Health Care

Reimagine what's possible in a health care career.

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We're on a mission to transform health care.

Join a team of peole who care deeply about making health care better.

We're so much more than health insurance. Where do you fit in?

Health Care Strategy

Moving the industry toward value-based health care.

Review and establish medical policy
Identify efficiencies and optimization opportunities
Develop value-based payment models

Health Care Professionals

Applying clinical expertise and experience to deliver high-quality care for our members.

Maintain member-focused coverage decisions
Develop member health programs
Ensure medical accuracy

Quality Management

Ensuring the highest quality of care at the lowest possible cost for members.

Create, monitor and improve quality in health care delivery
Collaborate across teams to advocate for members
Advance HEDIS and Medicare Stars programs

Network Management

Improving how patient care works, ensuring effective use of health care resources and developing creative ways to keep costs low.

Build and manage provider relationships through education
Perform network quality and performance evaluations
Transform reimbursement models and negotiate contracts

Member and Provider Support

Building and strengthening relationships with our members and providers.

Respond to customer inquiries
Review requests and appeals for medical services and prescription drugs

Pharmacy Services

Making prescription drugs more affordable and ensuring their appropriate use.

Establish strategies to make positive impact on cost and usage
Support pharmacy operations and programs

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Yes, Blue Cross NC Hires Nurses

Who misses clinic and hospital hours?At Blue Cross NC, you get all the rewards of helping people in need and a more predictable schedule.

We do health care differently here. Our nursing staff is crucial to providing high quality care and helping our members when they need it most.

Blue Cross NC. There's simply no other job like it.

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Network Management

We're bridging the gap between health care and health insurance. Blue Cross NC works directly with hospitals and providers to improve the quality of care and lower costs.