Jobs at Blue Cross NC

Designs, engineers, and maintains enterprise Elastic Stack and observability platforms across physical, cloud, application, database, network, and infrastructure environments. Responsibilities include architecture, integrations, data ingestion, automation, monitoring, dashboards, alerting, troubleshooting, performance and capacity management, documentation, technical standards, and platform resiliency. The role serves as an Elastic subject matter expert, guides observability strategy, partners with IT teams, and mentors less experienced engineers.

Owns and prioritizes product and sprint backlogs, translates product strategy into user stories, and aligns stakeholders, customers, Product Managers, and agile delivery teams. The role decomposes complex features, drives roadmap execution, communicates priorities, maintains domain expertise, and mentors team members in agile product ownership practices.

Prepare and review financial statements, coordinate month-end close and reporting, analyze complex accounting information, resolve GAAP/SAP issues, maintain controls, support audits, and recommend process improvements. Provide technical guidance, coach colleagues, conduct due diligence, evaluate deal structures, and participate in cross-functional finance projects. The role requires collaboration with auditors, other Blue Cross plans, and the BCBSA.

Supports IT governance, risk management, controls assessment, audit activities, issue tracking, risk mitigation, control documentation, and IT security training. Partners with business and technology teams to identify and evaluate risks, strengthen controls, monitor mitigation plans, and address risks exceeding tolerance. May support incident management, recovery testing, continuity planning, and cybersecurity-related initiatives.

Manages complex national accounts for retention, renewals, profitability, and growth. Builds trusted relationships with clients, consultants, and producers; negotiates renewals and cross-sells products. Analyzes financial, utilization, market, and competitive data to recommend benefit strategies. Coordinates enrollment, client services, and project delivery while identifying process improvements and representing the company in community affairs.

Analyzes complex business and technical requirements, translates them into system requirements and functional designs, evaluates impacts and risks, and guides application enhancements and deployments. Partners with business and technical teams, maintains requirements traceability, recommends system changes, and mentors less experienced analysts across complex initiatives.

Leads account implementation, proposal support, and sales effectiveness operations. Oversees teams, establishes processes and performance metrics, improves sales and implementation workflows, manages operational risk and compliance, and drives cross-functional strategic initiatives. Partners with sales and enterprise stakeholders to enhance productivity, scalability, customer experience, and business outcomes. Develops staffing and resource plans while coaching leaders and team members.

Designs and guides enterprise technology solutions across complex initiatives. Responsibilities include developing solution architectures and roadmaps, designing scalable data architectures, evaluating cloud and integration technologies, applying security and governance standards, managing technical risks, and providing architectural guidance throughout the SDLC. The role partners with business stakeholders, vendors, and delivery teams while mentoring engineers and supporting technology modernization.

Leads underwriting and strategic pricing for commercial employer health and ancillary insurance products. Oversees risk assessment, rate development, pricing governance, forecasting, profitability analysis, underwriting systems, modernization, and operational excellence. Partners with Sales, Actuarial, Finance, Product, Network Management, and Operations to drive profitable growth. Develops underwriting strategy, influences enterprise decisions, and leads a high-performing organization.

Leads actuarial financial data systems and marts, developing data solutions, extracts, reports, analyses, automations, validations, and executive reporting support. Manages data mart maintenance, audits, business requirements, technical specifications, user acceptance testing, and system implementations. Provides technical leadership, coordinates vendors and departments, trains junior staff, and advises project teams on data architecture, business rules, configuration, and financial data quality.

Lead complex actuarial projects focused on ACA risk adjustment, pricing, forecasting, and competitive benchmarking. Provide strategic actuarial guidance, manage vendor and regulator relationships, achieve financial targets, and communicate results to senior leadership while maintaining actuarial credentials.

Support actuarial teams with rating, pricing, valuation, and forecasting for health programs. Perform data retrieval/validation, experience studies, statistical analyses, ALR/UCL calculations, rate filings, and reporting. Collaborate with underwriting, network, finance, and other stakeholders and participate in the Actuarial Development Program.

Lead short-, medium-, and long-term cash flow forecasting; analyze liquidity trends, risks, and opportunities; communicate actionable insights to senior management and the Board; partner with Finance, Treasury, Actuarial, Investments, and business leaders; and optimize excess cash according to investment policies.

Provides audit and risk advisory services across subsidiaries, focusing on financial, strategic, and entity-level risks and controls. Performs walkthroughs, control testing, process analysis, audits, deficiency assessments, remediation validation, and advisory engagements. Uses COSO and related frameworks to strengthen governance and internal controls, develops mitigation strategies, documents findings, trains management, and prepares audit reports.

Manages treasury operations, cash management, daily account funding, liquidity investments, cash-flow forecasting, banking relationships, and bank service negotiations. Oversees Treasury Analysts, develops cash management policies and controls, supports treasury-related projects, and ensures compliance, business continuity, and process documentation. The role also monitors banking and insurance regulations and identifies opportunities to improve liquidity and payment efficiency.

Lead design, development, and delivery of ML, DL, and Generative AI systems for production. Apply prescriptive analytics, optimization, recommendation, and reinforcement learning. Build and evaluate models, run experiments, develop prototypes, benchmark methods, and collaborate with business partners to translate data into actionable recommendations and influence strategy.

Design and document conceptual, logical, and physical data models (relational, dimensional, NoSQL). Support data architecture and governance, produce DDL/SQL, design Snowflake Silver/Gold analytical layers, mentor other modelers, and map healthcare sources to FHIR resources when applicable.

Prepare monthly financial reporting, perform variance and ad-hoc analyses, build models for forecasting and scenario planning, support budgeting and reforecasting, collaborate with cross-functional finance partners, and improve reporting processes to deliver accurate, decision-ready insights for leadership.