Blue Cross and Blue Shield of North Carolina

Manage high-complexity projects, coordinate technical initiatives, and lead teams in a matrixed environment. | Requires 5+ years of related experience, a bachelor's degree or equivalent, and skills in leadership, process improvements, and program management. | Job Description Partner with business owners to define, plan, and deliver technical initiatives through all aspects of the project life cycle. This role manages projects of high complexity and may lead multiple projects concurrently. • Serve as technical coordination point for projects and initiatives of high complexity and may lead multiple projects concurrently. • Accountable for ensuring that deliverables from business and technology partners are produced and approved according to multiple project schedules. • Accountable for managing allocated resources from multiple delivery partners while working within approved hours and scope. • Mentors and provides feedback to team members to create a highly functioning team in a heavily matrixed environment. Hiring Requirements • 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. 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. $107,901.00 - $172,642.00 Skills Leadership, Process Improvements, Program Management, Project Leadership, Project Management, Team Management, Technical Coordination, Technical Leadership, Technical Planning, Technology Partnerships 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 and support HR technology integrations, develop technical specifications, troubleshoot issues, and collaborate on system enhancements. | 8+ years of experience, strong Workday integration and security knowledge, and familiarity with HR modules and development tools. | Job Description Focused on maximizing the value of our investment in Workday, this role is responsible for the HR technology configuration work of major projects supporting Human Resources functions. You will act as a strategic HR technology consultant, leading the alignment of HR technology solutions with business strategies and identifying enterprise value from leveraging Workday. This position partners with functional groups to communicate and clarify HR’s business needs, develop long-range technology plans for HR, and act as liaison with IT to implement solutions. The ideal candidate will bring strong Workday HCM knowledge, security, configuration expertise, and will help drive positive changes across the organization as a Workday champion. What You’ll Do Strategic Consulting: Provide consultative support to assigned customers in defining or designing business processes and identifying enabling technologies based on customer requirements. Develop & Maintain Integrations: Create, test, and support integrations using EIB, Studio, Core Connectors, APIs (REST/SOAP), RaaS, PECI, XML/XSLT. Gather Requirements: Partner with HR, Finance, Payroll, and IT teams to understand business needs and translate them into technical specifications. Troubleshoot & Support: Resolve integration errors, monitor performance, and ensure data accuracy and security. Manage Lifecycle: Oversee the integration lifecycle, including deployments, system upgrades, and alignment with SDLC. Enhance Capabilities: Research, test, and implement new HR system capabilities; manage Workday updates and new feature adoption, including impact analysis, testing, and deployment. Documentation: Develop and maintain documentation for configurations, integrations, and technical processes. Collaboration: Work with internal teams, vendors, and third parties to implement solutions. Mentorship: Act as a mentor to other team members, providing guidance and sharing HR functional and technical expertise. Integration Activities: Perform system integration activities for projects (technical integration testing, assessments, etc.). Business Solutions Facilitation: Facilitate development of business solutions that combine knowledge of HR business processes, technological options, and process facilitation techniques. Information Source: Serve as an information source concerning human resources technology needs for internal HR management and staff. Master Data Partnership: Partner with enterprise HR functions regarding necessary changes to master data for payroll, recruitment, organizational management, training, and compensation. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience In lieu of degree, 10+ years of experience in related field. What We Like Proven experience in Workday integration development, Workday Security, Workday HCM, Payroll, and Benefits modules. Functional knowledge of Workday HCM, Recruiting, Talent Management, VNDLY, Extend, Candidate Engagement and Adaptive Workforce Planning is preferred. Proficiency with integration development tools and web services: EIB, Studio, Core Connectors, APIs (REST/SOAP), RaaS, PECI, and XML/XSLT. Familiarity with Agile/Waterfall methodologies. Workday system experience including implementation, integrations, reporting, calculated fields, business process enhancements, and ongoing functionality releases. 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. $118,691.00 - $189,906.00 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 Salesforce strategy, optimize platform utilization, and guide IT roadmaps in a complex enterprise environment. | 7+ years of delivering Salesforce solutions, strong technical acumen across Salesforce clouds, and experience with data integration, security, and emerging Salesforce technologies. | Job Description We are seeking a highly motivated, deeply knowledgeable, and collaborative Salesforce Technical Consultant to join our IT Solution Delivery organization. This role is ideal for a seasoned Salesforce expert who thrives in a fast-paced enterprise environment, excels at complex problem-solving, and is committed to helping shape the future of our Salesforce ecosystem. You will serve as a trusted technical advisor, influencing Salesforce strategy, optimizing platform utilization, and guiding the evolution of our integrated IT roadmaps. This role requires strong technical breadth across multiple Salesforce domains, paired with the ability to drive forecasting, demand planning, and proactive issue identification across teams. What You’ll Do Contribute to the development and refinement of the Salesforce strategy and corresponding IT roadmaps, ensuring platform evolution aligns with enterprise goals. Provide deep technical leadership across multiple Salesforce domains. (Health Cloud, Service Cloud, Data Cloud, Marketing Cloud, Experience Cloud) Stay current on and provide guidance regarding emerging Salesforce technologies such as Agentforce, Data360, Ai, etc.) Drive forecasting and demand planning for Salesforce capabilities, ensuring alignment between business priorities, team capacity, and technical feasibility. Partner closely with solution architects, engineers, and business stakeholders to deliver secure, sustainable, and efficient Salesforce solutions Collaborate with finance, procurement, and vendor management teams to ensure full value realization from Salesforce investments. Reduce licensing costs and maximize purchasing power What You Bring 7+ years of hands‑on experience delivering Salesforce solutions in complex enterprise environments. Strong technical acumen across multiple Salesforce clouds, with the ability to quickly learn and adopt emerging capabilities. Demonstrated experience with data modeling, integration patterns, API frameworks, and security best practices within Salesforce. Proven ability to drive demand planning, roadmap development, and cross-functional alignment. Strong analytical, problem-solving, and communication skills. Ability to work collaboratively across IT, business units, and vendor partners. Bonus Points Salesforce certifications such as: Salesforce Certified Technical Architect (CTA) Application Architect or System Architect Marketing Cloud Consultant Health Cloud Accredited Professional Data Cloud Consultant Experience with emerging Salesforce technologies (Agentforce, Data360, AI Cloud, automation). Background in healthcare, regulated industries, or data‑centric solution delivery. Experience leading process improvement, Agile transformation, or governance initiatives. 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. $143,616.00 - $229,786.00 Skills Architectural Design, Business Cases, Business Development, Business Software, Information Technology (IT) Projects, Information Technology (IT) Services, Information Technology Project Management, Management Consulting, Process Evaluations, Proof of Concept (POC), Quality Control (QC), Software Development, System Integration, Waterfall Model 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

Support digital procurement systems, optimize processes, and ensure compliance with standards and governance. | Requires 5+ years in procurement or supply chain, experience with digital tools, and relevant certifications; your experience exceeds the seniority level and lacks specific procurement tool expertise. | Job Description The Sr. Business Operations Advisor – Procurement Excellence (Digital Tooling, Mkt Research & Operations) will play a critical role in advancing digital transformation within the procurement function, with a strong focus on digital procurement tooling, operational processes, standards, best practices, and governance related to market research suppliers. This role requires a strategic and analytical mindset, ensuring procurement activities align with corporate objectives while leveraging technology to drive efficiency, compliance, and innovation. What You’ll Do Support the implementation and continuous improvement of digital procurement tools and systems. Serve as subject matter exert of major digital tools supporting Procurement. Conduct analysis to identify opportunities for process optimization and automation in procurement operations. Assist in the development and enforcement of procurement standards, best practices, and governance frameworks for market research suppliers. Collaborate with internal stakeholders to ensure procurement strategies align with business objectives and compliance requirements. Monitor supplier performance and adherence to contractual obligations, identifying areas for improvement. Research industry trends and emerging procurement technologies to enhance the organization's digital procurement capabilities. Support training initiatives to ensure proper adoption of procurement tools and adherence to standards. Generate reports and analytics to inform procurement strategies and decision-making. What You Bring Bachelor's degree or advanced degree (where required) 5+ years of experience in Supply Chain Management, Procurement, or a related field. In lieu of degree, 7+ years of experience in related field. Bonus Points Experience with market research supplier governance and procurement. Familiarity with ERP systems and procurement analytics platforms. Certification in procurement or supply chain management (e.g., CPSM, CIPS) highly preferred. 2-4 years of experience in procurement, supply chain, or business operations, with exposure to digital procurement solutions highly preferred. . Proficiency in procurement tools and technologies such as e-sourcing platforms, contract management systems, and supplier performance tracking. Strong analytical and problem-solving skills with a data-driven approach. Knowledge of procurement best practices and governance frameworks. Excellent communication and stakeholder management skills. Ability to thrive in a fast-paced, evolving digital procurement environment. 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 Decision Making, Enterprise Resource Planning (ERP) Systems, Procurement, Procurement Operations, Supply Chain, Supply Chain Management (SCM) 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

Developing spend taxonomy, creating dashboards, monitoring savings, and collaborating across teams to improve procurement analytics. | Requires 5+ years in data analytics or related field, proficiency in analytics tools, and understanding of procurement processes; your experience is more executive and strategic, with limited direct procurement analytics skills. | Job Description We are seeking an experienced and analytical Senior Business Operations Advisor – Procurement Excellence (Analytics and Reporting) to join our Procurement Excellence team. The successful candidate will provide insightful reporting, perform spend analytics, and support data-driven decision-making. Key responsibilities include developing and maintaining spend taxonomy, designing and managing dashboards, monitoring savings, and collaborating with cross-functional partners to enhance procurement processes. The ideal candidate demonstrates a robust analytical skill set, advanced proficiency in data tools, and a strong commitment to improving procurement efficiency. What You’ll Do Develop and maintain spend taxonomy to ensure accurate categorization and classification of procurement data. Generate spend reporting insights to support sourcing strategies, budget planning, and cost optimization. Track, measure, and report on savings achieved through procurement initiatives. Design, develop, and maintain dashboards that visualize procurement data and KPIs for effective decision-making. Partner cross-functionally across procurement teams to understand data needs and provide analytical support. Leverage tools (such as Excel, Power BI, Tableau, and/or procurement-specific software) to extract and analyze procurement data. Collaborate with Finance to align spend reporting, savings tracking, and budgeting processes. Identify opportunities for process improvements within procurement analytics and reporting functions. What You Bring Bachelor's degree or advanced degree (where required) 5+ years of experience in Finance, Business, Supply Chain Management, Data Analytics or related field. In lieu of degree, 7+ years of experience in related field. Bonus Points Experience working in a large-scale procurement function or within a Procurement Operations team. Familiarity with ERP systems (Workday). Proven experience in procurement analytics, reporting, and data visualization. Proficiency in Microsoft Excel, Power BI, Tableau, SQL, or other relevant analytics tools. Strong knowledge of procurement processes, spend taxonomy, and cost-saving methodologies. Ability to work collaboratively across teams and build strong stakeholder relationships. Excellent analytical skills with the ability to translate complex data into actionable insights. Strong communication and presentation skills to convey data findings effectively. Understanding of financial analysis and budgeting principles in procurement. 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 Business Operation Management, Change Management, Client Vendor Relationship, Microsoft Power Business Intelligence (BI), Operations Management, Organizational Strategic Planning, Partnership Strategy, People Management, Process Improvements, Procurement, Strategic Consulting, Structured Query Language (SQL), Tableau (Software), Taxonomy 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 and coordinate complex maternal health initiatives, develop strategies, manage projects, and ensure program compliance and effectiveness. | Requires 5+ years in strategic planning and program management, with bonus points for clinical maternal health experience and health plan background. | Job Description Leads and manages the strategic and operational aspects of complex initiatives for the maternal health program. Leads and coordinates the cross-functional maternal health workgroup to meet program goals and accreditation requirements. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives. What You'll Do Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterprise. Develops business cases, strategy concept designs and program requirements. Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives. Develops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans. Identifies analyzes and understands target audiences and their specific program needs. Develops and deploys marketing strategy to increase member engagement in maternal health programs. Leads vendor identification, evaluation, selection and contract negotiations for new vendor relationships. Manages and coordinates activities, analyzes datasets and writes population health reports to meet NCQA accreditation requirements. Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentations. Owns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverables. Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitored. What You'll Bring Bachelor's degree or advanced degree (where required) 5+ years of experience in related field (strategic planning and program management) In lieu of degree, 7+ years of experience in related field Bonus Points Clinical experience in maternal health Health Plan experience 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 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. $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

Manage and optimize the CMDB and ITOM modules within ServiceNow, ensuring data accuracy, process governance, and integration with cloud and container environments. | Experience with ServiceNow CMDB, ITIL, cloud platforms, service mapping, and at least 5 years in related fields, with certifications preferred. | Job Description The Configuration Manager supports the delivery of IT services by ensuring the Configuration Management Database (CMDB) remains accurate, current, and reliable. Operating within the ITIL framework and reporting into the ITIL Service Operations organization at Blue Cross, this role is responsible for managing the lifecycle of all Configuration Items (CIs), including their attributes and relationships. The Configuration Manager owns the Configuration Management System (CMS) and its integrations with discovery tools and other ITSM applications, ensuring that configuration management processes are clearly defined, consistently executed, and aligned with ITIL standards to maintain a high-quality, up-to-date CMDB. What You’ll Do Own and manage the Configuration Management System (CMS), including the ServiceNow CMDB and ITOM modules (Discovery, Service Mapping, Event Management). Lead CMDB upgrades, migrations, and lifecycle management to maintain platform stability and data integrity. Serve as the key liaison between IT service teams, ServiceNow platform teams, and business owners to align configuration data with business processes and service definitions. Build and maintain strong relationships with ServiceNow module owners to ensure configuration data supports desired business outcomes. Translate complex CMDB and ITOM concepts into clear, business‑focused language for non‑technical stakeholders. Define, govern, and enforce ITIL Configuration Management processes to ensure an accurate, trusted CMDB. Design and maintain CMDB architecture, including discovery patterns, data models, CI relationships, service mapping, and access controls. Integrate patching and vulnerability data (e.g., cloud patching, Tenable) across cloud, infrastructure, and containerized environments. Evolve CMDB and discovery capabilities to support modern platforms such as AWS, Kubernetes, and OpenShift. Monitor and validate CMDB accuracy, discovery results, performance, and capacity; drive remediation of inconsistencies. Ensure all authorized Change, Release, Discovery, and Cloud activities are accurately reflected in the CMDB. Provide reporting, audits, and continuous improvement recommendations while operating effectively in a matrixed, shared‑ownership environment. What You Bring Experience working in a ServiceNow CMDB environment Understanding of service mapping concepts and business service relationships Understanding of cloud platforms (AWS) and knowledge of container technologies (Kubernetes or OpenShift) Bachelor's degree or advanced degree 5+ years of experience in related field In lieu of degree, 7+ years of experience in related field Bonus Points Familiarity with ITIL or ITSM frameworks certifications ServiceNow and/or ITIL certifications 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. $107,901.00 - $172,642.00 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 and manage payment integrity teams to optimize systems, processes, and savings within health plans. | Requires 10+ years managing multifunctional payment integrity teams, direct health plan experience, and 7+ years of leadership. | Job Description Direct, manage and lead highly complex functional and/or broad foundational business areas within Payment Integrity to define and enable strategic and operational priorities. Lead and set goals for teams responsible for identifying, coordinating, and implementing initiatives/projects and activities that create efficiencies, optimize systems & processes, promote quality, and maximize medical and administrative expense savings. Teams may include Payment Integrity strategy and growth, operations, payment integrity clinical and specialty programs, and/or multiple payment integrity services either performed by vendors or internally. Leadership Responsibilities • People leadership • Resource management • Project planning and management • Financial and data analysis What You'll Do • Provide leadership, vision, and direction for assigned teams. • Direct staff of subject matter experts and analysts to identify & execute growth business initiatives, while managing existing programs: production problem resolution, system enhancements, and configurations. • Accountable to define and execute strategy to deliver year-over-year growth and achieve savings target(s) within the COB and Data Mining vertical. • Ensure business plans and industry analysis, consider future needs and drive "best in-class" thinking. Builds understanding of market trends and customer needs. • Identifies new operational initiatives and modifications to current programs and processes to improve the company's competitive position/increase medical expense savings. • Demonstrates understanding of the financial levers that impact business performance and deploys them to improve short- and long-term results. • Lead and oversee management and delivery of enterprise and departmental projects including business case development, ROI analysis, planning, business analysis, and project management. • Lead and oversee optimization of existing systems, processes, and workflows. • Ensure programs and operations are performing successfully and are compliant in accordance with regulations of State, Federal, and other governing bodies; ensures corrective action plans are implemented when applicable. • Develop internal PI Provider Education program to enhance provider experience and focus on change in behavior. What You'll Bring • Bachelor's Degree • 10 years of experience managing multifunctional payment integrity teams • In lieu of bachelor's degree, 12 years of experience as stated above • Must have direct health plan experience • 7 years leadership experience Preferred skills • Extensive knowledge of coordination of benefit primacy rules for commercial and Medicare lines of business, including knowledge of MSP demand process • Basic claim coding knowledge for better understanding of data mining concepts • Experience with project and software life cycle management • Experience with vendor management from an operational perspective • Experience with vendor contract negotiations • Understanding of claims adjudication systems and pricing configuration and architecture • Coding and billing experience WhatYou'llGet: • The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community • Work-life balance, flexibility, and the autonomy to dogreat work • Medical, dental, and vision coverage along withnumeroushealth and wellness programs • Parental leave and support plus adoption and surrogacyassistance • 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. $157,978.00 - $252,765.00 Skills Job Description Direct, manage and lead highly complex functional and/or broad foundational business areas within Payment Integrity to define and enable strategic and operational priorities. Lead and set goals for teams responsible for identifying, coordinating, and implementing initiatives/projects and activities that create efficiencies, optimize systems & processes, promote quality, and maximize medical and administrative expense savings. Teams may include Payment Integrity strategy and growth, operations, payment integrity clinical and specialty programs, and/or multiple payment integrity services either performed by vendors or internally. Leadership Responsibilities • People leadership • Resource management • Project planning and management • Financial and data analysis What You'll Do • Provide leadership, vision, and direction for assigned teams. • Direct staff of subject matter experts and analysts to identify & execute growth business initiatives, while managing existing programs: production problem resolution, system enhancements, and configurations. • Accountable to define and execute strategy to deliver year-over-year growth and achieve savings target(s) within the COB and Data Mining vertical. • Ensure business plans and industry analysis, consider future needs and drive "best in-class" thinking. Builds understanding of market trends and customer needs. • Identifies new operational initiatives and modifications to current programs and processes to improve the company's competitive position/increase medical expense savings. • Demonstrates understanding of the financial levers that impact business performance and deploys them to improve short- and long-term results. • Lead and oversee management and delivery of enterprise and departmental projects including business case development, ROI analysis, planning, business analysis, and project management. • Lead and oversee optimization of existing systems, processes, and workflows. • Ensure programs and operations are performing successfully and are compliant in accordance with regulations of State, Federal, and other governing bodies; ensures corrective action plans are implemented when applicable. • Develop internal PI Provider Education program to enhance provider experience and focus on change in behavior. What You'll Bring • Bachelor's Degree • 10 years of experience managing multifunctional payment integrity teams • In lieu of bachelor's degree, 12 years of experience as stated above • Must have direct health plan experience • 7 years leadership experience Preferred skills • Extensive knowledge of coordination of benefit primacy rules for commercial and Medicare lines of business, including knowledge of MSP demand process • Basic claim coding knowledge for better understanding of data mining concepts • Experience with project and software life cycle management • Experience with vendor management from an operational perspective • Experience with vendor contract negotiations • Understanding of claims adjudication systems and pricing configuration and architecture • Coding and billing experience WhatYou'llGet: • The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community • Work-life balance, flexibility, and the autonomy to dogreat work • Medical, dental, and vision coverage along withnumeroushealth and wellness programs • Parental leave and support plus adoption and surrogacyassistance • 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. $157,978.00 - $252,765.00 Skills

Designs and oversees population health strategies, manages projects, and collaborates with leadership to improve health outcomes and operational efficiency. | Requires 5+ years in health plan strategy or related field, with skills in project management, process improvement, and vendor negotiations. | Job Description Leads and oversees the design of population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Works alongside senior leadership to monitor the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives that can improve member health outcomes, reduce provider administrative burden, and/or reduce medical or operational expense through a variety levers, including clinical workflow innovation, operational efficiency, prior authorization management, and AI-enabled care. What You'll Do • Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterprise. • Develops business cases, strategy concept designs and program requirements.Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives. • Develops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans. • Identifies analyzes and understands target audiences and their specific program needs. Develops and deploys marketing strategy to increase member engagement in maternal health programs. • Leads vendor identification, evaluation, selection and contract negotiations for new vendor relationships. • Works with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements • May work across multiple Line of Business and states to encompass program needs into population health strategies • Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentations. • Owns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverables. • Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitored. What You'll Bring • Bachelor's degree or advanced degree (where required) • 5+ years of experience in related field (strategic planning and program management for health plan) • In lieu of degree, 7+ years of experience in related field Bonus Points • Clinical background 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. $89,174.00 - $142,679.00 Skills Business Process Improvements, Implementation Management, Process Improvement Initiatives, Process Improvements, Project Management, Project Management Oversight, Project Performance Management (PM), Project Plan Development, Resource Management, Resource Planning Job Description Leads and oversees the design of population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Works alongside senior leadership to monitor the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives that can improve member health outcomes, reduce provider administrative burden, and/or reduce medical or operational expense through a variety levers, including clinical workflow innovation, operational efficiency, prior authorization management, and AI-enabled care. What You'll Do • Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterprise. • Develops business cases, strategy concept designs and program requirements.Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives. • Develops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans. • Identifies analyzes and understands target audiences and their specific program needs. Develops and deploys marketing strategy to increase member engagement in maternal health programs. • Leads vendor identification, evaluation, selection and contract negotiations for new vendor relationships. • Works with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements • May work across multiple Line of Business and states to encompass program needs into population health strategies • Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentations. • Owns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverables. • Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitored. What You'll Bring • Bachelor's degree or advanced degree (where required) • 5+ years of experience in related field (strategic planning and program management for health plan) • In lieu of degree, 7+ years of experience in related field Bonus Points • Clinical background 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. $89,174.00 - $142,679.00 Skills Business Process Improvements, Implementation Management, Process Improvement Initiatives, Process Improvements, Project Management, Project Management Oversight, Project Performance Management (PM), Project Plan Development, Resource Management, Resource Planning

Lead and manage complex maternal health initiatives, develop strategies, coordinate cross-functional teams, and ensure program compliance and success. | Requires 5+ years in strategic planning and program management, with bonus points for clinical maternal health experience and health plan background. | Job Description Leads and manages the strategic and operational aspects of complex initiatives for the maternal health program. Leads and coordinates the cross-functional maternal health workgroup to meet program goals and accreditation requirements. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives. What You'll Do Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterprise. Develops business cases, strategy concept designs and program requirements. Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives. Develops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans. Identifies analyzes and understands target audiences and their specific program needs. Develops and deploys marketing strategy to increase member engagement in maternal health programs. Leads vendor identification, evaluation, selection and contract negotiations for new vendor relationships. Manages and coordinates activities, analyzes datasets and writes population health reports to meet NCQA accreditation requirements. Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentations. Owns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverables. Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitored. What You'll Bring Bachelor's degree or advanced degree (where required) 5+ years of experience in related field (strategic planning and program management) In lieu of degree, 7+ years of experience in related field Bonus Points Clinical experience in maternal health Health Plan experience 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 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. $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 and manage enterprise-scale projects, develop project plans, coordinate cross-functional teams, and ensure project success and compliance. | Requires 5+ years of experience in project management or related fields, with skills in process improvement, resource management, and project oversight. | 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. What You'll Do Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to corporate priorities. Negotiates for resources to staff projects effectively with appropriate skill sets, aligning skills to the needs of the project. Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation. Coordinates development and implementation of policies and procedures as well as development of compliance measurements. Controls and monitors project effectiveness; updates project plans as necessary. Ensures compliance with necessary audit requirements. Represents BCBSNC in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors. Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met. Develops escalation process to channel issues and concerns to appropriate parties. Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses. Develops effective business process improvement initiatives and communication plans. Performs analytic functions and coaches others in analytical production, technical and other areas. Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (ie Cost/Benefit Analysis, Flowcharting, etc). Documents and presents project management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals. Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project. Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training. What You'll 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 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. $89,174.00 - $142,679.00 Skills Business Process Improvements, Implementation Management, Process Improvement Initiatives, Process Improvements, Project Management, Project Management Oversight, Project Performance Management (PM), Project Plan Development, Resource Management, Resource Planning 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

Manage and oversee multiple enterprise-scale projects, develop project plans, coordinate resources, and ensure successful implementation aligned with organizational goals. | 5+ years of experience in project or operational management, strong skills in process improvement, resource management, and stakeholder communication, with a bachelor's degree or equivalent experience. | 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. What You'll Do • Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to corporate priorities. • Negotiates for resources to staff projects effectively with appropriate skill sets, aligning skills to the needs of the project. Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation. • Coordinates development and implementation of policies and procedures as well as development of compliance measurements. Controls and monitors project effectiveness; updates project plans as necessary. Ensures compliance with necessary audit requirements. • Represents BCBSNC in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors. • Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met. • Develops escalation process to channel issues and concerns to appropriate parties. • Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses. • Develops effective business process improvement initiatives and communication plans. • Performs analytic functions and coaches others in analytical production, technical and other areas. • Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (ie Cost/Benefit Analysis, Flowcharting, etc). • Documents and presents project management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals. • Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project. • Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training. What You'll 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 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. $89,174.00 - $142,679.00 Skills Business Process Improvements, Implementation Management, Process Improvement Initiatives, Process Improvements, Project Management, Project Management Oversight, Project Performance Management (PM), Project Plan Development, Resource Management, Resource Planning

Manage and develop clinical pharmacy programs, ensure formulary compliance, and support Medicare Part D participation. | Requires a licensed pharmacist with 5+ years of experience in pharmacy or related field, which you do not have. | Job Description We’re seeking a Senior Clinical Pharmacist in Medicare Formulary Strategy. In this critical role, you will plan, coordinate and manage the clinical delivery of pharmaceutical benefits and services to Blue Cross NC subscribers. Work collaboratively with Medical Directors in the implementation of pharmacy programs. Responsible for the implementation and management of clinical programs including: drug utilization review, academic detailing, formulary compliance, generic substitution, clinical case management and physician report cards. What You’ll Do Develop and implement clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes. Develop, analyze, report on clinical programs, manage and coordinate between Health Care Management and Health Care Services Development to optimize BCBSNC long-term access to high-quality, cost-efficient pharmacy providers. Analyze, document, and report pharmacy project performance results relative to clinical indicators. Manage and support Academic Detailing programs and conducts site visits as necessary. Participate in education of provider network. Develop, implement and manage managed care programs such as prior authorization and quantity limitations programs in order to meet Plan goals. Ensure clinical compliance with law and regulatory bodies and represent pharmacy programs before review bodies such as the North Carolina Department of Insurance and the National Committee for Quality Assurance. Develop and maintain formulary compliance programs. Develop educational materials, newsletters, member and provider talking points and disseminate clinical information for both internal and external audiences. Pursue active membership in professional organizations and seek continual professional development in an effort to identify industry trends and best practices and innovative solutions to current and emerging industry challenges. Manage the requirements for the organization’s participation in Medicare Part D. What You Bring Bachelor's degree or advanced degree 5+ years of experience in related field In lieu of degree, 7+ years of experience in related field Licensed pharmacist or eligible for licensure in North Carolina 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. $118,691.00 - $189,906.00 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

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.