Blue Cross NC

Software Engineer

• Act as a technical expert/resource for the team and business partners while leading the analysis, design and development of high volume, low latency applications for mission critical systems delivering high-availability and performance to best meet customer needs.
• Independently write well designed, testable, efficient code to support varied and highly complex IT solutions
• Provide technical leadership to other IT specialists to rapidly develop and deliver stunning solutions that meet changing business needs.
• Perform all necessary discovery and fact finding to fully understand highly complex business problems and opportunities and independently execute all assignments.
• Evaluate options to provide solution buy vs. build recommendations to management.
• Independently analyze and recommend solutions to development and production issues while effectively communicating to the project team, applicable vendors and/or the manager in a timely manner.
• Research and stay abreast of technology trends and IT best practices, with a focus on continuous learning and possible application to the business.
• Regularly act in a project lead capacity and/or represent the department on enterprise-wise project teams.
• Provide direction and assistance to less experienced team members and may oversee or coordinate work efforts as needed.
• Assist management with employee development initiatives, including training.

Principal Developer

Operations

• Leads departmental strategic planning
• Business plan development
• Business relationship management
• Reporting
• Data and/or budget analysis
• Special projects as assigned

Senior Medicare Operations Consultant

Manager

• Coordinate appropriate care, resources and/or services of selected member populations
• Provide guidance and promote effective utilization and monitoring of health care resources
• Collaborate with varied members of the healthcare team to achieve optimal clinical and/or resource outcomes
• Develop a member-centric plan tailored to members’ needs, health status, educational status and level of support needs
• Perform ongoing monitoring and management of member which may include scheduled follow-up
• Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes
• May outreach directly to members identified as high risk, high cost, or high utilization cases

Case Manager

Analyst

• Provides oversight and leadership to customer satisfaction outreach and fulfillment programs.
• Coordinates responses to all customer complaints escalated to senior leadership.
• Collects and analyzes data from satisfaction programs and develops recommendations.
• Manages small, customer-focused initiatives to improve customer satisfaction.
• Participates in various project initiatives to represent the voice of the customer.
• Coordinates activities, communication, response, reporting, and follow-up for escalations.
• Performs root-cause analysis for escalated cases using lean six sigma tools.
• Maintains administration of Customer Satisfaction database, ensuring data is credible.
• Communicates with customers, assesses satisfaction, and provides updates.
• Evaluates escalation data and identifies root causes of dissatisfaction.
• Manages initiatives to improve satisfaction and member experience.

Customer Escalations Analyst

Program Manager

• Partner with business owners to define, plan, and deliver technical initiatives through all aspects of the project life cycle.
• Manage projects of high complexity and may lead multiple projects concurrently.
• Serve as technical coordination point for projects.
• Accountable for ensuring deliverables from business and technology partners are approved according to project schedules.
• Manage allocated resources from multiple delivery partners while working within approved hours and scope.
• Mentor and provide feedback to team members.

Senior Technical Project/Program Manager

Mechanical Engineer

• Leading the engineering of cloud hosted infrastructures
• Analyzing current and future requirements to design infrastructure
• Developing and maintaining technical standards and documentation
• Coordinating operational data analysis and technology proofs
• Consulting with technical and business staff on cloud infrastructure designs
• Planning and developing complex engineering designs in AWS
• Providing operational readiness and resolving production incidents
• Maintaining standardized guidelines and expediting workflow

Principal Developer

Senior Medicare Operations Consultant

Case Manager

Customer Escalations Analyst

Senior Technical Project/Program Manager

Principal Infrastructure Design Engineer