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Job Description

Healthy Blue Care Together is Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve children and families through the Children and Families Specialty Plan (CFSP).

This individual will serve as the primary contact for a regional grouping of County Division of Social Services (DSS) offices, including County Directors of Social Services and County Child Welfare Workers, to triage and escalate issues where County Child Welfare Workers are seeking to coordinate with CFSP care managers and Member specific and/or CFSP-related questions.

Candidates for this position must live in one of the following North Carolina counties: Anson, Cabarrus, Harnett, Hoke, Lee, Mecklenburg, Montgomery, Moore, Richmond, Robeson, Rowan, Scotland, Stanley, Union

* Only Candidates who currently live in one of the following North Carolina counties will be considered for this position: Anson, Cabarrus, Harnett, Hoke, Lee, Mecklenburg, Montgomery, Moore, Richmond, Robeson, Rowan, Scotland, Stanley, Union*

What You’ll Do

+ Develop and execute strategic, community-focused initiatives that advance Blue Cross NC’s brand and business objectives, member outreach, retention activities, etc. Strategies will include but are not limited to maximizing accessibility and quality health care for community members.

+ Manage all escalation and troubleshooting for DSS county-level concerns and ensure appropriate resolution and follow up for

+ Lead the Member Advisory Committees and create appropriate follow up plan to ensure that member feedback guides policy changes, informs our investments in community resources, and supports process changes to align with community needs for the CFSP role in the System of Care.

+ Continuously improve our educational efforts through data-driven insights and local input that effectively capture and incorporate important nuances in the local System of Care.

+ Collaborate with other Healthy Blue Care Together and Healthy Blue teams to achieve business objectives.

+ This role will work closely with community organizations that serve children and families engaged with the child welfare system and will be responsible for representing Healthy Blue Care Together and Healthy Blue, our Medicaid Standard Plan, at community tabling events.

+ Manage policies and procedures, and oversee projects and program, ensuring deliverables and objects are met.

What You Bring

+ Must have experience working with North Carolina DSS and knowledge of North Carolina’s child welfare system.

+ 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

Bonus Points

+ Excellent written and verbal communication skills to effectively work with diverse groups.

+ Ability to identify, analyze and understand target audiences and their specific program needs.

+ Proven knowledge of policies and procedures to improve programs efficiency and effectiveness.

+ Ability to utilize reports and records of activities to ensure progress is being accomplished toward specified program objective and modify or change methodology as required to redirect activities and attain objectives.

+ Ability to own and make needed decisions to ensure the successful resolution of all issues, problems and changes within the program that do not alter or defer significantly from the agreed upon milestones and major deliverables.

What You’ll Get

+ 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 and 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 and 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._

$69,000.00 - $124,200.00

Skills

Communication, Communication Coordination, Crisis Communication Management, Digital Communications, External Communication, Internal Communications, Media Management, Media Relations, Public Relations (PR), Strategic Communication Planning

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.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at [email protected] .

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