
5001 - 10000 employees
Founded 1933
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • 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.
🔥 12 hours ago
🌲 North Carolina – Remote
💵 $50.3k - $80.5k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
💸 Financial Planning and Analysis (FP&A)
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5001 - 10000 employees
Founded 1933
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • 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.
• Handle financial claims expense invoicing, reporting, analysis, reimbursement determination, and forecasting • Prepare weekly invoicing, statements, financial claims expense reports, and month-end closing materials • Research administrative services and stop loss coverage, including root cause analysis and inquiry resolution • Analyze claims, plan policies, products, rates, membership, enrollment, underwriting, direct sales, contracts, and program engagement • Support financial analysis and forecasting for claims expense and stop loss coverage • Prepare financials for employer groups or stop loss vendors using claims, credits, trends, reports, and other factors • Review employer group subgroup expenditures for compliance with Administrative Agreements • Prepare reports, variance analyses, estimates, and adjustments for employer groups, vendors, sales, underwriting, and other audiences • Verify and identify manual transaction fees and contractual adjustments • Reconcile statements of account and assist with monthly run-out and final close-out activities • Compile data for internal and external audits • Process client transactions including claims holds or suspensions, run-out administrative fees, and employer group settlements • Determine stop loss benefit eligibility based on contract terms and investigate related vendor inquiries • Assist with quality reviews of operational inquiries to ensure information accuracy and expected service levels
• Bachelor's degree or advanced degree (where required) • 0-2 years of experience in related field • In lieu of degree, 3+ years of experience in related field • Ability to work virtually with a few in-office visits each year, consistent with the Remote Flex approach
• Work-life balance, flexibility, and autonomy • Medical, dental, and vision coverage • Health and wellness programs • Parental leave and support • Adoption and surrogacy assistance • Career development programs • Tuition reimbursement for continued education • 401(k) match including an annual company contribution • Paid Time Off (PTO) • Annual Incentive Bonus • Remote work with a few in-office visits each year for meaningful moments
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