Blue Cross and Blue Shield of North Carolina

Lead operational and governance aspects of MSP program ensuring compliance and cost controls. | Bachelor's degree and 5+ years relevant experience, preferred PMP certification and MSP program experience. | Job Description Leads and manages the day-to-day operational and tactical aspects of multiple or enterprise scale projects, new initiatives and other ongoing business deliverables in accordance with business needs. Identifies, evaluates and resolves issues that conflict with project deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully implement projects/programs. Assesses project risks, develops mitigation and contingency plans. Oversees project to ensure projects have required resources, meets milestones and are successfully implemented. Leads and coordinates matrix and/or cross-functional team. Role Summary Thie Progam Manager is an individual contributor role with broad enterprise influence and accountability. This role is the operational and governance lead for FlexStaff, the company’s Managed Service Provider (MSP) program for staff augmentation. The Senior Program / Project Manager ensures the program delivers the right talent solutions at the right cost while maintaining strong controls around worker classification, co‑employment risk, compliance, and spend governance. The role leads day-to-day program execution in partnership with PMO contractors, conducts audits, drives adherence to program standards, and produces clear, defensible reporting on financial health and risk posture. As the program matures, this position functions increasingly as a consultative advisor to leaders on workforce mix decisions across staff augmentation, SOW-based work, vendor resources, and FTE hiring. What You Will Do Program Leadership & Execution Own day-to-day operations of the FlexStaff MSP program and serve as the primary accountable owner. Direct and prioritize work performed by PMO contractors supporting the program. Maintain operating cadence, issue tracking, and resolution across program activities. Governance, Compliance & Co‑Employment Risk Own program governance to ensure consistent adherence to policies, controls, and approved use cases. Design, execute, and continuously improve audits focused on: Worker classification accuracy Appropriate engagement models Documentation and contract integrity Adherence to time, assignment, and scope controls Actively manage co‑employment risk by reinforcing role boundaries, engagement rules, and manager behaviors. Identify non-compliance, assess risk severity, and drive remediation in partnership with Legal, HR, Procurement, and Workforce Planning. Ensure FlexStaff is used only where appropriate and intervene when alternative solutions are required. Cost Containment & Financial Stewardship Drive program-level cost containment through rate discipline, utilization controls, assignment governance, and alternative workforce solutions. Analyze contingent workforce spend, trends, and vendor performance. Measure and report on financial health, savings, cost avoidance, and realized program benefits. Produce clear, defensible reporting for leadership. Audit & Program Maturity Establish a standardized, repeatable audit framework to support an increasingly mature, defensible program. Identify root causes of risk, misuse, or inefficiency and implement corrective actions. Strengthen program rigor as FlexStaff evolves from execution-focused to advisory and consultative. Stakeholder & Client Partnership Serve as a trusted advisor to managers and leaders, focused on solving workforce needs—not simply placing resources. Recommend alternatives when FlexStaff is not the appropriate solution. Provide clear guidance on workforce mix decisions (staff augmentation, SOW, vendor-led work, FTE). Manage escalations with a balance of firmness, pragmatism, and service orientation. Enterprise Partnership Liaise closely with Workforce Planning, Procurement, and HRIS to ensure alignment and data integrity. Support enterprise workforce strategy through disciplined execution and transparent insights. Systems & Process Ownership Become an expert user of VNDLY, including workflows, reporting, controls, and analytics. Maintain intermediate proficiency in Workday as it relates to contingent workforce processes and data. Ensure accurate system usage and adoption of program best practices. Talent Team Enablement Partner with Talent Advisors to reinforce FlexStaff best practices and governance standards. Educate internal users on proper intake, engagement models, and decision pathways. Model disciplined program behavior and decision-making. SkillBridge & EVP Support Provide program management oversight for the SkillBridge internship program. Support Employment Value Proposition efforts and other internal or external-facing initiatives as needed. What Success Looks Like Strong classification integrity and reduced co‑employment risk. Clear, defensible audit outcomes and remediation paths. Measurable cost containment and spend transparency. Improved manager decision-making around workforce solutions. High trust from internal stakeholders and enterprise partners. Mature, consultative use of FlexStaff aligned to workforce strategy. Required Qualifications • Bachelor's degree or advanced degree (where required) • 5+ years of experience in related field. • In lieu of degree, 7+ years of experience in related field. Preferred Qualifications Direct experience operating or governing an MSP or contingent workforce program. Experience with VNDLY or similar contingent workforce platforms. Working knowledge of Workday in a contingent workforce context. Experience partnering with Workforce Planning, Procurement, HRIS, and Talent Acquisition. PMP or similar certification (preferred, not required). Demonstrated experience managing governance, audits, or compliance-focused programs. Strong financial acumen with ability to analyze and report on spend and program value. Proven ability to influence without authority in a matrixed organization. Salary Range 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. $89,174.00 - $142,679.00 Skills _____________________________________________________________________ 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. About Us 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. Authorization to Work in the United States We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español. Request Accommodations Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com. For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming Much more than a paycheck The total value of working at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks that help you thrive, such as competitive health benefits, bonus plans based on performance, 401(k) with employer match, paid time off (plus two well-being days), and a variety of career development and wellness programs.

Lead customer experience issue management, develop strategies, collaborate cross-functionally, monitor KPIs, and mentor junior staff. | At least 5 years experience with a bachelor's degree, strong analytical, communication, and strategic problem-solving skills. | Job Description We are seeking a highly skilled and strategic individual to join our team as a Senior Strategic Advisor for the Customer Experience Issue Management program. In this elevated role, you will provide expert guidance and leadership to ensure the effective management and resolution of customer experience issues. You will work closely with cross-functional teams to identify, analyze, and address customer pain points, driving continuous improvement in our customer experience. What You'll Do Develop and implement advanced strategies to enhance the Customer Experience Issue Management program, aligning with organizational goals and objectives. Conduct thorough analysis of customer experience issues, identifying root causes and recommending actionable solutions. Collaborate with various departments, including Risk, Compliance, Audit, and Business Partners, to ensure seamless issue resolution and process improvements. Establish and monitor key performance indicators (KPIs) to measure the effectiveness of issue management initiatives and drive continuous improvement. Engage with internal and external stakeholders to gather insights, share progress, and ensure alignment on customer experience priorities. Perform cost-benefit analyses to evaluate the financial impact of proposed solutions and ensure cost-effective decision-making. Develop clear and concise communication plans to keep stakeholders informed about issue management activities and outcomes. Lead and mentor junior team members, fostering a culture of excellence and continuous improvement. What You Bring Bachelor's degree or advanced degree (where required). 5+ years of experience in a related field. In lieu of a degree, 7+ years of experience in a related field. Bonus Points (Preferred Qualifications) Proven experience in a strategic advisory role, preferably within customer experience or issue management. Ability to analyze complex situations, make informed decisions, and identify innovative solutions to challenging problems. Strong analytical and problem-solving skills, with the ability to think strategically and drive actionable insights. Excellent communication and interpersonal skills, with the ability to influence and collaborate with stakeholders at all levels. Experience with performance metrics and data analysis tools. Ability to manage multiple projects and priorities in a fast-paced environment with a proven track record of keeping projects on track and meeting deadlines. Strong organizational skills and attention to detail What You’ll Get The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match #LI-Hybrid Salary Range 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. $89,174.00 - $142,679.00 Skills Communications Strategy, Leadership, Market Development, Marketing Strategies, Market Research, Mentorship, Stakeholder Management, Strategic Initiative, Strategic Planning, Strategic Planning Initiatives _____________________________________________________________________ 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. About Us 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. Authorization to Work in the United States We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español. Request Accommodations Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com. Blue Cross NC is a Hybrid Flex company. Whether the 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 of our approved states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming

The Intake Specialist processes a variety of internal and external member/provider requests and transactions, ensuring accuracy and compliance with timeliness standards. They also gather and analyze data to provide feedback on employee development needs and assist with special projects as needed. | A high school diploma or GED is required along with 3+ years of experience in a related field. The role demands strong customer service skills and the ability to handle inquiries efficiently. | 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. Complies with timeliness standards and reduces unpaid claims and rework by accurately processing requests. May also assist on special projects as needed. • Process a variety of requests, inquiries and transactions via phone, email, fax, and mail • Review requests to ensure accuracy • Support internal & external customers via phone or email • Document all pertinent information related to the call/inquiry, attach supporting information as applicable and if unable to resolve route to appropriate area for follow up as applicable • Gather and analyze data to provide feedback to Team Leads on employee development needs and/or specific providers requiring education on prior approval or pre-certification process • Screen inquiries to determine if authorization is required • Verify member benefits and eligibility and/or provider setup. • Maintain and update Service Requests and research incorrect or missing information. • Triage and assign all incoming inquiries in a timely, efficient manner throughout the day to appropriate staff • Perform Peer Audits monthly as required • Provide clinical review outcome notification to members and providers (verbal and written) Hiring Requirements • High school diploma or GED • 3+ years of experience in related field. Salary Range 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. $41,600.00 - $66,561.00 Skills Accounting, Clinical Evaluations, Clinical Review, Customer Service, Data Entry, Documentations, Inquiry Handling, Job Interviews, Scheduling, Time Management About Us 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. Authorization to Work in the United States We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español. Request Accommodations Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com. For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming Much more than a paycheck The total value of working at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks that help you thrive, such as competitive health benefits, bonus plans based on performance, 401(k) with employer match, paid time off (plus two well-being days), and a variety of career development and wellness programs.