E-Verify Program

Actuary

• Performs actuarial research, experience studies, and statistical analyses and calculations.
• Calculates premiums and reserves of new and existing plans of insurance.
• Provides support to senior analysts or actuaries as required.
• Retrieves and validates data for rate filings and actuarial models.
• Builds model enhancements and determines reasons for changes to calculated factors.
• Analyzes impacts of changes to product lines and segments.
• Communicates filing status to internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS).
• Retrieves and validates data for monthly reports and for UCL and ALR calculation.
• Supports valuation by executing ALR model and verifying results.
• Researches to support ALR assumption studies and UCL estimates.
• Distributes established reports and responds to inquiries.
• Investigates trends and anomalies.
• Executes control activities to support Enterprise Risk Management.
• Provides analytic support for corporate and departmental projects.
• Is a participant in good standing in the Actuarial Development Program

Actuarial Analyst

Support Engineer

• Focused on getting the most value from our investment in Workday
• Responsible for the HR technology configuration work of major projects that support Human Resources functions
• Provide consultative support to assigned customers in defining or designing business processes and identifying enabling technologies based on customer requirements
• Create, test, and support integrations using EIB, Studio, Core Connectors, APIs (REST/SOAP), RaaS, PECI, XML/XSLT
• Partner with HR, Finance, Payroll, and IT teams to understand business needs and translate them into technical specifications
• Resolve integration errors, monitor performance, and ensure data accuracy and security
• Oversee the integration lifecycle, including deployments, system upgrades, and alignment with SDLC
• Research, test, and implement new HR system capabilities; manage Workday updates and new feature adoption, including impact analysis, testing, and deployment
• Develop and maintain documentation for configurations, integrations, and technical processes
• Collaborate with internal teams, vendors, and third parties to implement solutions
• Act as a mentor to other team members, providing guidance and sharing HR functional and technical expertise
• Perform system integration activities for projects (technical integration testing, assessments, etc.)
• Facilitate development of business solutions that combine knowledge of HR business processes, technological options, and process facilitation techniques

Principal Workday Technical Analyst

Strategy

• Responsible for multi-channel marketing strategy development to generate and capture demand, including sales, retention, engagement, quality and membership goals.
• Leads the creation and evaluation of complex marketing plans by identifying marketing objectives and strategies, market and audience insights, key messages, tactics, timing and budget allocation through cross-functional collaboration.
• Develops integrated Direct Response and content marketing strategies, leveraging relevant print and digital channels designed to drive response and overall sales growth of Medicare products.
• Provides ongoing strategic consultation throughout the creative development, testing and launch processes.
• Partners with Marketing Analytics and channel subject matter experts to identify, capture and utilize data and analytics to measure success, optimize campaigns, rapidly iterate on strategy based on learnings, and inform future work.
• Leverages customer and consumer insights, personas and buyer journeys to develop holistic strategies and plans that effectively drive business outcomes and maximize ROI (segmentation, product design, communication preferences, messaging strategy and measurement plans/learnings).
• Facilitate communication and present information to both internal and external stakeholders at all levels, including senior-level leadership, to effectively drive programs/initiatives.
• Develops marketing and communications strategies and plans for assigned strategic initiatives.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Identify, analyze and monitor relevant industry, regulatory, technology and market-based trends.

Senior Strategic Advisor, Medicare

Manager

• Lead development or delivery of approved projects supporting all consumer capabilities and lines of coverage
• Responsible for ensuring the timely and accurate delivery of product design or delivery documents
• Oversee projects, processes and performance reports
• Ensure product roadmaps are created and maintained
• Sequence and prioritize dependent capabilities
• Evaluate and identify project dependencies
• Serve as the conduit related to timely and accurate information exchange
• Develop corporate wide communications regarding project status

Product Development Manager

Graphics Designer

• Responsible for producing creative visual design for marketing materials in multiple mediums
• Develop and produce graphic design for communications such as sales materials, publications, collateral materials, corporate graphics, multidimensional displays, exhibits, or events.
• Develop and produce graphic design for electronic and interactive communication such as web banners, email, presentations, and social media.
• Ensure all materials follow the strict guidelines found in the company Brand Guidelines documents.
• Collaborate with the other members of the project team to determine appropriate design elements of the project.
• Prepare artwork for approval and final distribution.

Graphic Designer

Art Director

• Become an expert on our brand and its voice, visual expressions, and guidelines.
• Immerse yourself in our business segments to understand their challenges, opportunities, and audiences.
• Generate new and compelling creative strategies and ideas to meet creative, business, and brand objectives.
• Find fresh ways to tell the Brand’s story in new and existing channels and innovate within established brand guidelines.
• Direct and develop inventive, breakthrough, and strategically sound content and campaigns.
• Lead the development of concepts, design, and artistic expressions (photography, illustration, video, etc.) across advertising, collateral, digital, and social channels for our B2C and B2B audiences.
• Oversee creative teams from idea to final deliverables to meet marketing strategies and objectives – ensuring the quality of concept, design, and brand compliance.
• Inspire and mentor the creatives assigned to you as direct reports – both writers and designers.
• Manage their careers and professional growth through one-on-ones, performance reviews, and mentorship.
• Manage and direct photo and video shoots when needed.
• Work with project managers to develop scopes (timing, vendor, etc.), set priorities, and manage workloads to ensure project completion within agreed upon budgets and timelines.
• Work closely with strategy and creative leaders and teams to ensure visuals and copy are strategic and tailored to best practices across channels.
• Present your work and build buy-in with marketing teams and business partners.
• Partner with marketing, strategy, business and project management leads to ensure input is properly solicited to inform the work and ensure team success.
• Monitor the external environment across the healthcare industry and the ad industry to identify and act on market competition, insights, trends, and opportunities.
• Build relationships across the marketing division and business segments to foster collaboration, and bold thinking.
• Help us use AI to increase the team’s effectiveness and output.

Associate Creative Director – Art Direction, Design

Analyst

• Oversees the functional support of all human resources systems to ensure the human resources organizational system needs are met.
• Supports both the systems and the processes of HR business unit, acting in a liaison role between human resources and information technology.
• Identifies opportunities to streamline business processes to best leverage human resources systems and then translates functional requirements for a business process or application into technical changes within human resources systems.
• Develops and maintains testing plans and scenarios to ensure that all modules and functionality are fully tested including application and unit test, integrated test, parallel test, performance and stress test.
• Completes system testing per the testing plans and helps information technology resolve any defects.
• Maintains policy and procedures documentation in support of business processes and end user training.
• Develops and delivers Human Resources system training and end user support.

HRIS Analyst

Program Manager

• Manage and execute strategic programs or key components of Health Plan initiatives, ensuring alignment to defined objectives, timelines, and outcomes.
• Translate strategic priorities into actionable workplans
• Partner with stakeholders to ensure initiatives are aligned to health plan strategy, enterprise priorities, and financial goals.
• Assess needs and coordinate resources to enhance existing programs.
• Monitor the progress of program components to ensure the overall goals, schedules, and benefits of the program will be met.
• Document and present program results through operational reports, outcomes studies, presentations and publications.
• Prepare program reports for superiors.
• Recommend and/or implement program and process changes as needed to achieve program goals and objectives.
• May have budget responsibilities to control expenditures in accordance with budget allocations, together with the conformance to timing, limits and usage of funding as agreed upon in the spending plan for the assigned program.
• May handle vendor management and administer program contracts to ensure vendors meet service level agreements if applicable.

Strategic Project/Program Manager, Health Plan Strategy

• Support work with staff and senior leadership across the company to proactively identify and prioritize strategic needs and create meaningful and actionable outputs
• Drive the strategic development process to address these needs, and integrate and align work to the company’s overall strategic goals
• Support efforts with partner and/or vendor relationships to understand the value proposition and business case aligned to our business strategy
• Drive decision making and collaborate with the business areas to implement
• Support the development and maintenance of relationships with both internal and external partners
• Leverage customer and consumer insights to support the development of holistic strategies, programs and plans to effectively drive business outcomes and maximize ROI in varied areas
• Assist with the consolidation of research, authorship of key findings, and communication of timely, periodic strategic intelligence reports to senior management and Blue Cross NC Board
• Contribute to the development of corporate strategic positions and related annual and long-term planning efforts
• Participate in critical activities such as strategic planning, compliance, complex financial/qualitative analysis and thought leadership
• Support the design and development of the innovation program for Blue Cross NC
• Act as a “Champion of Innovation” and work across the organization to drive a culture of innovation in all that we do
• Aid in innovation efforts through collaboration and consultation with internal stakeholders

Strategic Advisor – Health Plan Strategy

• Lead and maintain a high-performing team, with an emphasis on technical and professional development.
• Lead staff through completion of technical projects, ensuring timeliness, compliance, and quality of work.
• Assist in development and leads staff in creation, maintenance, and/or improvement of key processes, models, and reports, including process control documents.
• Provides 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 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 peers across the enterprise, including Actuarial and Divisional Leadership Teams.
• Support external partnerships with vendors, auditors, regulators, and/or health care providers.
• 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.

Senior Manager, Actuarial Services – Large Group

Director

• Set team priorities that align with the organization’s core values, strategic objectives, and key deliverables
• Direct end‑to‑end claims processing, adjustments, and financial recovery activities across commercial, government, and inter‑plan lines of business, leveraging data‑driven analytics to inform decisions and execution
• Partner with operational leads and workforce management to supplement strategy with the development of budgets, staffing models, and operational performance standards
• Lead claims process standardization and automation initiatives in partnership with the Continuous Improvement function
• Collaborate with the Business Advisory team to identify and deliver claims process improvements, including Lean Six Sigma initiatives
• Approve business and technical requirements, oversee initiatives, and prioritize decisions to effectively address evolving business needs
• Partner with the Vendor Management Lead to identify and capture value through alternative staffing models and vendor solutions
• Collaborate with providers and people leaders to develop and implement tailored customer strategies that improve performance and outcomes
• Develop, coach, and motivate leaders and team members to reinforce core values and advance the target operating model
• Leverage and advance analytical capabilities to support strategy execution and operational performance management
• Resolve complex escalations and contribute to training development to maintain and improve service delivery
• End to end inventory management to align with all regulatory, Internal, external and other applicable processing guidelines and timeliness expectations; includes evaluating and adjusting all processing guidelines as required to meet customer expectations
• Report operational updates to the Claims AVP and Health Plan Operations VP; serve as a subject matter expert for Claims Operations

Director of Claims

Communications

• Develop and manage IS&T’s internal communications strategy.
• Create clear, concise messaging for IT initiatives, system changes, policies, and milestones.
• Establish and maintain a consistent IS&T tone and voice for staff, departments, and executives.
• Draft executive-level talking points, briefings, and communications on behalf of the Chief Information Officer (CIO).
• Coordinate with IT teams to ensure timely, accurate, and engaging updates.

IT Communications and Engagement Specialist

Project Manager

• Lead project teams for multiple projects
• Oversee budgets, schedules, resources, and deliverables for projects
• Manage and coordinate internal and external resources
• Provide vision and direction to cross-functional teams
• Monitor and track project milestones and deliverables
• Support safety policies and programs

• Manage high performing teams accountable for delivering complex business and technical portfolio and program solutions.
• Provides operational and tactical support to deliver on enterprise strategies.
• Ensures initiative/program benefits achieve business objectives.
• Aligns portfolio and program deliverables to enterprise goals.
• Develops and manages high performing team responsible for delivering products, technical solutions, and services in support of business goals and objectives.
• Establishes and leverages standards and frameworks for successful program/initiative reporting, documentation, and execution.
• Provides leadership and oversight for business analysis and requirements practices.
• Develops strong partnerships with executive leadership and business stakeholders.
• Aligns leadership and processes across the enterprise, facilitating issue resolution.
• Develops portfolio/program level roadmaps and strategies; identifies dependencies and risks.
• Demonstrates ability to deliver work in a matrixed environment including multitasking.
• Leverages portfolio tools and methodologies to improve delivery effectiveness.
• Builds, coaches, and matures the business analysis capability.

Portfolio Management Manager

• Serve as a senior subject matter expert on Medicare Advantage payment, reimbursement, and claims-related CMS policy
• Interpret and evaluate CMS guidance, health plan reimbursement direction, delegation requirements, and contractual payment terms
• Support periodic reviews of Medicare payment and reimbursement application across claims adjudication and provider payment processes
• Collaborate with Compliance and operational teams in preparation for CMS audits, health plan delegation audits, and internal reviews