Senior Fraud Investigations Analyst
Job Description We are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities include maintaining confidentiality, adhering to SIU Policies and Procedu…
Actuarial Analyst
Job Description Join our team as an Actuarial Analyst, where you will use your expertise in mathematics, probability, statistics, and business principles to support a variety of actuarial functions, including rating and pricing, valuation, healthcare economics…
Consulting Actuary - ACA Risk Adjustment
Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for b…
Consulting Actuary - Pharmacy
Job Description The Consulting Actuary - Pharmacy serves as a senior-level individual contributor within the Pharmacy Analytics team, supporting the organization's pharmacy strategy through advanced actuarial and analytical expertise. This role is responsible …
Director, Privacy Officer & Managing Counsel
Job Description The Director of Managing Counsel will oversee the delivery of legal services and advice for the Company, acting as the main attorney for Blue Cross NC's Privacy Program. This role manages both attorneys and non-attorneys and oversees Blue Cross…
Senior Fraud Investigations Analyst
Job Description We are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities include maintaining confidentiality, adhering to SIU Policies and Procedu…
Actuarial Analyst
Job Description Join our team as an Actuarial Analyst, where you will use your expertise in mathematics, probability, statistics, and business principles to support a variety of actuarial functions, including rating and pricing, valuation, healthcare economics…
Consulting Actuary - ACA Risk Adjustment
Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for b…
Principal Value-Based Care Operations Advisor
Job Description Leads enterprise efforts supporting the design, operationalization, and optimization of value-based care programs across the full operational lifecycle. The Principal Value-Based Care Operations Advisor provides subject matter expertise spannin…
Senior Actuarial Analyst - Medical Economics
Job Description We're seeking a Senior Actuarial Analyst to support the Medical Economics Enablement team by turning complex healthcare data into actionable insights that improve affordability and inform strategic decision-making. This role partners closely wi…