Leads and manages the day to day operational and tactical aspects of all Commercial related Pharmacy Benefit Management (PBM) activities, new initiatives, and other ongoing business deliverables in accordance with business needs. Identifies, evaluates, and resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business

The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovative health care organizations in North Carolina and beyond. We have a history of forging forward thinking partnerships and investments with like minded partners to create the blueprint of th

The Director, Business Systems is primarily responsible for driving the business objectives of the segment. Leads a team that works directly with key stakeholders across the enterprise regarding segment strategy, project delivery, process improvement, operational effectiveness and delivery of programs that help the segment achieve its goals. We're a team of health care st

Leads and manages the day to day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager) activities, new initiatives, and other ongoing business deliverables in accordance with business needs. Identifies, evaluates, and resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business owne

The Certero Sr. Asset Management Analyst will be responsible for overseeing the life cycle planning of corporate assets through asset selection, operation, refresh, migration, optimization, retirement and disposal; including building, technology, software, furniture, fixtures and/or equipment assets. Independently perform the analysis, design and development of high volum

IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better fo

The Compliance Advisor is responsible for performing day to day activities required to maintain an effective compliance program, including the coordination of complex, cross functional matters related to organizational compliance. Identifies compliance risks, develops and/or facilitates implementation of corrective action plans and conducts audits/compliance reviews to mo

SQL programming (Advance SQL programming) Demonstrated experience with design and implementation of analytic models and methodologies for new applications Proficiency in Python Advanced experience working with large and complex data sets to develop regression and classification models. Deep knowledge of state of the art techniques in machine learning, statistics, optimiza

IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better fo

IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better fo

At Blue Cross and Blue Shield of NC, we are accelerating the future of healthcare and doing it together, asking bold questions and taking on tough challenges through deep, sincere, and honest collaboration. In this role you will be part of the digital transformation at Blue Cross Blue Shield of NC, and you will be responsible for transformation of custom applications into

The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovative health care organizations in North Carolina and beyond. We have a history of forging forward thinking partnerships and investments with like minded partners to create the blueprint of th

We are the model of what's possible in healthcare. The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovative health care organizations in North Carolina and beyond. We have a history of forging forward thinking partnerships and investments with

Lead medium scale, enterprise wide Product Development initiatives aimed at keeping the current product offering for a specific market segment current and competitive. Acts as the primary liaison between segment sales, segment strategy, and the different delivery teams ensuring that their respective refresh/scope optimally delivers on the desired business outcomes. Act as

This is a provider facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls with other internal BCNC teams for collaboration on Blue Premier success. Provides timely, relevant, accurate, and objective feedback to providers, and the management team which includes a plan