Teams at Blue Cross NC

Leads health plan operations across enrollment, membership, claims, customer service, fulfillment, and system support. Oversees operational performance, vendor relationships, quality assurance, KPIs, staffing, budgets, inventory, and service guarantees. Drives process standardization, automation, Lean Six Sigma improvements, and member-centric service delivery. Partners with Sales, implementation, configuration, service, and enterprise teams to resolve escalations, improve efficiency, and deliver strategic initiatives.

Lead elicitation, prioritization, and translation of business requirements into system-level functional designs for an external employer web portal. Produce functional specifications, GUI/VUI designs, conduct gap analysis, ensure traceability, and coordinate with developers, designers, and SMEs to deliver tested, phased solutions.

Leads Strategic Client Consultants responsible for retaining and growing profitable national-account business. Develops team talent, establishes client and broker relationships, drives consultative cross-selling, and develops segment-specific sales and retention strategies. Represents market needs internally, provides market intelligence, supports negotiations and compliance, and monitors team KPIs and sales goals. Requires 15%–20% travel and North Carolina Health and Life licensure within 90 days.