Displaying 1 - 15 of 26 Jobs.
Medical Review Analyst (Multiple Positions)
Chapel Hill, NC; Durham, NC
Identifies, analyzes, and determines medical necessity, pre existing conditions, benefit eligibility and/or individual consideration reimbursement allowances for novel and complex medica...
Chapel Hill, NC; Durham, NC
Identifies, analyzes, and determines medical necessity, pre existing conditions, benefit eligibility and/or individual consideration reimbursement allowances for novel and complex medica...
Coding Specialist - CPC Required (Multiple Positions)
Chapel Hill, NC; Durham, NC
The incumbent will use clinical and coding expertise to analyze medical records and charts in relation to provider coding. The Coding Analyst identifies physician practices with complex...
Chapel Hill, NC; Durham, NC
The incumbent will use clinical and coding expertise to analyze medical records and charts in relation to provider coding. The Coding Analyst identifies physician practices with complex...
Senior Pricing Advisor
Durham, NC; Chapel Hill, NC
The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovativ...
Durham, NC; Chapel Hill, NC
The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovativ...
Actuarial Analyst - Value Based Care
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
Under general guidance and supervision, applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for rat...
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
Under general guidance and supervision, applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for rat...
Sr. Business Systems Analyst - Clinical Data Exchange
Chapel Hill, NC; Baltimore, MD; Columbia, SC; Nashville, TN; Virginia Beach, VA
Utilizing strong functional/technical area knowledge and expertise with relevant systems/applications. The incumbent defines, evaluates, and validates requirements, business functional d...
Chapel Hill, NC; Baltimore, MD; Columbia, SC; Nashville, TN; Virginia Beach, VA
Utilizing strong functional/technical area knowledge and expertise with relevant systems/applications. The incumbent defines, evaluates, and validates requirements, business functional d...
Principal Information Security Architect
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Project/Program Manager - Cost Avoidance & Recoveries
Chapel Hill, NC
Corporate Pharmacy spearheads Blue Cross NC's prescription drug initiatives through member focused formulary design, sales team support, benefit plan creation, program development, and m...
Chapel Hill, NC
Corporate Pharmacy spearheads Blue Cross NC's prescription drug initiatives through member focused formulary design, sales team support, benefit plan creation, program development, and m...
Senior Strategic Advisor, Financial Monitoring and Analysis
Chapel Hill, NC
Blue Cross and Blue Shield of North Carolina's Diversified Business Group is seeking an organized, analytical, and hardworking professional to join its Corporate Development team as a Se...
Chapel Hill, NC
Blue Cross and Blue Shield of North Carolina's Diversified Business Group is seeking an organized, analytical, and hardworking professional to join its Corporate Development team as a Se...
Principal Project/Program Manager, Commercial Pharmacy
Chapel Hill, NC
Leads and manages the day to day operational and tactical aspects of all Commercial related Pharmacy Benefit Management (PBM) activities, new initiatives, and other ongoing business deli...
Chapel Hill, NC
Leads and manages the day to day operational and tactical aspects of all Commercial related Pharmacy Benefit Management (PBM) activities, new initiatives, and other ongoing business deli...
Senior Client Service Advisor
Chapel Hill, NC
The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovativ...
Chapel Hill, NC
The Blue Cross NC Diversified Business Group (DBG) is focused on driving improvements in health care, affordability, access and equity through investments and partnerships with innovativ...
Data & Analytics Governance Analyst
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Sr Data Analyst
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Principal Data Analyst
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Chapel Hill, NC; Huntsville, AL; Phoenix, AZ; Little Rock, AR; Denver, CO; Jacksonville, FL; Atlanta, GA; Boise, ID; Indianapolis, IN; Des Moines, IA; Wichita, KS; Louisville, KY; New Orleans, LA;...
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives....
Risk Adjustment Provider Service Advisor - CPC or CRC required
Chapel Hill, NC
This is a provider facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls with o...
Chapel Hill, NC
This is a provider facing role. Evaluates and monitors provider performance to achieve excellence in risk adjustment coding. Participates in regular provider meetings and/or calls with o...
Data Analyst - Provider Performance Improvement Strategy
Chapel Hill, NC; Durham, NC
Responsible for providing analytic support, which includes data collection, trending, reporting and forecasting functions to ensure data integrity. Will design, develop, analyze and dete...
Chapel Hill, NC; Durham, NC
Responsible for providing analytic support, which includes data collection, trending, reporting and forecasting functions to ensure data integrity. Will design, develop, analyze and dete...