Improving the health and well-being of our customers & communities - we won’t stop until health care is better for all
Durham, NC
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: HR.Staffing@BCBSNC.com.
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The Senior Technical Project/Program Manager partners with business owners to define, plan, and deliver complex technical initiatives throughout the project life cycle. They are accountable for managing resources, coordinating deliverables across teams, and mentoring staff within a matrixed environment.
Remote · North Carolina, United States
The Principal BI Analyst will lead the development of data visualization governance, standards, and architecture while providing consultative services across the enterprise. They will also mentor junior staff and facilitate cross-functional problem-solving to ensure the delivery of scalable, high-performance analytic solutions.
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The Actuarial Analyst supports rating, pricing, valuation, and financial forecasting by performing statistical analyses and experience studies. They also manage rate filings, validate data for models, and provide analytic support for corporate projects.
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The Senior Financial Advisor leads financial work efforts to provide divisional leadership with analytical insights and business outputs that support the company's financial strategy. This role builds cross-functional partnerships to drive financial results and develops actionable plans aligned with strategic goals.
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The Senior Financial Advisor leads financial planning and analysis efforts to provide actionable insights and strategic support to divisional leaders. This role builds cross-functional partnerships to drive financial discipline and align business outcomes with the company's overall strategic goals.
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The role involves performing actuarial research, experience studies, and statistical analyses to support financial forecasting and reserve valuation. You will also provide consultative support to internal partners and manage rate filings for regulatory agencies.
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The Senior IT Category Manager leads sourcing and vendor governance activities for IT hardware, software, and services to reduce total cost of ownership. This role involves managing vendor contracts, conducting sourcing events, and fostering positive relationships with suppliers to ensure compliance and risk mitigation.
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The Associate Counsel will provide legal support for Pharmacy Benefit Management (PBM) services, ensuring contractual compliance and managing legal risks across operations. This role involves advising internal business partners on regulatory requirements, vendor obligations, and complex legal matters related to health plan administration.
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The Principal Business Architect delivers internal consulting services to align business strategy with organizational capabilities, processes, and technology. They facilitate workshops for senior leaders and drive data-driven decision-making to solve complex enterprise-level business problems.
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The Director of Risk Management leads the design and execution of the enterprise risk management framework while coordinating with executive leadership and governance bodies. This role oversees risk assessment processes, including ORSA and stress testing, to ensure business objectives are met through actionable risk-based strategies.
Remote · North Carolina, United States
The role involves designing specialty pharmacy networks, developing reimbursement models, and implementing cost-reduction strategies to meet affordability goals. The advisor will also analyze market trends and collaborate with internal and external stakeholders to optimize network performance.
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The Senior Actuarial Analyst will transform complex healthcare data into actionable insights to improve affordability and support strategic decision-making. They will develop BI content, maintain actuarial models, and collaborate with business partners to identify cost drivers and trends.
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The Principal Actuary is responsible for conducting complex actuarial analysis, pricing strategies, and performance evaluations for various cost-of-care initiatives. They act as a strategic advisor to leadership, managing external partnerships and ensuring financial targets are met through data-driven insights.
