[Hiring] Senior Business Operations Advisor @Blue Cross and Blue Shield of North Carolina

Role Description

Provide advanced department, divisional and/or segment-focused business and operational leadership support for Medicare Advantage and Medicare Supplement lines of business, including:

• Business relationship management
• Business plan development
• Reporting
• Data and budget analysis
• Execution of high-priority initiatives

Serve as a business partner in advancing growth, profitability, and member experience through key Medicare value levers including:

• Risk Adjustment
• Star Ratings
• CAHPS
• Provider performance
• Network effectiveness
• Operational execution

Qualifications

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field

Requirements

• Demonstrated experience supporting Medicare Advantage and/or Medicare Supplement business operations, product performance, growth initiatives, or market management
• Strong knowledge of Medicare value levers including Risk Adjustment, Star Ratings, CAHPS, provider performance, quality programs, and operational excellence
• Experience translating complex business, operational, and market data into executive-level insights and recommendations
• Proven ability to lead cross-functional initiatives involving Product, Operations, Clinical, Network, Finance, Actuarial, Marketing, and Data & Analytics teams
• Knowledge of CMS regulations, Medicare product performance management, competitive market dynamics, and healthcare industry trends

Benefits

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
• Work-life balance, flexibility, and the autonomy to do great work
• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price. Our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including:

• Experience and training
• Specialized skill sets
• Licensure and certifications
• Other business and organizational needs

Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

Salary Range: $89,174.00 - $142,679.00

Job Alert Fraud

We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected] .