E-Verify Program

Therapist

• Provides psychological services to clients and their families/support systems in the clinical setting.
• Independently and interdependently conducts diagnostic evaluation, therapeutic intervention, education and referral.
• Facilitates collaboration between clients and the interdisciplinary team to respond to identified treatment needs.
• Performs evaluation/assessment and diagnosis.
• Creates team treatment plan and utilize various treatment modalities.
• Engages family when appropriate in the development of treatment plans.
• Reassesses and recommends changes to treatment plan when necessary.
• Communicates/notifies attending, supervising or referring provider of assessment and recommendations.
• Provides individual, family and group psychotherapy as identified in treatment plan.
• Coordinates treatment with other providers and community agencies.
• Completes treatment plan per department policy/procedure.
• Reassesses patient needs and progress per department policy/procedure.
• May provide crisis management in partnership with team.
• May have supervisory role in department.

Perinatal Psychologist – LICSW

• Perform initial clinical assessment
• Complete a diagnostic assessment that meets the requirements of regulatory agencies
• Reassess patient and progress in treatment
• Complete treatment plan per department process
• Provide individual, family and group therapy as identified by treatment plan
• Coordinate treatment with other community agencies/providers when appropriate

Licensed Therapist – Adult & Adolescent Partial and Day Program

Manager

• Manage the operational components of grantmaking while working as part of a larger team
• Provide leadership grounded in strategic and technical expertise
• Serve as the key point of contact and provide expert consultation on all technical, operational, and administrative grants-related issues
• Plan and execute the operational implementation of requests for services and funding opportunities
• Maintain a good overview of all grantmaking opportunities
• Serve as a subject matter expert for the Grant Management System (GMS)
• Provide coaching and training across the organization
• Lead internally and externally to promote equitable and exceptional experience for applicants and grantees
• Manage, refine, and execute processes related to grantmaking
• Develop and implement feedback loops and other learning practices
• Develop and coordinate grantee learning opportunities
• Monitor and assess grants management trends, data, research best practices
• Build internal buy-in and support for necessary changes

Grants Manager

Financial Planning and Analysis

• Track and manage rebate guarantees throughout the contract year.
• Perform client ASO rebate distribution calculations in accordance with contract terms.
• Monitor and analyze discount performance for ASO clients.
• Reconcile rebate and pricing guarantees to contractual commitments.
• Calculate program fees and communicate amounts to Finance for billing execution.
• Coordinate pharmacy commission payments.
• Tracking and management of ASO Pharmacy P&L.
• Support and manage development efforts related to the enhancement and maintenance of our current products and market offer components.
• Collaborate and execute critical activities such as strategic planning, complex financial/qualitative analysis and thought leadership at a departmental and enterprise level.
• Present information such as strategic concepts, planning data, and impact assessments to both internal and external audiences at all levels, including senior-level leadership.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert for healthcare delivery transformation and strategy.
• Utilize expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.

Senior Strategic Advisor, ASO Pharmacy Financials

Strategy

• Collaborate with and coordinate strategy, clinical, and analytics teams to identify, evaluate and implement medical cost management strategies to meet BCBSNC’s Medical Expense and Cost of Care goals.
• Drive execution of critical activities such as portfolio planning, program management, complex financial/qualitative analysis, and strategy implementation at a departmental and enterprise level.
• Present information such as portfolio and planning data/insights, risk impact assessments, and strategy performance metrics to audiences at all levels, including senior-level leadership.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert for medical cost management planning and execution.
• Identify, analyze and monitor internal and external risks and trends that affect timely execution and delivery of financial value.
• Utilize expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.

Senior Strategic Advisor, Med Econ Planning – Enablement

Systems Engineer

• Exhibit strong functional/technical area knowledge of CareRadius configuration.
• Encompass SQL script building expertise.
• Provide advanced technical knowledge and support in system/application and procedural issues to the business and IT.
• Use judgment and initiative to review, analyze and develop solutions and applicable business processes for business systems while identifying and quantifying the business impact of those solutions to ensure quality, cost effectiveness, timeliness and customer service, including the resolution of large, complex production system problems.
• Provide systems analysis expertise and regularly considers the business implications of the application of technology to the current business environment.
• Coordinate ongoing user support for ad hoc questions, inquiries, and service requests.
• Ensure efficiency of reporting and data tools for supported business area use and for trend analysis.
• Coordinate the development of 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.
• Work collaboratively on projects and initiatives with the business and IT to test and implement long-term solutions by eliciting and documenting business requirements and preparing appropriate functional specifications while considering technical capabilities of the system/application and ensuring an integrated approach is used.
• Act as Business Lead/Coordinator on large, complex departmental and/or some corporate projects/initiatives.
• Facilitates project including intake, scheduling of projects, implementation, post-implementation support, and review and approve technical specifications.
• Serve as point of contact for business testing activities and influence testing strategy to ensure testing will appropriately meet business requirements.
• Analyze and verify results for accuracy, relevance and completeness. Provide impact assessments and make recommendations to the business owner regarding issues, risks, etc.
• Train/coach others on appropriate testing protocol, execution and test plan creation.
• Assist IT and help identify business area impacts for hardware and software upgrades, security changes, and architectural enhancements as needed.
• Configure and maintain critical system tables and data elements across multiple system environments.
• Analyze, develop and implement configuration changes to improve system performance and user efficiency.

Senior Business Systems Analyst

Communications

• Develop and execute clear, compelling communications strategies that prepare stakeholders for enterprise decisions and reinforce trust in organizational direction.
• Provide narrative leadership and contextual framing that helps audiences understand the “why” behind policies, products, and priorities.
• Ensure all communications connect to enterprise strategy, market realities, affordability priorities, and organizational purpose.
• Shape the internal and external environment to build trust, reinforce credibility, and reduce friction for business operations.
• Anticipate areas of sensitivity or risk and proactively prepare messaging that support safe, confident rollout of key initiatives.
• Translate policy, regulatory, and market insights into communications actions that strengthen the organization’s reputation and narrative authority.
• Connect dots across divisions, ensuring unified messaging and cohesive stakeholder preparation.
• Serve as an integrator who brings clarity and alignment among Brand, Performance Marketing and Corporate Social Responsibility teams.

Director, Strategic Communications

• Support the implementation of healthcare redesign and partnership strategies to meet Blue Cross NC’s growth objectives
• Manage healthcare costs while improving outcomes and the healthcare experience for our members
• Assist with strategic planning, complex financial/qualitative analysis and thought leadership
• Present information on strategic concepts, planning data, medical expense/reimbursement rates, and provider performance metrics to internal and external audiences
• Organize and communicate progress towards completion of overall work portfolio
• Collaborate with and support departments across the enterprise
• Analyze and monitor industry, regulatory, technology and market-based trends that affect operations
• Support operational improvements with new analysis/reporting capabilities

Strategic Advisor, Healthcare

Software Engineer

• Responsible for leading small- to medium-scale, enterprise-wide Commercial Market development initiatives.
• Acts as a thought leader for the generation and refinement of Commercial Market Strategy & Innovation ideas and carries through from ideation to product design, requirements definition, execution, and launch to market.
• Supports the Commercial Market portfolio development efforts related to new market offer components.
• Develops ideas from inception, through the different staged gates of product development and delivery, to the market launch of the offering
• Collaborates with Strategic Advisors to evaluate market offer opportunities to determine impact on Commercial market
• Collaborate and execute critical activities such as complex financial/qualitative analysis and thought leadership at a departmental and enterprise level
• Facilitate communication and present information to both internal and external stakeholders at all levels, including senior-level leadership, to effectively drive programs/initiatives
• Assists in evaluating, as needed, strategic vendor partners to provide innovative and market differentiating capabilities and may participate in the assessment, selection, and contract negotiations of these partners/vendors
• Organize and communicate progress towards the completion of overall work portfolio
• Manages projects and cross-functional teams working on significant business strategies and opportunities
• Works cross-functionally across the enterprise to define and develop proof of concepts, business cases, designs, business requirements, and functional specifications for assigned strategic initiatives
• Supports the development of business cases in collaboration with strategic teams buy-in for the initiative and detail delivery components.
• Identifies and obtains leadership buy-in for the pricing strategy in collaboration with actuarial resources
• Collaborates on the marketing/launch strategy by providing key information and knowledge on the product/offer.
• Reviews and approves external literature, training material, requirements, functional specifications, and test plans and results

Commercial Markets Product Developer

IT Support

• Translate complex PBM contractual terms into robust financial/actuarial models, ensuring all contractual requirements are met or exceeded.
• Lead the setup and implementation of new, complex PBM arrangements.
• Perform detailed PBM rebate reconciliations, ensuring accuracy in financial forecasting and payment accuracy.
• Develop and maintain sophisticated models to forecast rebates, analyze pharmacy cost trends, and identify opportunities for savings.
• Work with key stakeholders (Pharmacy Operations, Finance, Legal) to align pharmacy strategy with broader health plan goals.
• Monitor industry news, regulatory changes, and competitive landscape to maintain a competitive position.
• Indirectly manage and mentor less senior actuarial team members, fostering growth in pharmacy financial acumen.

Principal Actuary – Pharmacy Benefit Manager Oversight

• Collaborate and engage with multiple internal stakeholders and external customers to implement population health management
• Assist in the development of operational strategies and innovative solutions
• Maintain awareness of trends, developments, and governmental regulations in managed health care organizations
• Manage the operational performance of multiple integrated clinical functions across multiple lines of business
• Collaborate and integrate with internal and external customers to deliver a fully integrated care delivery model
• Establish and monitor performance and production metrics and goals
• Responsible for the oversight, compliance, and execution of all regulatory or accreditation activities

Manager, Clinical Teams – Behavioral Health Utilization Management

Customer Support

• Perform basic scheduling and phone support with an emphasis on customer service to enhance the consumer experience
• Assist patients, clinical professionals and the general public with access to healthcare services
• Provides patient access to systemwide services
• Identifies need of customer by using active listen skills
• Assists patient, clinical professionals and the general public with access to health care services
• Performs scheduling and phone support with an emphasis on customer service to enhance the customer experience
• May assist customers with systemwide navigation
• May provide systemwide paging services
• Ensures data collection entries are accurate and complete
• Systemwide registration processes are consistently followed to ensure accuracy
• Utilizes various computer systems to perform scheduling and registration process including an electronic medical record
• May operate a multi-phone system

Customer Experience Representative

Actuary

• 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

Consulting Actuary – ACA Risk Adjustment

• Lead the planning, implementation, and optimization of performance media campaigns across various channels
• Manage and optimize paid media initiatives across Google marketing channels, including paid search (SEM), PMax, video, and display
• Develop and execute paid social strategies for various social media platforms, such as Meta and TikTok, to enhance our brand presence and drive conversions
• Oversee traditional media campaigns, including linear TV, out-of-home, and radio, to ensure an integrated marketing approach
• Collaborate closely with media agency partners to ensure campaign objectives are met and performance is maximized
• Utilize strong analytical skills to assess performance data and make proactive, informed recommendations for campaign optimization
• Work collaboratively with internal stakeholders to align media strategies with broader business objectives and marketing goals
• Monitor and report on campaign performance, providing insights and recommendations for improvement
• Stay current with industry trends, emerging technologies, and best practices in paid media marketing.

Performance Media Manager

• 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.
• Achieve segment financial targets and provide concise explanations of results and variances to expectations.
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership.
• Manage external partnerships with vendors, auditors, regulators, and health care providers.
• Develop and maintain strong business relationships with internal partners through business expertise.