Job Description
As a Business Operations Associate, you will play a key role in supporting the Healthy Blue Care Together Compliance Program. You’ll help keep critical operations running smoothly by managing data, tracking program performance, and ensuring alignment with regulatory and contractual requirements specific to North Carolina Medicaid. This role is ideal for someone who is highly organized, detail-oriented, and interested in healthcare compliance, regulatory oversight, and process improvement.Provide department, divisional and/or segment focused business and operational support to include operational planning, workforce planning, reporting, data and/or budget analysis, internal/external marketing, and special projects.
What You’ll Do
Compliance Program Support
Assist in supporting the ongoing maintenance of the Compliance Program, ensuring alignment with regulatory and contractual requirements
Maintain documentation supporting compliance program activities, including policies, procedures, and program records
Assist in developing and maintaining standard operating procedures (SOPs) and compliance-related processes
Assist with change management work to support business and process improvements and overall departmental/divisional effectiveness
Project Coordination
Handle special projects for the department/division/segment as assigned. Possible duties could include:
Aid in the review and evaluation of best or next practice opportunities for potential adoption
Track internal and external audits, monitoring activities, and regulatory reviews
Maintain logs of compliance issues, findings, and corrective action plans (CAPs)
Monitor progress of CAPs and follow up with business owners to support timely resolution
Data Analysis/Reporting
Consolidate and standardize data analysis and reporting for relevant business operations.
Track goal progress, including data collection and analysis of key performance metrics (KPIs)
Maintain a centralized repository of regulatory guidance and compliance requirements
Business Partnerships
Partner with business units, legal, and operational teams to gather compliance-related information
Assist with preparation for external meetings, regulatory engagements, and presentations
Aid in management of vendor relationships as required by business operations’ needs.
What You Have
Bachelor's degree or advanced degree (where required)
0-2 years of experience in related field.
In lieu of degree, 3+ years of experience in related field.
Bonus Points
Experience in Medicaid strongly preferred
Knowledge of Child Welfare System
What You’ll Get
The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Learn more
Where You’ll Work
Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.
In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
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Skills Required
- Bachelor's degree or advanced degree
- 0-2 years of experience in related field
- In lieu of degree, 3+ years of experience in related field
- Experience in Medicaid
- Knowledge of Child Welfare System
What We Do
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina. Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Our company is a not-for-profit with headquarters in Durham and major operations in Winston-Salem and Fayetteville. In all we employ more than 4,500 North Carolinians and serve more than 3.7 million customers. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association.
