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Results based on filters ( 15 jobs found )

Manager, IT Category Management

Blue Cross NC
Located in Ohio
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Job Description The Manager, IT Category Management, is responsible for ...
Details
Summary
About the job:
directing all sourcing and vendor contracting activities within the assigned categories. This role supervises staff engaged in the sourcing process for high-value and complex goods, services, or projects and initiatives. The incumbent focuses on reducing organizational costs by implementing effective sourcing strategies, tools, and processes. Coordination with third-party vendors, business owners, and the legal team is essential for the preparation, analysis, and negotiation of vendor contracts. Additionally, this...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Purchasing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Sr Strategic Advisor, Enterprise Strategy

Blue Cross NC
Located in Ohio
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Job Description As a Senior Strategic Advisor of Enterprise Strategy, you ...
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Summary
About the job:
will be a trusted thought partner to senior leadership, shaping enterprise-level decisions through rigorous analysis and strategic insight. Success in this role means you consistently transform complex, unstructured challenges into clear, actionable strategies and plans across multiple time horizons. You’ll deliver data-driven recommendations, craft compelling executive narratives, and execute with precision—helping the organization evolve towards a health solutions company. In this role, you will focus on...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

COMPENSATION ADVISOR

Blue Cross NC
Located in Ohio
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Job Description Join our Compensation team and help shape pay programs that ...
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Summary
About the job:
support our people and business strategy. In this role, you’ll partner with HR and leaders to bring data-driven insights to compensation decisions, strengthen internal equity, and keep us competitive in the market. You’ll play a key role in market pricing, job evaluation and job description review, salary structure maintenance, and annual salary planning (common review), while supporting governance, audits, and continuous process improvement. What You'll Do - Provide compensation consultation to HR and leaders,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Compensation, Benefits, and Job Analysis Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Certified Compensation Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Episodic Care Manager - Behavioral Health Autism Services

Blue Cross NC
Located in Ohio
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Job Description We're seeking a Senior Episodic Care Manager to join our ...
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Summary
About the job:
Behavioral Health Team! The Senior Episodic Care Manager - Behavioral Health Autism Services utilizes advanced knowledge and experience in utilization management and medical reviews to perform varied senior-level functions for the department. Drives operational efficiencies, works with internal and external partners for care coordination, and provides input to valuable Utilization Management (UM) initiatives that support the delivery of high quality and cost-effective care across the health care system. What You'll Do -...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Episodic Care Manager

Blue Cross NC
Located in Ohio
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Job Description The Episodic Care Manager is responsible for performing ...
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Summary
About the job:
clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based on medical necessity and contractual benefits. Effectively coordinate with providers, members, and internal staff to support the delivery of high quality and cost-effective care across the health care system. What You'll Do Clinical Evaluation and Review • Receive assigned cases for varied member services (i.e. inpatient, outpatient, DME) • Review and evaluate cases for medical necessity against medical policy,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Licensed Practical Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Sr Treasury Analyst (FEP)

Blue Cross NC
Located in Ohio
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Job Description The Senior Treasury Analyst for the Federal Employees ...
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Summary
About the job:
Program (FEP) manages treasury operations—including cash management, liquidity oversight, and funding strategy—to ensure accurate cash flow, timely funding, and regulatory compliance. The role requires strong analytics, operational discipline, and strategic insight for the FEP business. What You’ll Do - Lead all treasury operations for the FEP line of business, including daily cash positioning, funding, payment execution, account reconciliation, and liquidity oversight. - Monitor and optimize working capital by analyzing...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Certified Corporate FP&A Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Behavioral Health Case Manager - Medicaid

Blue Cross NC
Located in Ohio
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The Behavioral Health Case Manager - Medicaid will coordinate care, ...
Details
Summary
About the job:
resources, and/or services for D-SNP member populations, promoting effective utilization and monitoring of health care resources to drive quality care. The role involves multidisciplinary teamwork, comprehensive assessments, and plan development tailored to members' needs. Requirements - RN, RD, or LCSW with 3 years of clinical and/or case management experience - Valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties - Additional specialty certification (i.e. CCM, CDCES)...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Certified Diabetes Educator
Licensed Clinical Social Worker
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Case Manager - Medicaid

Blue Cross NC
Located in Ohio
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The Case Manager - Medicaid position involves coordinating care, resources, ...
Details
Summary
About the job:
and services for member populations to achieve optimal clinical and resource outcomes. The role requires a comprehensive assessment of members' needs and the development of a tailored plan to address their health status, educational status, and level of support needs. Requirements - RN with 3 years of clinical and/or case management experience - Valid and applicable clinical license (NC or compact multi-state licensure) - Additional specialty certification (i.e. CCM, CDCES) may be required Benefits - Work-life balance...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Certified Diabetes Educator
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Sr Actuarial Analyst

Blue Cross NC
Located in Ohio
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Job Description Blue Cross NC is looking for a Senior Actuarial Analyst who ...
Details
Summary
About the job:
will apply expertise in mathematics, probability, statistics, and business principles to offer assistance and technical support for complex rating/pricing, valuation, healthcare economics, and financial forecasting tasks. This position works with minimal supervision as part of a team of actuaries to ensure a coordinated approach to the actuarial aspects of health programs. The analyst provides actuarial support to departments such as Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare. What...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Associate of the Society of Actuaries
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Actuarial Analyst – Pharmacy Benefit Oversight

Blue Cross NC
Located in Ohio
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Job Description Blue Cross NC is seeking a Senior Actuarial Analyst – ...
Details
Summary
About the job:
Pharmacy Benefit Oversight to join our growing Pharmacy Analytics team. As a key profit driver for our enterprise, this role offers the opportunity to directly impact our bottom line through strategic Pharmacy Benefit Manager (PBM) oversight. You will leverage your technical acumen to build advanced models, analyze formulary performance, manage pharmacy net cost trends, and provide actionable insights to senior leadership. What You’ll Do - Model Building & Process Improvement: Design, develop, and maintain new actuarial...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
Associate of the Society of Actuaries
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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