which includes a plan

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is seeking a Manager to join our growing Care Delivery Services Team! We are looking for a driven and entrepreneurial individual that is excited by a role that involves executing a strategic vision for the company. You are the art of the possible, able to successfully manage and support projects related to high

Blue Cross and Blue Shield of North Carolina's Diversified Business Group is seeking an organized, analytical, and hardworking professional to join its Corporate Development team as a Senior Strategic Advisor, Financial Monitoring and Analysis. In this newly created role, you will be tasked with developing a deep understanding of the Diversified Business Group portfolio o

In this position, you will be part of a dynamic and creative team committed to supporting organizations and leaders changing systems and conditions to ensure that everyone in North Carolina has an opportunity to be as healthy as possible. Our ideal team member will thrive in, and contribute to, a collaborative environment, working cross functionally to support the critica

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

Leads and manages the day to day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager) activities, new initiatives, and other ongoing business deliverables in accordance with business needs. Identifies, evaluates, and resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business owne

Leads and manages the day to day operational and tactical aspects of all Commercial related Pharmacy Benefit Management (PBM) activities, new initiatives, and other ongoing business deliverables in accordance with business needs. Identifies, evaluates, and resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business

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 Onsite Discharge Planner is a hybrid role involving remote and onsite work in one or more NC behavioral health facilities to coordinate the care and services of inpatient members from time of admission to discharge. The Sr Onsite Discharge Planner is responsible for assessing members' needs, creating comprehensive discharge plans, coordinating post discharge resour

The Certero Sr. Asset Management Analyst will be responsible for overseeing the life cycle planning of corporate assets through asset selection, operation, refresh, migration, optimization, retirement and disposal; including building, technology, software, furniture, fixtures and/or equipment assets. Independently perform the analysis, design and development of high volum