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Blue Cross Blue Shield of North Carolina jobs - 121 jobs

  • Senior Counsel - Data, AI & Emerging Tech Governance

    Blue Cross Blue Shield 4.8company rating

    Blue Cross Blue Shield job in Chicago, IL

    A leading national healthcare organization in Chicago is looking for an Associate General Counsel specializing in data and emerging technologies. This role provides legal guidance on data use, privacy, and advanced technologies like AI and analytics. Candidates should have a Juris Doctor and at least 5 years of legal practice experience, with a strong understanding of healthcare privacy laws. The compensation range is set between $142,690.00 and $205,246.50 annually, alongside a comprehensive benefits package. #J-18808-Ljbffr
    $142.7k-205.2k yearly 5d ago
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  • Associate General Counsel, Data and Emerging Technologies

    Blue Cross Blue Shield 4.8company rating

    Blue Cross Blue Shield job in Chicago, IL

    Associate General Counsel, Data and Emerging Technologies page is loaded## Associate General Counsel, Data and Emerging Technologieslocations: US IL Chicago E. Randolphtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR5552Job Description Summary: The Data Governance and Emerging Technologies Counsel partners across the organization to provide legal and strategic guidance on initiatives involving data use, privacy, and advanced technologies such as artificial intelligence, machine learning, and analytics. This role supports legal team efforts related to data governance, regulatory compliance, intellectual property, and risk management strategies associated with emerging technologies. The position also engages with attorneys and business teams from affiliated health plans to support the implementation and operational oversight of data use practices across the broader system.**Responsibilities include but are not limited to:*** Identify and assess legal risks for moderately complex matters for assigned practice area with minimal supervision and direction.* Assigned practice area may include one or more of the following litigation, special investigations, legal operations, healthcare/regulatory law, contracts, etc.* Builds knowledge of the business context* Performs routine legal work.* Handles moderately complex legal questions and projects.**The posting range for this position is:** $142,690.00-$205,246.50**Required Education, Certifications and Experience:** Education:* Required Juris DoctorExperience:* Required 5+ Years legal practice experience Knowledge Skills and Abilities:* Proficient written and oral communication skills* Proficient organizational and project management skills, including follow through skills* Strong legal research, analysis and drafting* Problem solving skills* Preferred knowledge of healthcare insurance industry, including state and federal regulatory environment Certifications & Licenses:* Required: Bar Admission - VariousAdditional preferred experience:* Demonstrated experience drafting and negotiating technology and data-related agreements, including cloud-based services (e.g., SaaS, PaaS), data sharing and licensing, and AI-enabled solutions, within regulated environments; strong understanding of healthcare privacy and security laws (e.g., HIPAA, HITECH, state privacy) and emerging frameworks for AI governance, data ethics and responsible innovation.#LI\_HYBRIDThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for *annual bonus incentive* pay.We offer a comprehensive package of benefits *including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits* to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It's easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA!At Blue Cross Blue Shield Association , we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity. Experience a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us! #J-18808-Ljbffr
    $122k-168k yearly est. 1d ago
  • Strategic Market Insights Lead for Health Plans

    Blue Cross Blue Shield 4.8company rating

    Blue Cross Blue Shield job in Chicago, IL

    A leading health insurance company is seeking a strategic leader accountable for driving insights that inform competitive positioning across government programs like Medicare and Medicaid. The ideal candidate will need a Bachelor's degree and 7+ years of experience in market research within health insurance. Key responsibilities include designing market research, synthesizing insights, and collaborating with stakeholders to enhance decision-making. This role offers a competitive salary range of $112,443.00-$161,738.53 with comprehensive benefits. #J-18808-Ljbffr
    $112.4k-161.7k yearly 4d ago
  • Market Performance Lead Consultant

    Blue Cross Blue Shield 4.8company rating

    Blue Cross Blue Shield job in Chicago, IL

    The role is a strategic leader accountable for driving insights that inform competitive positioning across government programs (ex. Medicare, Medicaid) market segments. Shapes business strategies by overseeing the design and analysis of custom research. Synthesizes findings and presents to executive audiences to inform decision making. Collaborates with BCBSA and Plan executives to share insights and support best practice sharing.* Designs and conducts in-depth market research to meet business needs, leveraging deep expertise, e.g. competitive intelligence, primary market research* Communicates insights to business stakeholders internally and to BCBS Plan forums. Fosters an environment of market insight and best practice sharing across the Blues System* Collaborates with business stakeholders across BCBSA and Plans to identify business questions and information requirements. Stays current of industry and line of business trends.* Extracts meaningful patterns and trends from the market research and synthesizes into actionable insights that inform strategic decisions. Integrates data from research with other analyses for a holistic view.* Leads vendor contracting and management for related market research activities**The posting range for this position is:** $112,443.00-$161,738.53 **Qualifications:** **Education*** Required Bachelor's Degree in analytic and research background or equivalent work experience* Preferred Master's Degree in market research methodologies and statistical analyses**Experience*** Required - 7+ Years experience in the field of market research and/or competitive intelligence within health insurance* Preferred - Experience working in and knowledge of Medicare Advantage, Medicare Supplement, and/ or Managed Medicaid health insurance markets.**Knowledge Skills and Abilities*** Strong business acumen* Skilled in data synthesis and analysis* Skilled in strategic decision support* Strong stakeholder communication skills#LI-HybridThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for *annual bonus incentive* pay.We offer a comprehensive package of benefits *including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits* to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It's easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA!At Blue Cross Blue Shield Association , we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity. Experience a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us! #J-18808-Ljbffr
    $84k-104k yearly est. 4d ago
  • Customer Support Account Manager

    World Insurance Associates, LLC 4.0company rating

    Barrington, IL job

    The Account Manager is responsible for providing general office support and a variety of client support and other related tasks. The Account Manager will be responsible for collecting, organizing, and analyzing client data as well as other administrative and support functions such as scheduling client appointments, greeting clients, answering incoming calls, receiving and processing investment checks, scanning and maintaining client information in CRM and completing applications and forms. Primary Responsibilities The Account Manager can expect to focus their work in the following areas: Client Communication Greet clients and guests in a professional, friendly and hospitable manner Answer telephones and direct callers to appropriate member of the firm Respond to client emails in a professional manner Attend client meetings in a technical, supporting, and learning role Client relationship development, including ongoing and regular client contact and communications Client Preparation Client support including performing a wide range of activities, such as data gathering and analysis, development of recommendations, implementation, and ongoing portfolio management - within a financial planning context. Assist advisors and clients in completing application, enrollment and other forms as needed Client service, including planning updates, portfolio changes and reviews, information data gathering, portfolio returns, and new opportunity identification Data gathering from clients for initial meeting, engagement meeting and ongoing management meetings. Prepare necessary documentation and agendas one week in advance of appointments. Manage the follow-up process including action items, next contact date, follow up letter, update and maintain CRM. Prepare and mail forms and applications to clients as needed Forward investment checks and enrollment/application forms to necessary broker Administrative Tasks Daily Downloads (Pershing, DST Fan Mail) Review alerts from custodians May buy and sell investments for clients at the advisor's discretion Maintain electronic filing system, clear folders at the COB each day Administer and coordinate client billing process Consistently review accounts for compliance requirements Schedule client meetings with appropriate advisor Coordinate the pick-up and delivery of express mail services (UPS, Fed Ex) Scanning, filing, faxing and collating Place appropriate postage on outgoing mail and send via appropriate boxes Other Open and close the office (locking doors, turning off lights) Maintain kitchen area, stock refreshments and refrigerator Attend team meetings, Investment Committee Meetings and other meetings as necessary In addition to participation in the Financial Planning and Investment Committee meetings the CRA may participate in developing investment and financial planning strategies for the committees Complete special projects as needed Required Qualifications Self-confidence, personal integrity and an understanding of fiduciary responsibility A team player, with strong leadership skills and ability to multi-task and manage time effectively Ability to think through issues and problems from the client's perspective and offer solutions, willing to take responsibility for task completion, and seeks out ways to improve processes 2 years of relevant service-oriented experience and/or training, or equivalent combination of education and experience Ability to work independently on assigned tasks as well as to accept direction on given assignments Excellent verbal and written communication skills, and exceptional interpersonal communication skills Sound organizational skills and strong personal computer skills (MS Office Suite) Compensation Pay/benefits are competitive based on industry standards. Salary will be based on experience and industry benchmarks. Eligibility for Individual Performance as well as Firm-wide Incentive Bonuses Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Vision Insurance Life Insurance Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy About World Investment Advisors World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier independent retirement plan and investment advisory services to employers, executives, and individual investors. Collectively, WIA supports $76B assets1 across 65 offices and 310 team members. Stimulating Environment At World Investment Advisors we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World Investment Advisors? Great company culture with an awesome team-oriented atmosphere! Professional growth opportunities Friendly and collaborative work environment World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. Pensionmark is committed to equality and deeply believes in diversity, sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. #LI-GP1 #LI-Hybrid 1As of 12/31/2023, the WIA network of advisors and firms collectively provides support to over $55.4 billion in assets across a variety of channels including investment management and retirement plan consulting services. This includes regulatory assets under management (AUM) of over $24.5 billion. Powered by JazzHR jSwxRhaKE3
    $92k-119k yearly est. 5d ago
  • Sales Executive - Commercial Lines

    World Insurance Associates, LLC 4.0company rating

    Arlington Heights, IL job

    Job Description World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Sales Executive - Commercial Lines Position Overview World's Client Advisors bring risk management solutions to businesses and individuals. Your primary focus is identifying, prospecting, cultivating, and closing new commercial clients (small, medium, large) leveraging World's unique niche. While your focus is selling commercial lines risk solutions, you also are empowered to help clients with personal lines insurance, employee benefits, 401(k) and related retirement solutions, and payroll and human resources outsourcing solutions. World's investments in a broad range of solutions means you can prospect any company of any size to provide value to your client. Imagine the potential. Primary Responsibilities Identify, prospect, and cultivate new business, with a focus on commercial accounts Engage in all sales and marketing tactics (with extensive corporate marketing support) to move prospects through your funnel to closing Track all sales activities in HubSpot and leverage HubSpot to its fullest potential Utilize World's broad platform to bring risk management solutions to individuals and business owners. At World, you will have access to resources to help any client solve any challenge, including traditional commercial lines insurance, high net worth / private client, employee benefits, human capital and payroll outsourcing, and retirement financial services. Qualifications Must have proven Trucking/Transportation experience with a range of insurance solutions to bring value to clients Must be willing to become each client's trusted risk management advisor and bring the entire World platform to each client (P&C, Employee Benefits, Retirement Plans, Wholesale, and Payroll and Human Resources outsourcing services) Must maintain all relevant insurance licenses from the first day of employment to be positioned to manage an existing book of business It is meaningful, but not mandatory, if you have: Sold commercial insurance for a top broker. Based on your experience, World will enhance your expertise through the company's training program; Used an insurance agency management software platform, like AMS360 and Epic, and have experience with a sales CRM (World uses HubSpot); and Built and presented client “pitch decks” / presentations. Compensation As a World Insurance Client Advisor, your compensation is tied to your effort and your performance. We offer a base salary plus commissions as well as a full suite of employee benefits, including a 401(k) match that is immediately fully vested. The base salary range for this role is $60,000 to $200,000+. The base salary depends on your experience and your ability to drive revenue. Your base salary grows as your book of business grows, with tremendous potential to significantly exceed the top of this range. Equal Employment Workforce and Workplace World celebrates and supports differences amongst its employees. World knows employing a team rich in diverse thoughts, experiences, and opinions allows World's employees and World's work environments to flourish. World is honored to be an equal opportunity workplace, dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, World makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of World's business. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Talent team. #LI-GK1 Powered by JazzHR jCov1496JD
    $60k-200k yearly 6d ago
  • Consultant, Sr Provider Education

    Bluecross Blueshield of South Carolina 4.6company rating

    Remote or South Carolina job

    Logistics: Palmetto GBA,- one of BlueCross BlueShield's South Carolina subsidiary companies. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. Location: This a full-time remote position. You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m.-5:00 p.m. Monday - Friday. It may be necessary, given the business need to work occasional overtime. What You'll Do: Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal conference calls and/or in-person educational visits with providers that are consistently over utilizing services, on progressive corrective action, or have unacceptable denial rates and/or error rates under the medical review program. Conducts coverage and documentation workshops for provider staff (Medicare providers and physicians' staff). Researches, composes, and coordinates the preparation of all regulatory based provider education materials. Performs analysis of effective reports to determine actions to be taken regarding medical reviewed its/audits. Determines what providers are over-utilizing services and what services are being over-utilized. Works with medical review department and provides input regarding actions taken in response to provider billing practices. Targets providers where greatest abuse of Medicare program has occurred. Participates in the medical review process and inter reviewer reliability (IRR) studies. Assists in training of medical review associates regarding coverage and medical review process. To Qualify for This Position, You'll Need the Following: Required Education: If LPN, graduate of accredited School of Licensed Practical Nursing; if LVN, graduate of accredited School of Licensed Vocational Nursing; if RN, graduate of approved School of Nursing. Required Experience: If LPN or LVN, 7 years of clinical experience or equivalent combination of clinical and educator experience. If RN, 5 years of clinical experience or equivalent combination of clinical and educator experience. Required Software and tools: Microsoft Office. Required Skills and Abilities: Knowledge of medical terminology and disease processes. Demonstrated proficiency in word processing and spreadsheet software. Good judgment skills. Effective customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar. Analytical or critical thinking skills. Basic business math proficiency. Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate, or influence. Required Licenses and Certificates: Active LPN or LVN licensure in state hired, OR active compact multistate LPN license as defined by the Nurse Licensure Compact (NLC), OR active RN licensure in state hired OR active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) others. Ability to handle confidential or sensitive information with discretion. We Prefer That You Have the Following: Preferred Work Experience: 3 years of provider relations and Medicare experience. Preferred Skills and Abilities: Knowledge of claims processing software. In-depth knowledge of Medicare program, guidelines, regulations governing coverage. Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $76k-108k yearly est. Auto-Apply 12d ago
  • Sr. Business Operations Advisor - Procurement Excellence (Digital Tooling, Mkt Research & Operations)

    Blue Cross Nc 4.8company rating

    Remote Blue Cross Nc job

    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)
    $89.2k-142.7k yearly Auto-Apply 3d ago
  • Clinical Support Representatives

    Bluecross Blueshield of Vermont 4.6company rating

    Remote or Berlin, VT job

    Blue Cross is hiring Clinical Support Representatives to work alongside our clinical review team as part our Utilization Management department. Job responsibilities include verifying member benefits, provider networks, and prior approval requirements for authorization of services all in a call center type environment. Work hours are Monday-Friday 8:00-4:30. Experience working in the medical field as an office assistant, medical coder, or Licensed Nursing Assistant is preferred and familiarity with medical terminology is helpful. Location: If hired, there will be a six week in-person training program at our Berlin, Vermont office. Representatives will continue working on-site five days per week until proficiency has been demonstrated in performing the role independently. After this time, employees within a 50-mile radius will be expected to come to the office on Wednesdays with flexibility to work remotely the rest of the week. Starting pay at $20.00 per hour. Six-week paid training. Target start date is Wednesday, February 18. Robust benefits package including: Health insurance (including vision) Dental coverage (free to employees) Wellness Program with a $500 year-end incentive 401(k) with employer match Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition reimbursement Student Loan Repayment Dependent Caregiver Benefits And more! Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** **Complete job description attached to ADP posting
    $20 hourly Auto-Apply 13d ago
  • Auditor III

    Bluecross Blueshield of South Carolina 4.6company rating

    Remote or Columbia, SC job

    Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description Logistics: Palmetto GBA- one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday working REMOTE in the U.S., or onsite at our 17 Technology Circle, Columbia, SC location. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. What You'll Do: • Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. • Identifies, documents, and evaluates business risks. • Develops written audit programs. • Conducts testing and analysis of existing controls to determine adequacy and effectiveness. • Prepares written work papers to document testing results and conclusions reached. • Documents issues, the causes of those issues, and their effects on the process/function and the corporation. • Serves as Lead Auditor on more complex audit assignments. • Drafts recommendations to limit risks and improve processes, functions and activities. • Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions and recommendations. • Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or noncompliance with laws, regulations, and management policies. • Conducts testing of corrective actions as identified. • Develops detailed reports on each audit conducted. • Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. • Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity. • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. • Prepares reports of findings and recommendations for management. • Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. • Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs. To Qualify for This Position, You'll Need the Following: • Required Education: Bachelor's in a job related field. • Required Experience: 5 years auditing experience. • Required Software and tools: Microsoft Office • Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations. Ability to gather information by examining records and documents and to interview individuals concerning those records. Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Excellent analytical or critical thinking and problem solving capabilities. We Prefer That You Have the Following: • Medicare cost report auditing experience to include leading audits • Strong Microsoft Excel skills • Health Financial Systems experience • Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA) • Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. • Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications. Salary Range: Range Minimum $$57,790.00 Range Midpoint $84,089.00 Range Maximum $110,388.00 Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $36k-49k yearly est. Auto-Apply 60d+ ago
  • Consulting Actuary - Medicare Risk Adjustment

    Blue Cross Nc 4.8company rating

    Remote Blue Cross Nc job

    As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through data-driven insights and strategic actuarial expertise. You'll lead initiatives that directly impact patient outcomes and business performance-whether it's designing innovative insurance products, optimizing pricing strategies, or evaluating advanced care management models. Your work will support key organizational goals by delivering clear, consistent, and actionable analysis that informs executive decision-making. You'll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This role is ideal for a forward-thinking actuary who thrives in a dynamic environment and is passionate about using their skills to improve healthcare affordability, accessibility, and quality. What You'll Do Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company Communicate effectively with all levels and divisions within the organization, including Divisional Leadership Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials What You Bring Bachelor's degree or advanced degree (where required) Member of the American Academy of Actuaries Fellow of the Society of Actuaries 7 years of relevant actuarial experience, related experience may be considered. In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly 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. $117,200.00 - $222,500.00 Skills Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance
    $117.2k-222.5k yearly Auto-Apply 3d ago
  • Vice President, Human Resources

    Blue Cross Blue Shield Association 4.8company rating

    Blue Cross Blue Shield Association job in Chicago, IL

    The Vice President of Human Resources is a strategic leader responsible for shaping and executing enterprise-wide talent strategies that enable the organization's future workforce needs. This role partners closely with the Chief People Experience Officer to drive innovation in HR, advance end-to-end talent strategies, and foster a culture of connection and belonging. The VP will oversee multiple HR functions, including Talent Management, HRIS, HR Business Partners, Talent Acquisition, and Community & Connection. As the workplace continues to evolve, the VP of HR will play a critical role in guiding the organization through digital transformation and shaping the future workforce. This includes integrating artificial intelligence (AI) and advanced technologies into HR practices, building AI-ready capabilities across the enterprise, and ensuring ethical, responsible use of emerging technologies in partnership with IT. Success is measured by business outcomes (growth, productivity, quality), workforce health (engagement, retention, skills readiness), and risk control (compliance, data privacy, regulatory adherence). Key Responsibilities Strategic Workforce Planning & Leadership: Collaborate with the Chief People Experience Officer to anticipate future workforce needs and design strategies that align with organizational goals. Translates business strategy into a multi-year HR and workforce strategy, including skills, capacity, and productivity. Defines and continuously improves the HR operational model with clear roles, SLAs, and governance. Builds, creates and automates people analytics that supports the business and the people experience function in understanding how to best leverage the existing workforce and build flexible teams Develops and executes a comprehensive strategy that drives organizational performance, fosters an inclusive culture, and supports business growth. Partners with executive leadership to identify future workforce needs and builds strategies to attract, develop, and retain top talent. Drives enterprise-wide change initiatives, particularly those related to digital transformation, automation, and adoption of AI-enhanced capabilities. Serves as a trusted advisor to senior leadership on workforce trends, organizational design, and talent priorities. Provides strategic HRBP support for the Chief People Experience Officer. AI & Future of Work Leadership Champions the integration of AI into HR processes, including recruiting, onboarding, workforce planning, learning, talent management, and employee support. Builds organizational readiness for AI by developing frameworks and upskilling strategies and guidelines for responsible and ethical AI use. Collaborates with IT, Legal, and business units to evaluate and implement HR technologies, ensuring transparency, trust, and data privacy. Monitors AI trends, emerging technologies, and future-of-work research to anticipate impacts and guide proactive organizational strategy. Talent Strategy Leadership: Owns talent acquisition strategy and internal mobility programs. Oversees recruitment and workforce planning to ensure the right talent is in place for today and tomorrow. Provides strategic guidance for HR Business Partner and Employee Relations teams by ensuring fair and consistent practices that build trust and engagement, while aligning these efforts with the overall dynamic business strategy. People Innovation & Enablement: Oversees the People Innovation & Enablement function, ensuring seamless delivery of HR services, operational excellence, and continuous process improvement across the employee lifecycle. Oversees HRIS strategy, implementation, and optimization, ensuring an integrated systems architecture that supports data integrity, automation, and scalable HR service delivery. Drives HR technology roadmap in partnership with IT, evaluating and implementing platforms for workforce management, employee experience, talent analytics, and AI-enabled tools. Establishes governance frameworks for HR systems, ensuring compliance with data privacy regulations, security protocols, and ethical use of employee data. Owns talent management and development strategy functions including succession planning, leadership development programs, performance enablement, and career pathing frameworks. Oversees the design and delivery of learning strategies that build both foundational and advanced capabilities, ensuring workforce readiness for current and future business needs. Leads enterprise-wide workforce enablement initiatives, including upskilling programs, competency frameworks, and change management strategies along with competency management. Partners with cross-functional leaders to integrate talent development priorities with business objectives, measuring impact through workforce analytics and business outcomes. Drives documentation and standardization of People Operations processes, creating scalable operating models that support growth and organizational agility. Ensures HR systems and operations evolve to support AI-augmented work, including workflow automation, intelligent case management, and predictive workforce planning tools. Community & Connection: Champion initiatives that strengthen employee engagement, inclusion, and organizational culture. Drives initiatives that promote inclusion and belonging across the organization. Supports the Chief People Experience Officer in the BCBSA Foundation Strategy and the delivery and support of our community partnership with our BCBSA affiliated partnership, as well as support and enable community impact and giving across the Blue System. Fosters a values-driven and inclusive culture that embraces learning, innovation, ambiguity, and adaptability. Evolves the employee value proposition (EVP) to reflect modern expectations, including flexible work, meaningful development, and purposeful work supported by intelligent technologies. Drives employee experience across the lifecycle with measurable outcomes. Team Leadership: Directs and develops a high-performing HR leadership team across multiple disciplines. Enhances HR operations through automation, workflow optimization, and data-driven decision-making. Ensures compliance with all federal, state, and local employment laws, as well as emerging regulations related to AI and data ethics. Oversees the HR analytics strategies to provide actionable insights on organizational health, workforce trends, and talent performance. Drives process documentation, process optimization and a scalable and adaptable talent organization. Partners with compensation & benefits to ensure market-competitive, equitable and transparent total rewards. Key Competencies & Capabilities AI & Digital Fluency Understanding of AI's role in HR and talent management, including generative AI, predictive analytics, and automation. Ability to evaluate AI solutions and integrate them responsibly into HR practices. Skill in leading workforce AI upskilling, including change management and adoption strategies. Strategic & Systems Thinking Ability to take a long-term, enterprise-wide view of workforce strategy in a dynamic, AI-accelerated environment. Strong capability to translate strategy into executable, scalable employee programs. Leadership & Influence Executive presence with the ability to influence senior leaders and serve as a trusted advisor. Experience leading through ambiguity and driving transformation at scale. People-Centric Design Commitment to designing human-centered programs that balance technology, empathy, and business outcomes. Data-Driven Decision-Making Ability to use analytics, insights, and predictive tools to guide strategies across talent, culture, and workforce planning. Change Management Proven skill in managing organizational change and enabling workforce adoption of new technologies and ways of working. Program Management Proven skill in driving sustainable, documented processes across an Enterprise for sustainable results. The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay. We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
    $110k-155k yearly est. Auto-Apply 3d ago
  • Inside Sales Representative - Personal Lines

    World Insurance Associates, LLC 4.0company rating

    Chicago, IL job

    Job Description World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefit programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Personal Lines Inside Sales Representative The Inside Sales Representative for Personal Insurance is a licensed sales professional responsible for generating new business through inbound and outbound sales activity. This individual handles client discovery, quoting (including application process), coverage consultation, and binding across home, auto, umbrella, and other personal lines products. This role is focused on capturing internal, organic opportunities sourced through current clients, client referrals, unit leaders, team members, and leadership. In addition, the Inside Sales Representative will provide sales support to key marketing programs and initiatives. The Inside Sales Representative is expected to execute a high volume of opportunities with fast response times while driving business with preferred World carriers. Ability to utilize technology associated with the role is a must. Primary Responsibilities Primarily source leads through internal organic channels such as referrals from existing clients, client advisors and unit leaders. Manage inbound quote requests and outbound lead follow-up Generate quotes and proposals using Xilo, comparative raters and carrier portals Evaluate risks and align clients with the right carrier solutions Educate stakeholders on policy features, limits, and carrier value Bind policies and ensure smooth handoff to service team Maintain accurate activity and client records in CRM/AMS Collaborate with Client Advisors to optimize outcomes Cross-sell opportunities from existing books of business Re-engage past or inactive clients Achieve sales goals - new business written revenue goals set on an annual basis Qualifications 1-3 years of sales experience Licensed in Property & Casualty Confident communicator with strong phone and interpersonal skills Comfortable with technology, rating platforms, and CRM systems Coachable, detail-oriented, and driven by performance metrics Compensation Competitive base salary ranging from $55,000-$75,000 plus 15% new business commissions Equal Employment Workforce and Workplace World celebrates and supports differences amongst its employees. World knows employing a team rich in diverse thoughts, experiences, and opinions allows World's employees and World's work environments to flourish. World is honored to be an equal opportunity workplace, dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, Veteran status, or any other protected category under applicable state or local laws. In addition, World makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of World's business. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-GK1 Powered by JazzHR Po8MGm8Mdj
    $55k-75k yearly 8d ago
  • Client Coordinator (Overland Park, KS/ Lancaster, PA/ Remote)

    HCSC 4.5company rating

    Remote job

    At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryServe as a point of contact for clients in conjunction with Client Managers and provide any necessary administrative assistance required by the Client Managers to successfully retain business. Work with various departments within Luminare Health to promptly respond to client questions, facilitate resolutions to concerns, run client specific reports and provide support to Client Managers. May also involve client facing responsibilities such as employee meeting presentations, benefit fairs and attending quarterly and renewal meetings with client managers. **This role will be based in Overland Park, KS, Lancaster, PA or Telecommute/Remote. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI ** Required Job Qualifications: High school diploma or GED equivalent required Minimum 3 years previous experience in a similar TPA or insurance environment Knowledge and understanding of benefit-related federal laws (i.e., ERISA, COBRA, HIPAA, PPACA, etc.) Excellent written and verbal communication skills are required, as are exceptional organizational skills. Thorough understanding of self-funding and employee benefit plans. Analytical skills, problem solving skills, reading ability, creative decision-making skills, the ability to comprehend and follow instructions, mathematical ability and time management skills are required. Proficiency with Word, Excel, PowerPoint, Access, and Outlook. Ability to travel as required for this position. Preferred Job Qualifications: State insurance license College degree #LI-NR1 #LI-Remote Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! EEO Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Pay Transparency Statement: At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $48,500.00 - $91,000.00 Exact compensation may vary based on skills, experience, and location.
    $48.5k-91k yearly Auto-Apply 15d ago
  • Business Systems Analyst

    Blue Cross Nc 4.8company rating

    Remote Blue Cross Nc job

    Are you passionate about transforming business challenges into innovative solutions? As a Business Systems Analyst, you'll play a key role in shaping strategic requirements, designing impactful business processes, and delivering technical solutions for diverse projects. Leverage your systems expertise as a departmental liaison, driving collaboration and minimizing disruptions. You'll also contribute directly to IT initiatives by troubleshooting, testing, and supporting system upgrades-making a tangible difference across our organization What You'll Do Technical Support/Business Expertise Provide technical knowledge and support in operational system/application and procedural issues to the business and IT and help the business find technical solutions to meet their goals. Work in some phases of systems analysis and consider the business implications of the application of technology to the current business environment Provide ongoing user support for ad hoc questions, inquiries, and service requests. Provide timely and accurate reporting/data on inventory, productivity, user activity, and system performance on a regular and/or as requested basis. Issue Resolution Resolve medium, moderately complex production issues by: Performing initial triage for severity and business impact of system/application failures. Troubleshooting and analyzing to determine root cause of issues Developing applicable business processes and solutions to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met. Coordinating with IT, other teams and vendors as needed to communicate issues and devise and implement long term remedies. Develop system support processes with IT; coordinate daily to resolve production support issues, including application failures and user errors; document, track and report all system support activities Project/Program Support Work collaboratively on projects and initiatives with the business and IT by eliciting and documenting business requirements and preparing appropriate functional specifications while considering technical capabilities of the system/application. May act as Business Lead/Coordinator on moderate single area/department projects. Business Testing Coordinate testing plans with Business area and IT Serve as point of contact for business testing activities and ensure testing will appropriately meet business requirements Document and may, in some cases, execute test plans and scenarios Analyze and verify testing results for accuracy, relevance and completeness Provide impact assessments and make assist in formulating recommendations to the business owner regarding issues, risks, etc. Assist IT with hardware and software upgrades, security changes, and architectural enhancements as needed. System Configuration Configure and maintain moderately critical system tables and data elements across multiple system environments Analyze, develop and implement configuration changes to improve system performance and user efficiency Monitor configuration for accuracy and compliance to change control processes. What You Bring Bachelor's degree or advanced degree (where required) 3+ years of experience in related field. In lieu of degree, 5+ years of experience in related field. Bonus Points Experience with Workday Financials or HCM modules Experience with Workday EIB and Workday Prism Analytics (data & integrations) Experience with Workday Security administration Experience with Workday Reporting (simple, advanced, matrix, composite) Experience with Workday Business Process configuration Experience with Workday Adaptive Planning Experience with Workday Prism Analytic 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. $66,998.00 - $107,197.00 Skills
    $67k-107.2k yearly Auto-Apply 3d ago
  • Director, Privacy Officer & Managing Counsel

    Blue Cross Nc 4.8company rating

    Remote Blue Cross Nc job

    The Director of Managing Counsel will oversee the delivery of legal services and advice for the Company, acting as the main attorney for Blue Cross NC's Privacy Program. This role manages both attorneys and non-attorneys and oversees Blue Cross NC's Privacy Program related to safeguarding employee, customer and corporate information pursuant to legal, regulatory and contractual requirements and standards that govern Privacy, and reports directly to the Vice President of the Legal Department & Deputy General Counsel. The Managing Counsel brings expertise in several areas of law essential to both the Company and its subsidiaries, works closely with Company Officers and senior executives, and leads the team within the Legal Department. What You'll Do Directs the efforts of the legal staff and related support personnel while utilizing legal expertise to ensure the Company and its subsidiaries are in compliance with various laws and regulations that govern Privacy. Serves as the Privacy Officer for the Company, responsible for overseeing the development, implementation, maintenance, and enforcement of privacy policies and procedures in accordance with state and federal laws and regulations. Serves as primary point of contact for privacy-related matters, including regulatory inquiries, customer concerns, and internal escalations. Develops strategy to accomplish objectives and ensures the Company and its subsidiaries maintain a solid legal foundation upon which to conduct business. Advises and counsels Company Officers, senior management, and the Board of Directors on privacy laws that arise in the Company's business operations; researches and prepares legal memoranda and opinions applying technical legal knowledge to varying business situations and personnel issues; assists Company management with risk identification and management. Assists the Company with business transactions and the development of new products, services, and business relationships. Confers and negotiates with attorneys and management in other companies. Attends high-level conferences involving BCBSNC management and management in other companies or senior government positions. Writes legal opinions or otherwise provides legal advice that require extensive research of statutes, regulations, or court decisions in complex areas of law. Leads practice area team (e.g., corporate, health care plans). Supervises direct reports including performance management, coaching, conflict resolution, motivating and engaging. Manages growth and development of personnel, with career development, performance management and succession planning. Assigns projects to team members, coaches and mentors team members. Participates in development of, interprets, and improves Company policies. Assists the Company with implementing existing and new programs, policies, and procedures. Researches, interprets, and advises on statutory and case law, administrative rules, and regulations. Monitors legislative and regulatory proposals, evaluates such proposals, and assists Company management with formulating the Company's position of these matters. Performs management duties include hiring, training, coaching, counseling and evaluating performance of direct reports. Makes decisions regarding retention of outside counsel and manages substantial budget for external legal services. Performs other duties as assigned. What You Bring JD from an accredited law school 10 years of professional legal experience 5 years of leadership experience In lieu of degree, 12+ years of experience in related field Licensed to practice law in North Carolina or must obtain License within 1 year of employment. Bonus Points Certified in Healthcare Privacy and Security (CHPS) or Certified Information Privacy Professional (CIPP) highly preferred. HIPAA and other similar federal and state privacy, security and data protection regulations highly 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. $210,268.00 - $336,430.00 Skills Administrative Law, Business Contracts, Commercial Contract Management, Contract Management, Contract Negotiations, Law, Legal Administration, Legal Analysis, Legal Compliance, Legal Consulting, Legal Practices, Legal Research, Legal Services, Legal Support, Negotiation, People Management, Privacy Compliance, Privacy Laws, Procurement, Statutory Interpretation, Vendor Contracts
    $110k-161k yearly est. Auto-Apply 17d ago
  • Principal Financial Advisor

    Blue Cross Nc 4.8company rating

    Remote Blue Cross Nc job

    The Principal Financial Advisor is a strategic finance leadership role at the intersection of analysis, business strategy, and transformation. This position goes beyond traditional finance-it's about shaping decisions that drive financial operational expenses and organizational success. You will serve as a trusted advisor to senior leadership, delivering insights that influence strategy, optimize performance, and create measurable impact. This is a high-impact role for a finance leader who combines analytical rigor, strategic thinking, and exceptional communication skills-supported by modern financial systems-to deliver innovation and value. What You'll Do Works directly with staff and senior leadership across the company to proactively identify, prioritize, optimize and implement financial strategies and create meaningful and actionable outputs that drive the development of multi-year financial plans aligned to the company's overall strategic goals Proactively identify, evaluate, and implement financial strategies and plans, leveraging customer and consumer insights to drive business outcomes and maximize ROI, reducing risk and exposure and enable Blue Cross NC to meet growth and cost containment goals. Supports the development of corporate strategic positions on behalf of senior leadership and represents those positions internally and externally including financial modeling and development of executive presentations Builds and manages relationships and collaborates with both internal and external partners to drive highly complex financial analyses focused on significant business strategies and opportunities with substantial levels of importance and visibility Leads annual and long-term financial planning efforts and analyses; provides thought leadership at a divisional, cross-divisional, and enterprise level; prepares and presents results to executive leadership. Drives financial innovation and stewardship through collaboration and consultation with internal stakeholders to identify, plan and execute initiatives with significant financial impact. Partners with internal clients to better understand what problems they are trying to solve, help them articulate their vision and define financial impacts and success. Provides methods and resources to support their execution of those plans and quantification and realization of benefits Utilizes expertise to identify operational improvements and leads the development of new ideas to understand, estimate and minimize the financial impact of existing or emerging issues the business faces. Evaluates those ideas to determine viability and opportunity for success and follows through from implementation to value realization What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points Workday, Adaptive Planning, and OfficeConnect experience a plus 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. $98,092.00 - $156,947.00 Skills Finance, Finance Strategy, Financial Advising, Financial Analysis, Financial Execution, Financial Planning and Analysis (FP&A), Operational Process Improvements, Portfolio Management, Process Improvements, Resource Management, Strategic Planning, Strategic Thinking, Strategy Development, Wealth Management
    $98.1k-156.9k yearly Auto-Apply 10d ago
  • Commercial Lines Broking Specialist, Transportation

    World Insurance Associates, LLC 4.0company rating

    Remote or Eatontown, NJ job

    Job Description World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 260 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our multiple offices throughout the region. Primary Responsibilities Collaborate with colleagues to facilitate the movement of business to partner carriers Run reports with specific parameters Review existing books of business for purpose of consolidation Regular discussion with partner carriers Responsible for independently managing assigned projects with partner carriers Distribute carrier quotes to servicers Regular follow ups/communication with servicers on bind status Negotiate coverage/premium on quotes with carriers Bind business including processing payments Tracking results of business movement Managing and meeting monthly production goals Qualifications Property & Casualty, Commercial Lines licensed at least 5 years Strong knowledge in commercial lines servicing experience including remarketing and new business placement. Expertise in Middle Market Accounts, Specialty P&C Market Segments including Surplus Lines Strong functional knowledge of Excel specific to creating, formatting, and evaluating formulas and working within spreadsheets. Must be proficient in Excel, Word, and other MS Office products Applied/Epic or similar agency management software experience, preferred. Strong organizational skills, ability to work in a fast-paced environment with minimal instruction and a high degree of accuracy and attention to detail. Maintain effective relationships with co-workers, and trading partners. Ability to work in a team environment Able to work independently and enjoy a high degree of interaction with team members. Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines. Demonstrate effective written and verbal communication, including the ability actively listen, and problem solve with minimal assistance. The ability to multitask, prioritize, work independently, and use discretion surrounding sensitive information. Ability to maintain a professional demeanor and positive attitude Compensation This position is located in New Jersey.. The base salary for this position at the time of this posting may range from $75,000 to $80,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Compensation This is a remote position with a competitive benefits package. The base salary ranges from $75,000 to $80,000, with bonus eligibility. Actual compensation will depend on experience, qualifications, and business needs. Learn more about our careers at: **************************************. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MA1 Powered by JazzHR vr Hsl0omz6
    $75k-80k yearly 14d ago
  • Manager, IT Category Management

    Blue Cross Nc 4.8company rating

    Remote Blue Cross Nc job

    The Manager, IT Category Management, is responsible for directing all sourcing and vendor contracting activities within the assigned categories. This role supervises staff engaged in the sourcing process for high-value and complex goods, services, or projects and initiatives. The incumbent focuses on reducing organizational costs by implementing effective sourcing strategies, tools, and processes. Coordination with third-party vendors, business owners, and the legal team is essential for the preparation, analysis, and negotiation of vendor contracts. Additionally, this position supports business owners across all functional areas in technology vendor selection and ensures that vendor obligations are documented in alignment with business requirements. What You'll Do Manage staff responsible for the development and execution of sourcing strategies in one or more technology categories. Direct and train staff in conducting sourcing events, including development of project work plan, category profile, category strategy, minimum requirements and evaluation criteria, solicitation Guide staff in the development and implementation assorted bid documents and requests (i.e. RFP, RFI, RFQ); and manage status reporting and performance metrics of sourcing and category management activities. Understand, analyze and forecast complex market and industry dynamics and share subject matter expertise and industry knowledge within the established portfolio of products and services Partner with stakeholders to develop business and sourcing strategy and source products and services using proven tools, processes, and analytics to drive and achieve business results. Coordinate the evaluation and analyses of sourcing results from a total cost of ownership perspective, and provide optimization recommendations Lead cross-functional teams responsible for complex vendor negotiations, including those that require specialized subject matter expertise, nonstandard risk mitigation solutions, and coordination of multiple arrangements. Proactively establish and foster successful, positive working relationships with vendor personnel. Drive vendor engagement through formal and informal transactions. Manage contract management function and facilitate effective collaboration with Corporate Compliance, Legal, Audit and Risk Management and other internal stakeholders for compliance activities to ensure regulatory conditions are met. Develop new procedures, training, initiatives, specifications and recommendations for process or policy changes and improvements, as appropriate. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 8+ years Technology procurement experience Highly Preferred Procurement experience at a healthcare company Highly Preferred Procurement experience with key vendors including IBM, Microsoft, Salesforce, ServiceNow, Cognizant, Accenture, NTT Data and HCL Technologies Experience purchasing hardware and software through Value Added Resellers 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. $107,901.00 - $172,642.00 Skills IT Procurement, Negotiation, Strategic Sourcing, Vendor Procurement
    $107.9k-172.6k yearly Auto-Apply 10d ago
  • Sr Privacy Office Admin

    HCSC 4.5company rating

    Chicago, IL job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis position is responsible for coordinating and administering various responsibilities within the HCSC regulatory office, working with high-risk issues and departments, as appropriate, to ensure HCSC is compliant with various federal and state regulations. This position will oversee the annual updates of regulatory policies and procedures, ensuring all HCSC employees complete the regulatory training. Responsible for development and distribution of regulatory information via intranet and internet web site, tracking and reporting on a variety of required initiatives under federal and state laws. JOB REQUIREMENTS: * Bachelor Degree in Business or Legal AND 6 years experience working in the health insurance industry OR 10 years experience in the health insurance industry. * Experience communicating with and relationship building with various external government agencies. * Experience independently managing to resolution complex issues across multiple divisions. * Experience leading/providing guidance to intra and interdepartmental staff. * Knowledge of and experience interpreting federal and state health insurance laws. * Knowledge of HCSC's various functional areas and departments. * Ability leading/managing projects with a corporate focus. * Communication skills, specifically with Senior Management. * Negotiation skills resulting in business/process improvements/changes. * Facilitation and presentations skills. * Analytical skills. * PC proficiency to include Word, Excel, PowerPoint and Lotus Notes. PREFERRED JOB REQUIREMENTS: * JD, MBA or Masters in public health * Compliance/ privacy experience * Knowledge of HCSC, Insurance Industry privacy Please note that this role is HYBRID with an in-office requirement of 3 days a week Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location.
    $38k-45k yearly est. Auto-Apply 1d ago

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Blue Cross Blue Shield of North Carolina may also be known as or be related to Blue Cross And Blue Shield Of North Carolina, Blue Cross Blue Shield Association, Blue Cross Blue Shield of NC, Blue Cross NC and Blue Cross and Blue Shield of North Carolina.