Winnipeg, Manitoba, Canada · Hybrid
$98k–$157k/yr
Job Description We’re seeking a Senior BI Developer Analyst to support the Medical Economics Enablement team by turning complex healthcare data into actionable insights that improve affordability and inform strategic dec…
Skills: Business Intelligence (BI), Data Analysis, Data Visualization, Data Modeling, SQL
Winnipeg, Manitoba, Canada · Hybrid
$119k–$190k/yr
Job Description Join a team where technology meets strategy. As a Principal Actuarial Data Systems Analyst, you will play a crucial role in delivering technical data support and innovative solutions for Actuarial financi…
Skills: Application Implementation, Best Practices Development, Business Process Improvements, Business Requirements, Business Requirements Analysis
Alabama, United States · Hybrid
$119k–$190k/yr
Job Description Blue Cross NC is seeking a Manager, IT Vendor Management, to lead vendor management and governance for outsourced relationships, helping minimize risk and ensure contract compliance. This role serves as t…
Skills: Budgeting, Business Development, Contract Administration, Contract Negotiations, Cost Controls
Winnipeg, Manitoba, Canada · Hybrid
$108k–$173k/yr
Job Description Blue Cross NC is seeking a Principal IT Vendor Manager to manage strong, ongoing relationships between assigned IT vendors and internal stakeholders. This role ensures vendors meet contractual obligations…
Skills: Budgeting, Category Management, Communication, Competitor Analysis, Contract Management
Alabama, United States · Hybrid
$81k–$130k/yr
Job Description The Incident Manager is responsible for leading the end-to-end management of IT incidents to ensure rapid restoration of service with minimal impact to business operations, customers, and users. This role…
Skills: Change Management, Incident Coordination, Incident Handling, Incident Management, Incident Resolution
North Carolina, United States · Hybrid
$46k–$73k/yr
Job Description The Claims Operations Expert is a subject matter expert that enables accelerated claims resolution and production support to manage inventory. Resolve escalated claims from less experienced team members f…
Skills: Claims Analysis, Claims Management, Claims Operations, Claims Processing, Claims Resolution
North Carolina, United States · Hybrid
$42k–$67k/yr
Job Description At Blue Cross NC, we’re making health care better for all – by listening deeply, challenging what’s possible, and putting care at the heart of everything we do. Join a purpose driven team where ideas spar…
Skills: Communication, Interpersonal Skills, Member Advocacy, Customer Service, Community Outreach
Durham, California, United States · Hybrid
$131k–$209k/yr
Job Description CuraCor Solutions is seeking a Principal Strategic Advisor with deep expertise in provider-side strategy and care delivery transformation to join our growing Care Delivery Services team. In this role, you…
Skills: Business Strategy Development, Corporate Strategy Planning, Innovation, Leadership, People Management
Durham, California, United States · Hybrid
$108k–$173k/yr
Job Description The Senior Technical Project/Program Manager leads complex, technology-driven projects and initiatives from planning through delivery, release, and post-implementation transition. This role is responsible…
Skills: Technical Project Management, Program Management, Agile Delivery, Risk Management, Budget Management
Alabama, United States · Hybrid
$108k–$173k/yr
Job Description Blue Cross NC is seeking a Principal Business Systems Analyst to apply advanced functional and technical expertise across relevant systems and applications. In this role, you will define, evaluate, and va…
Skills: Business Systems Analysis, Requirements Gathering, Systems Analysis, SQL, Data Analysis
Durham, North Carolina, United States · Remote OK
$89k–$143k/yr
Job Description Acts 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/provid…
Skills: Healthcare Consulting, Healthcare Financial Management, Healthcare Industry, Healthcare Innovation, Healthcare Management
Durham, North Carolina, United States · Remote OK
$119k–$190k/yr
Job Description Leads the development, execution, and continuous assessment of pricing strategies across the EBS and CDS portfolio, including designated Blue Cross NC-affiliated products and services within scope. Serves…
Skills: Finance, Finance Strategy, Financial Advising, Financial Analysis, Financial Execution
Alabama, United States · Hybrid
$108k–$173k/yr
Job Description Blue Cross NC is seeking a Principal Treasury Analyst to develop, manage, and continuously improve cash forecasting capabilities for Blue Cross and Blue Shield of North Carolina and its subsidiaries. This…
Skills: Cash Flow Management, Cash Management, Cash Operations, Finance Strategy, Financial Accounting
Durham, California, United States · Hybrid
$81k–$130k/yr
Job Description We are seeking a creative and experienced UX Designer to impact the health insurance industry. The ideal candidate will excel in UX and visual design, and seamlessly switch between tactical and strategic …
Skills: UX Design, Visual Design, Wireframing, Prototyping, User Research
Time, Illinois, United States · Remote OK
Job Description At Blue Cross NC, we recognize the dedication, discipline, and leadership that transitioning service members bring to the workforce. Through our DoD SkillBridge Program, we provide a unique opportunity fo…
Skills: Leadership, Problem Solving, Mission-Driven Mindset, Healthcare Industry Knowledge
Durham, California, United States · Hybrid
$42k–$67k/yr
Job Description Based on established guidelines, the Intake Specialist processes a variety of internal and external member/provider requests and transactions,. Receives, screens, and enters data in preparation for review…
Skills: Accounting, Clinical Evaluations, Clinical Review, Customer Service, Data Entry
Kentucky, United States · Hybrid
$98k–$157k/yr
Job Description Identify business requirements and solutions related to the support of the specific business area for implementation of a packaged system software. Lead configuration and administration of the Packaged So…
Skills: Facets Configuration, SQL, Business Analysis, SDLC, System Testing
North Carolina, United States · Hybrid
$81k–$130k/yr
Job Description We're seeking a Senior Clinical Training Advisor to join the Clinical Coding Review team. You will facilitate a learning environment for clinical and non-clinical staff that results in effective new emplo…
Skills: Clinical Development, Clinical Documentation, Clinical Nursing, Clinical Supervision, Clinical Training
Durham, California, United States · Hybrid
$81k–$130k/yr
Job Description The Senior Communications Advisor, Stakeholder Engagement is a senior individual contributor role responsible for shaping, modernizing, and executing communications that support the full range of external…
Skills: Communication, Communication Strategy Development, Marketing Communications, Media Communications, Media Management
Kentucky, United States · Remote OK
$191k–$306k/yr
Job Description The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an interface between the company and physicians, providers, employer …
Skills: Project Planning, Project Management, Strategy Development, Medical Reimbursement, Care Management
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Develop and manage BI solutions, including dashboards and reports, to turn complex healthcare data into actionable insights for medical economics. Partner with actuarial and technical teams to define business rules and identify cost drivers to support strategic decision-making.
Requires a bachelor's degree and 4+ years of relevant actuarial or technical experience, including completion of at least 2 actuarial exams toward ASA designation. Proficiency in BI tools like Power BI, Tableau, SQL, and Python is highly preferred.
Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.
In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
#LI-Hybrid
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.
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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.
Improving the health and well-being of our customers & communities - we won’t stop until health care is better for all
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association. 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: [email protected].
Offices: 4613 University Drive, Durham, NC 27707, US
Improving the health and well-being of our customers & communities - we won’t stop until health care is better for all
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association. 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: [email protected].
Offices: 4613 University Drive, Durham, NC 27707, US
