Strategic driver who specializes in enhancing the overall effectiveness and performance of the organization through comprehensive planning and implementation of culture, change, and leadership initiatives. This multidisciplinary role combines human resources, business strategy and organizational behavior to drive sustainable growth and foster a culture of continuous impro

We're hiring a Clinical Appeals Analyst to join the Commercial Member Appeals Team! You will be responsible for the analysis, research and completion of complex, non routine appeals and grievances within the company. You will address all customer concerns and ensure resolution and satisfaction. Ensure timeliness, quality and efficiency in all work to comply with mandated,

We're hiring a Senior Business Systems Analyst to join the Care Radius Configuration Team! You will utilize your strong Care Radius & SQL scripting functional/technical area knowledge and expertise with relevant systems/applications. The incumbent defines, evaluates, and validates requirements, business functional design, and technical design for complex business issues w

Join a team where technology meets strategy. As a Senior Actuarial Data & Systems Analyst, you will play a crucial role in delivering technical data support and innovative solutions for Actuarial financial data systems. You'll Identify business requirements and deliver solutions related to the support of the specific business area/function. Perform appropriate analysis, d

At Blue Cross NC, we're looking for a Manager, Financial Systems who thrives at the intersection of finance, technology, and leadership. In this role, you'll lead a talented team focused on delivering reliable, scalable financial systems that power critical business decisions and operational excellence What You'll Do Manage staff responsible for the application security,

Join a team where technology meets strategy. As a Principal Actuarial Data Systems Analyst, you will play a crucial role in delivering technical data support and innovative solutions for Actuarial financial data systems and Marts. You will lead and coordinate work related to the identification of business requirements and deliver solutions to support business areas/functi

s . Lead implementation and track and report on the status of projects. Manage and support a small team of direct reports , providing guidance, mentorship, and professional development opportunities to ensure success in meeting organizational goals. Oversee the budget and policy compliance for assigned program strategies, ensuring efficient allocation of resources and adhe

If you enjoy improving processes, strengthening controls, and making payment operations run more smoothly, this could be a great fit for you. As a Senior Accounts Payable Analyst, you will play a key role in advancing accounts payable operations through process analysis, audit support, corrective action planning, and cross functional project work that drives greater effic

Focused on getting the most value from our investment in Workday, this role is responsible for the HR technology configuration work of major projects that support Human Resources functions. Act as strategic HR technology consultant leading the alignment of HR technology solutions with business strategies, and identifying enterprise value from leveraging Workday. Partner w

The Principal Actuary delivers a broad range of actuarial or analytical work for the company, such as conducting pricing and actuarial strategy for a business segment, evaluating advanced care management models, performing competitive benchmarking analysis, and conducting economic value evaluation of cost containment initiatives. They support the company strategy by provi

We're seeking a Business Analyst to join the Reimbursement Policy team in our Payment Integrity department! You will be responsible for performing research and analysis to support reimbursement policy governance and related business operations. Elicits, documents, develops, and tracks business and functional requirements to address intermediatelevel business needs through

As a Principal Actuary in ACA Pricing, you'll use your expertise in mathematics, statistics, health insurance, and business to support complex pricing, valuation, and financial forecasting. You'll lead analyses that shape pricing models, care management programs, and insurance product development helping us deliver high quality, cost effective care to the communities we s

As an Actuarial Analyst, you'll use actuarial analysis to support pricing, valuation, forecasting, and healthcare economics. You'll work with a team of actuaries to support health programs and provide technical insights to partners across Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare. This role focuses on Commercial core reserving, includi

In this role you will lead small to medium scale, enterprise wide Product Development initiatives. Acts as a thought leader for the generation of ideas and carries through to product design, requirements definition, execution and launch to the market. Advise our Diversified Business Group leadership, providing a detailed assessment of current and future product and progra

We're hiring a Senior Business Analyst, Member Payments to join the Member Digital Strategy team! You will be responsible for facilitating and performing complex research and analysis to support member payment business operations. Discerns business needs, elicits, documents, and manages requirements, and develops business and functional requirements to solve larger and/or