
5001 - 10000 employees
Founded 1933
π₯ Healthcare
π‘οΈ Insurance
βοΈ Healthcare Insurance
Healthcare β’ Insurance β’ Healthcare Insurance
Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.
Selected: πΊπΈ United States β Remote USA.
Selected: π Date Added.
π₯ 5 hours ago
Business Operations Advisor supporting Blue Cross NCβs healthcare operations through strategic planning, workforce analysis, reporting, and special projects. Remote Flex role serving North Carolina, South Carolina, or Virginia.
π² North Carolina, South Carolina, +1 more states β Remote
π΅ $73.7k - $117.9k / year
β° Full Time
π‘ Mid-level
π Senior
βοΈ Business Operations
π» Ghost score 0%
π₯ 8 hours ago
Vendor Manager overseeing pharmacy vendor partnerships for Blue Cross NC. Managing onboarding, performance, contracts, and service improvement across outsourced relationships.
π Alabama, Arizona, +21 more states β Remote
π΅ $73.7k - $117.9k / year
β° Full Time
π‘ Mid-level
π Senior
π Manager
π» Ghost score 0%
π₯ 14 hours ago
Claims Representative adjudicating medical claims and resolving payment issues for Blue Cross NC. Managing queues, compliance, quality, and fraud referrals.
π² North Carolina, South Carolina, +1 more states β Remote
π΅ $41.6k - $66.6k / year
β° Full Time
π’ Junior
π‘ Mid-level
π Claims Specialist
π«π¨βπ No degree required
π» Ghost score 0%
π 2 days ago
Utilization Management Specialist conducting nonclinical reviews and member/provider outreach for Blue Cross NCβs government pharmacy operations. Supporting CMS compliance, authorizations, and claims accuracy.
π² North Carolina β Remote
π΅ $45.8k - $73.2k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 0%
π 2 days ago
Utilization Management Specialist supporting nonclinical pharmacy utilization reviews for Blue Cross NC. Communicating decisions, documenting outcomes, and coordinating clinical escalations.
π² North Carolina β Remote
π΅ $45.8k - $73.2k / year
β° Full Time
π‘ Mid-level
π Senior
π» Ghost score 0%
π 3 days ago
Case Manager coordinating care, assessments, and health resources for Blue Cross NC members. Developing treatment plans and monitoring outcomes across the care continuum.
π² North Carolina, South Carolina, +1 more states β Remote
π΅ $73.7k - $117.9k / year
β° Full Time
π‘ Mid-level
π Senior
π Manager
π» Ghost score 0%
π 3 days ago
Appeals Team Leader supervising Blue Cross NC healthcare appeals, coding disputes, and grievance operations. Managing staff, regulatory compliance, workflows, reporting, and resource allocation.
π 4 days ago
Enterprise architecture director guiding technology strategy, governance, and modernization for Blue Cross NC healthcare. Leading architecture teams and aligning platforms, security, and innovation with business growth.
π² North Carolina β Remote
π΅ $191.2k - $305.8k / year
β° Full Time
π΄ Lead
π» IT Support
π» Ghost score 0%
π September 9
Business Solutions Developer creating SQL, VBA, and reporting solutions for Blue Cross NC healthcare operations. Automating processes, coordinating projects, and supporting business teams remotely in North Carolina.
π² North Carolina β Remote
π΅ $81.1k - $129.7k / year
β° Full Time
π‘ Mid-level
π Senior
π» Solutions Engineer
π» Ghost score 0%
π August 31
Senior Business Operations Advisor supporting Blue Cross NCβs Medicare Advantage and Supplement businesses. Driving strategic planning, analytics, initiatives, and stakeholder partnerships.
π² North Carolina β Remote
π΅ $89.2k - $142.7k / year
β° Full Time
π Senior
βοΈ Business Operations
π» Ghost score 10%
π August 28
Principal analyst designing enterprise Facets enrollment, billing, and claims solutions for Blue Cross NC. Translating healthcare business requirements into functional system designs.
π Alabama, Arizona, +21 more states β Remote
π΅ $118.7k - $189.9k / year
β° Full Time
π΄ Lead
π§ Analyst
π» Ghost score 1%
π August 28
Senior Actuarial Analyst transforming healthcare data into actionable insights for Blue Cross NC. Developing actuarial models, BI solutions, and recommendations that improve affordability and business performance.
π Alabama, Arizona, +21 more states β Remote
π΅ $98.1k - $156.9k / year
β° Full Time
π Senior
π Actuary
π» Ghost score 1%
π August 24
Principal Actuary evaluating cost-of-care initiatives across clinical, pharmacy, network, and payment integrity areas. Delivering actuarial analysis and measurement models for Blue Cross NC health insurance.
π Alabama, Arizona, +21 more states β Remote
π΅ $118.7k - $189.9k / year
β° Full Time
π΄ Lead
π Actuary
π» Ghost score 3%
π August 19
Senior analyst applying CMS-HCC and Milliman models to normalize value-based care performance. Supporting cost, quality, reconciliation, and provider settlement measurement for Blue Cross NC.
π² North Carolina β Remote
π΅ $98.1k - $156.9k / year
β° Full Time
π Senior
π² Risk
π» Ghost score 6%
π August 6
Principal Data Scientist leading complex analytics and data engineering for Blue Cross NC, a North Carolina health insurer. Driving healthcare payment integrity insights and executive decisions.
π Alabama, Arizona, +23 more states β Remote
π΅ $143.6k - $229.8k / year
β° Full Time
π΄ Lead
π Data Scientist
π» Ghost score 13%
π July 8
Senior Counsel advising Blue Cross NC on employment law, litigation, compliance, and transactions. Supporting leadership and health care operations across approved U.S. remote states.
π Alabama, Arizona, +21 more states β Remote
π΅ $191.2k - $305.8k / year
β° Full Time
π Senior
βοΈ Legal Counsel / General Counsel
π» Ghost score 39%