Blue Cross and Blue Shield of North Carolina

Workday Technical Analyst

Blue Cross and Blue Shield of North Carolina · Full Time · 17 hours ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $89174 - $142K per year ⭐ 2-5 yrs exp 💼 Others

The role involves planning, designing, and implementing technical infrastructure to support business objectives and system stability. Key duties include performing system integration activities and providing expert technical support for Workday applications.

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Senior AI/ML Scientist

Blue Cross and Blue Shield of North Carolina · Full Time · 8 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $143K - $229K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the research and development of predictive, prescriptive, and Generative AI solutions to drive organizational decision-making. Design and implement self-learning ML/DL systems and collaborate with business partners to integrate these technologies into production environments.

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Actuarial Associate

Blue Cross and Blue Shield of North Carolina · Full Time · 11 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $66998 - $107K per year ⭐ 0-2 yrs exp 💼 Others

The Actuarial Associate provides technical support for pricing, valuation, and financial forecasting through the analysis of statistical and mathematical data. They assist in rate studies, experience studies, and the enhancement of actuarial models while supporting Enterprise Risk Management.

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Senior Analyst – Financial Data Modeling and Analytics

Blue Cross and Blue Shield of North Carolina · Full Time · 12 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $89174 - $142K per year ⭐ 5-10 yrs exp 💼 Software Development

The role involves designing complex financial models and providing strategic decision support to organizational leaders. It also focuses on building scalable data analytics solutions and improving financial reporting processes.

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Principal Workday Technical Analyst

Blue Cross and Blue Shield of North Carolina · Full Time · 17 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $118K - $189K per year ⭐ 10+ yrs exp 💼 Teaching

Lead the configuration and strategic alignment of Workday HR technology solutions to support business strategies and HR functions. Develop, test, and maintain complex integrations while providing consultative support for business process design.

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Senior Actuarial Data Systems Analyst

Blue Cross and Blue Shield of North Carolina · Full Time · 17 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $98092 - $156K per year ⭐ 5-10 yrs exp 💼 Others

Manage and optimize Actuarial Systems Data Marts while performing financial validations and quality assurance checks. Provide technical leadership and develop decision support solutions for medical and pharmacy claim financial data.

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Manager, Financial Systems

Blue Cross and Blue Shield of North Carolina · Full Time · 17 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $118K - $189K per year ⭐ 10+ yrs exp 💼 Finance

Lead a team responsible for the administration, security, and maintenance of financial systems to support business decisions. Oversee finance data governance, compliance audits, and the implementation of system upgrades and cross-functional projects.

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Principal Actuarial Data Systems Analyst

Blue Cross and Blue Shield of North Carolina · Full Time · 18 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $118K - $189K per year ⭐ 10+ yrs exp 💼 Teaching

Lead the development and optimization of actuarial data systems, data marts, and complex financial analysis solutions. Coordinate business requirements gathering and provide technical leadership to ensure accurate, auditable financial reporting.

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Principal Actuary - ACA Pricing

Blue Cross and Blue Shield of North Carolina · Full Time · 19 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $118K - $189K per year ⭐ 5-10 yrs exp 💼 Finance

Lead complex actuarial modeling and pricing activities to support ACA health insurance products and financial forecasting. Serve as a subject matter expert providing actionable recommendations for strategic decisions, provider contracts, and underwriting activities.

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Principal Actuary, Cost of Care

Blue Cross and Blue Shield of North Carolina · Full Time · 19 days ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $118K - $189K per year ⭐ 5-10 yrs exp 💼 Finance

The Principal Actuary is responsible for delivering complex actuarial analysis and pricing strategies to evaluate cost of care initiatives. They provide strategic thought leadership to improve processes and achieve financial targets across clinical, pharmacy, and network segments.

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Senior Actuarial Analyst - Medical Economics

Blue Cross and Blue Shield of North Carolina · Full Time · a month ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $98092 - $156K per year ⭐ 2-5 yrs exp 💼 Finance

Develop reporting structures, dashboards, and analytic solutions to identify healthcare cost drivers and inform strategic decision-making. Partner with technical and business teams to build actuarial model enhancements and maintain a formal knowledge base of data assets.

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Associate Medical Director

Blue Cross and Blue Shield of North Carolina · Full Time · a month ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $191K - $305K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Associate Medical Director serves as a clinical interface between the company and healthcare providers to support value-based strategies and cost-effective care. Responsibilities include driving healthcare initiatives, managing strategic partnerships, and analyzing clinical data to improve health outcomes.

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Consulting Actuary - ACA Risk Adjustment

Blue Cross and Blue Shield of North Carolina · Full Time · a month ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $143K - $229K per year ⭐ 5-10 yrs exp 💼 Finance

Lead pricing strategies and actuarial initiatives for business segments while evaluating care management models and designing insurance products. Provide strategic thought leadership to improve processes, reduce risks, and manage external partnerships with vendors and regulators.

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Actuarial Analyst - Medicare

Blue Cross and Blue Shield of North Carolina · Full Time · a month ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $81068 - $129K per year ⭐ 2-5 yrs exp 💼 Finance

Perform actuarial research, statistical analyses, and calculations to support Medicare pricing, rating, and valuation. Collaborate with various departments to manage rate filings and execute ALR models for financial reporting.

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Consulting Actuary - Pharmacy

Blue Cross and Blue Shield of North Carolina · Full Time · a month ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $143K - $229K per year ⭐ 5-10 yrs exp 💼 Finance

Perform complex actuarial analyses to support pharmacy strategy, rebate trends, and profitability forecasting. Collaborate with cross-functional stakeholders and provide guidance to junior team members to ensure high-quality deliverables.

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Sr. Population Risk Performance Analyst (Value-Based Care)

Blue Cross and Blue Shield of North Carolina · Full Time · 3 months ago

Blue Cross and Blue Shield of North Carolina

🌎 United States 💵 $98092 - $156K per year ⭐ 5-10 yrs exp 💼 Others

This role provides advanced analytical and modeling expertise to support value-based care performance measurement and population risk normalization by applying risk models to member populations for accurate financial and quality measurement. The analyst will operationalize risk and actuarial methodologies to support total cost of care evaluation, reconciliation, forecasting, and provider settlement processes.

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