Blue Cross and Blue Shield of North Carolina

Oversee product roadmaps, strategy, and vision for strategic offerings, collaborating with leadership and stakeholders to develop scalable solutions. | 8+ years in related field, experience in product management, AI knowledge, and Agile experience. | Job Description As a Principal Product Manager, you will oversee product roadmaps, strategy, and vision for strategic product offerings across all business units and domains. In this capacity, you will collaborate with leadership to identify critical strategic business challenges and ensure that robust, scalable cross-domain solutions are developed, maintained, and presented to stakeholders. You will engage closely with business partners to prioritize product enhancements and overall development in alignment with evolving strategic objectives. Recognized as the subject matter expert in your products, you will play a key role in guiding the organization's vision for analytics self-service and advancing our capabilities in areas such as Generative AI. What You’ll Do Identify high priority strategic business problems and product capabilities needed to solve Define product requirements based on competitive analysis and market research. Prepares projections, analyzes potential operations and identifies the steps necessary to manage/enhance multiple lines of business Conduct market research to define product direction and design, plan, and implement enhancements that align with strategic goals. Develops product policies. Provides input to overall project activities for major initiatives Works within a cross-functional work group to maintain the product within the market. Monitors and reports on product performance and takes appropriate corrective action when necessary. Supports the entire organization as the product experts Provides field and customer support for assigned products, including communication of market strategy, product and competitive information, pricing and promotions. Mentor / coach other product managers Facilitation of meetings and work sessions from the peer to executive level Partner with vendors to develop and implement cutting edge AI enablement for operational applications What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points Strong project management knowledge Artificial Intelligence (AI) technology knowledge Previous experience working in or developing Agile teams. Agile certification a plus Knowledge of Genesys IVR and Salesforce application preferred 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 including an annual company contribution 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. $130,560.00 - $208,896.00 Skills Artificial Intelligence (AI), Business Analytics, Business Needs Analysis, Collaborating, Competitive Intelligence (CI), Competitor Analysis, Innovation, Market Analysis, Marketing, Market Needs Analysis, Market Research, Market Strategy, New Product Development, Operations Analysis, Product Development, Product Development Research, Product Management, Product Requirements Analysis, Salesforce (Software), Strategic Analysis 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

Oversee program operations, manage stakeholder relationships, develop process improvements, and monitor KPIs. | 5+ years of experience in program management, strong communication skills, and ability to manage multiple priorities. | Job Description The Senior Program Manager ensures the success and operational integrity of Value-Based Care programs by overseeing day-to-day operations, monitoring deliverables, and driving accountability across stakeholders. This role collaborates with internal teams, executive leadership, and provider partners to maintain program performance, address issues, and manage risks through escalation and mitigation planning. The Senior Program Manager ensures program changes align with business objectives and may lead the implementation of new programs or major program changes when required. What You'll Do • Ensure operational deliverables are met on schedule and within scope. • Identify and resolve operational issues; escalate risks when necessary and maintain a formal escalation process. • Provide program subject matter expertise to implementation teams and operational stakeholders. • Manage program changes and risks; develop mitigation and contingency plans. • Develop and execute communication plans to ensure clarity and alignment across stakeholders. • Maintain strong relationships with provider partners and vendors by fostering trust, ensuring open communication, and aligning on program changes and deliverables. • Maintain a program playbook and implement process improvements for efficiency. • Lead implementation of new programs or major program changes when required. • Track stakeholder commitments and follow up to maintain accountability. • Analyze and develop business processes to improve operational efficiency. • Monitor program performance and report KPIs, benefit realization, and engagement metrics. • Represent the organization in meetings with external parties, including consultants and vendors, and manage vendor service delivery as needed. • Support contract and financial oversight, including performance guarantees, vendor invoicing, and develop/tracking budgets, operating plans, and financial forecasts. • Apply strategic thinking to balance competing priorities and align program decisions with business objectives. What You Bring • 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. Bonus Points (preferred qualifications) • Proven experience in healthcare – clinical background a plus. • Experience managing Value-Based Care programs, including quality measurement, risk adjustment, financial performance, and data-driven decision-making. • Strong program management expertise with the ability to resolve bottlenecks, drive accountability, and maintain alignment with business objectives. • Exceptional communication and relationship-building skills to engage executive leadership, internal stakeholders, provider partners, and vendors effectively. • Strategic thinker with strong problem-solving and analytical abilities to balance priorities, interpret data, and deliver actionable insights. • Demonstrated leadership and organizational skills to manage multiple priorities, foster vendor trust, and ensure timely, efficient program execution. 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 including an annual company contribution 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

Oversee healthcare value-based care programs, ensuring operational success, stakeholder coordination, and process improvements. | Requires 5+ years in related field, healthcare experience preferred, strong program management and communication skills. | Job Description The Senior Program Manager ensures the success and operational integrity of Value-Based Care programs by overseeing day-to-day operations, monitoring deliverables, and driving accountability across stakeholders. This role collaborates with internal teams, executive leadership, and provider partners to maintain program performance, address issues, and manage risks through escalation and mitigation planning. The Senior Program Manager ensures program changes align with business objectives and may lead the implementation of new programs or major program changes when required. What You'll Do Ensure operational deliverables are met on schedule and within scope. Identify and resolve operational issues; escalate risks when necessary and maintain a formal escalation process. Provide program subject matter expertise to implementation teams and operational stakeholders. Manage program changes and risks; develop mitigation and contingency plans. Develop and execute communication plans to ensure clarity and alignment across stakeholders. Maintain strong relationships with provider partners and vendors by fostering trust, ensuring open communication, and aligning on program changes and deliverables. Maintain a program playbook and implement process improvements for efficiency. Lead implementation of new programs or major program changes when required. Track stakeholder commitments and follow up to maintain accountability. Analyze and develop business processes to improve operational efficiency. Monitor program performance and report KPIs, benefit realization, and engagement metrics. Represent the organization in meetings with external parties, including consultants and vendors, and manage vendor service delivery as needed. Support contract and financial oversight, including performance guarantees, vendor invoicing, and develop/tracking budgets, operating plans, and financial forecasts. Apply strategic thinking to balance competing priorities and align program decisions with business objectives. What You Bring 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. Bonus Points (preferred qualifications) Proven experience in healthcare – clinical background a plus. Experience managing Value-Based Care programs, including quality measurement, risk adjustment, financial performance, and data-driven decision-making. Strong program management expertise with the ability to resolve bottlenecks, drive accountability, and maintain alignment with business objectives. Exceptional communication and relationship-building skills to engage executive leadership, internal stakeholders, provider partners, and vendors effectively. Strategic thinker with strong problem-solving and analytical abilities to balance priorities, interpret data, and deliver actionable insights. Demonstrated leadership and organizational skills to manage multiple priorities, foster vendor trust, and ensure timely, efficient program execution. 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 including an annual company contribution 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 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

Lead the design, development, testing, and support of complex software solutions. Act as a technical expert and provide leadership to the team while addressing complex business problems. | A bachelor's degree or advanced degree is required, along with 8+ years of experience in a related field. Strong experience in Java and database technologies is preferred. | Job Description This is your chance to radically change the game and use your strong technical skills to transform healthcare. You'll be the subject matter expert on assigned projects, leading the work of an agile, high energy and innovative team responsible for the design, development, testing and support of our complex on premise and cloud based software, system and/or information solutions. What You’ll Do Act as a technical expert/resource for the team and business partners while leading the analysis, design and development of high volume, low latency applications for mission critical systems delivering high-availability and performance to best meet customer needs. Independently write well designed, testable, efficient code to support varied and highly complex IT solutions Provide technical leadership to other IT specialists to rapidly develop and deliver stunning solutions that meet changing business needs. Perform all necessary discovery and fact finding to fully understand highly complex business problems and opportunities and independently execute all assignments. Evaluate options to provide solution buy vs. build recommendations to management. Independently analyze and recommend solutions to development and production issues while effectively communicating to the project team, applicable vendors and/or the manager in a timely manner. Research and stay abreast of technology trends and IT best practices, with a focus on continuous learning and possible application to the business. Regularly act in a project lead capacity and/or represent the department on enterprise-wise project teams. Provide direction and assistance to less experienced team members and may oversee or coordinate work efforts as needed. Assist management with employee development initiatives, including training. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points Strong experience in Java, Message Queuing (MQ), and database technologies Proficiency in database design and query optimization Familiarity with DevOps practices and experience migrating applications to OpenShift and AWS Ability to learn quickly, adapt to new technologies, and integrate effectively into the team 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 including an annual company contribution Learn more 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. $130,560.00 - $208,896.00 Skills 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

Oversee and optimize healthcare value-based care programs, ensuring operational success, stakeholder coordination, and continuous improvement. | Requires 5+ years of experience in program or operations management, preferably in healthcare, with strong communication, strategic thinking, and data analysis skills. | The Senior Program Manager ensures the success and operational integrity of Value-Based Care programs by overseeing day-to-day operations, monitoring deliverables, and driving accountability across stakeholders. This role collaborates with internal teams, executive leadership, and provider partners to maintain program performance, address issues, and manage risks through escalation and mitigation planning. The Senior Program Manager ensures program changes align with business objectives and may lead the implementation of new programs or major program changes when required. What You'll Do • Ensure operational deliverables are met on schedule and within scope. • Identify and resolve operational issues; escalate risks when necessary and maintain a formal escalation process. • Provide program subject matter expertise to implementation teams and operational stakeholders. • Manage program changes and risks; develop mitigation and contingency plans. • Develop and execute communication plans to ensure clarity and alignment across stakeholders. • Maintain strong relationships with provider partners and vendors by fostering trust, ensuring open communication, and aligning on program changes and deliverables. • Maintain a program playbook and implement process improvements for efficiency. • Lead implementation of new programs or major program changes when required. • Track stakeholder commitments and follow up to maintain accountability. • Analyze and develop business processes to improve operational efficiency. • Monitor program performance and report KPIs, benefit realization, and engagement metrics. • Represent the organization in meetings with external parties, including consultants and vendors, and manage vendor service delivery as needed. • Support contract and financial oversight, including performance guarantees, vendor invoicing, and develop/tracking budgets, operating plans, and financial forecasts. • Apply strategic thinking to balance competing priorities and align program decisions with business objectives. What You Bring • 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. Bonus Points (preferred qualifications) • Proven experience in healthcare – clinical background a plus. • Experience managing Value-Based Care programs, including quality measurement, risk adjustment, financial performance, and data-driven decision-making. • Strong program management expertise with the ability to resolve bottlenecks, drive accountability, and maintain alignment with business objectives. • Exceptional communication and relationship-building skills to engage executive leadership, internal stakeholders, provider partners, and vendors effectively. • Strategic thinker with strong problem-solving and analytical abilities to balance priorities, interpret data, and deliver actionable insights. • Demonstrated leadership and organizational skills to manage multiple priorities, foster vendor trust, and ensure timely, efficient program execution. 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 including an annual company contribution 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

Manage client service delivery, oversee team performance, and ensure client satisfaction. | Requires extensive experience in client services, healthcare, or related fields, with leadership skills and relevant certifications. | Job Description The Manager, Client Services serves a critical role in the client service delivery model for our Major and National Accounts market segment. In this role you will drive higher group financial value and service-level satisfaction by serving as a client-facing lead ensuring seamless quote-to-card process by engaging in sales and retention meetings, owning key elements of client delivery and ensuring overall client satisfaction. Key elements of this role include collaboration with key internal and external stakeholders to articulate the vision for group service and product delivery and refine and execute on the enterprise roadmap for achieving that vision. Additionally, you will oversee all client needs, that includes management of RFP/RFI, implementation, reporting, renewal activities, issue resolution, product delivery and inquiries from internal Blue Cross NC teams, group administrators and consultant partners. What You'll Do Manage, mentor and lead a team of Client Delivery Experts (CDE’s) and Client Advocacy & Resolution Experts (CARE) for overall client service delivery in conjunction with other key account management functions. Additionally, you will manage a Sales Delivery Expert (SDE) that is responsible for working with our New Business Consultant on RFP related activities to provide support in the end-to-end sales process. Ensure client inquiries are being resolved by CARE team timely and assist in managing escalated issues – includes all aspects of issue remediation as well as resolution of any underlying systemic issues / identification for process improvement opportunities. Manage key aspects of the client engagement delivery model including client advocacy, product / program education, communication, wellness, group reporting and worksite promotions. Attend client meetings as a senior service delivery member to promote and maintain strong relationships and ensure delivery of engagement protocols. Collaborate with external clients, producers/consultants in conjunction with the sales team in effectively communicating Blue Cross NC’s strategic support model and the role of the team in executing this important business function. Monitor, engage and solicit feedback from consultant and clients to understand group needs to provide a best-in-class service experience on an ongoing basis. Create client implementation and enrollment roadmap, tracking Sales, Group CoE and Operations against roadmap to ensure fulfillment and client readiness by effective date. Monitor, track, trend and report goal attainment results to leadership. Collaborate with internal business owners to identify and share best practices and communicate key client experiences to seek process and sales resource improvement opportunities. Foster team culture of collaboration and accountability to meet best-in-class group service delivery, implementation and enrollment needs. Oversee custom data reporting in an effort to analyze group specific trends to support the business intelligence needs of the sales team to support external stakeholders Lead team responsible for the strategic development with internal matrix partners on competitive and winning new business proposals. Key contact for open enrollment support / market activities. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field In lieu of degree, 10+ years of experience in related field Must be able to obtain a North Carolina Health and Life Insurance license within the 60 days of employment in this position. Must possess and maintain a valid driver’s license. Bonus Points Solid healthcare industry experience Proven background in claims processing and customer service excellence. Hands-on experience in proposal management, including development and delivery. Demonstrated business acumen for retention strategies and driving sales growth initiatives. Ability to collaborate effectively across teams and manage multiple priorities in a fast-paced environment. 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 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

Drive sales of healthcare insurance products by building relationships with agents and prospects, utilizing data insights, and representing Blue Cross NC professionally. | Bachelor's degree or 5+ years of related experience, ability to obtain North Carolina Health and Life Insurance license, strong communication and negotiation skills. | Job Description Drive consistent and profitable new sales for Blue Cross NC within the Local Group market segment (1-99 employees). This role is responsible for identifying and maximizing sales opportunities by delivering data-driven, market-leading solutions tailored to the needs of prospective customers. The primary focus is on selling Blue Cross NC core and ancillary products while cultivating strong, trust-based relationships with agents and prospects. Success in this role is measured by the ability to communicate the financial and service value of our offerings, contributing to long-term customer satisfaction and retention. What You'll Do Maintain deep, up-to-date knowledge of corporate policies and procedures related to benefits, rating claims, billing, retention and service capabilities Develop and execute strategic sales plans using data-driven insights, market trends and improved sales aids to effectively close new business opportunities. Build and manage a robust pipeline of prospects by identifying growth opportunities, including ancillary products, and expanding service offerings aligned with client needs and desired health outcomes. Cultivate trusted advisor relationships with agents by leveraging market intelligence and data to influence decision making. Represent Blue Cross NC with professionalism, articulating the value of our solutions and corporate efforts for cost containment and healthcare management. Stay informed on competitor activities, economic conditions, and health care industry trends to inform sales strategies and maintain a competitive edge. Support the Regional Sales Manager and Director of Sales by providing strategic input and assistance in resolving sales related challenges and closing key accounts. Ensure timely and accurate responses to inquiries, quote requests, training needs, and sales opportunity updates. Train agents on product offerings, funding arrangements, rating, and enrollment processes, to ensure smooth implementation of sold groups. Recommend process improvements and share best practices to enhance sales effectiveness and customer experience. Partner with the Group Center of Excellence and Operations to ensure seamless enrollment Identify and document best practices and communicate key client experiences to seek process and sales resources improvement opportunities. Make recommendations and suggestions for procedural changes when deemed necessary to achieve sales and service goals and objectives. What You Bring Bachelor's degree or advanced degree (where required) 3+ years of experience in related field In lieu of degree, 5+ years of experience in related field Must be able to obtain a North Carolina Health and Life Insurance license within the 60 days of employment in this position. Must possess and maintain a valid driver’s license. Bonus Points Insurance sales experience in healthcare preferred Strong communication and negotiation skills Ability to build strong relationships Skilled at navigating diverse personalities with flexibility and emotional intelligence. Enthusiastic about engaging directly with clients and delivering exceptional service. 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 including an annual company contribution Learn more *Must currently reside in North Carolina for consideration Compensation This is a sales incentive role with a total compensation package that consists of a base salary and sales incentive target component. All sales roles are eligible for an initial draw/guarantee to assist new hires with their on-boarding with the company. 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

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.