Job Description

Deliver internal consulting services and change leadership to enhance the effectiveness of the organization at the enterprise level. Link business strategy to the development of capabilities, people, process, technology, and information. Assist senior leaders with large, complex and/or ambiguous business problems and driving business improvements. Contribute and support the development of the Company’s business architecture based on strategic and tactical enterprise goals and industry-leading Business Architecture practices.

What You'll Do

• This is a senior-level role emphasizing business consulting, combined with components of strategy, business planning, business architecture management, process engineering, influence and leadership disciplines. This is a highly visible enterprise role that will interact with leaders across the company.

• Facilitate participative decision making and planning workshops. Workshop participants are typically senior leaders from multiple departments.

• Provide consulting to senior and mid-level leadership on complex and/or ambiguous business problems, and advise on low-risk/high-value alternatives.

• Apply business management consulting tools to remove ambiguity, and drive data-driven decisions making and planning (e.g. SWOT, 5 Forces, Scenario Planning, etc.)

• Contribute to the development of enterprise business architecture models.

• Apply strategic planning practices to translate strategies into business roadmaps and annual project portfolios

• Conduct analysis of business current and future states, performance gaps, and their root causes

• Understand business behavior patterns and how they work together to enable the business to achieve their strategic and tactical goals

• Monitor the business sector, industry, technology, infrastructure, legal and regulatory environment trends. Incorporate the consequences of these trends into actionable recommendations to internal clients

• Develop, organize, and execute enterprise business planning processes.

• Influence senior business leaders in their use of business planning disciplines to achieve business goals

• Develop and maintain working relationship with business leaders/strategy owners

• Develop data migration strategies and testing standards

• Create roadmap for current and future automation opportunities

• Partner with Claims Architects to enhance claims selection logic

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree (where required)

• 8+ years of experience in related field

• In lieu of degree, 10+ years of experience in related field

Nice to Have

• Experience with Facets, specifically the Provider, Claims and Member Applications

• Intermediate knowledge of SQL and data models

Salary Range

$105,600.00 - $191,800.00

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). 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.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

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.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.

For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming

Much more than a paycheck

The total value of working at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks (https://careers.bluecrossnc.com/global/en/benefits) that help you thrive, such as competitive health benefits, bonus plans based on performance, 401(k) with employer match, paid time off (plus two well-being days), and a variety of career development and wellness programs.