Job Information
BlueCross BlueShield of North Carolina Director, Medicaid CFO in Remote, North Carolina
Job Description
The Chief Financial Officer (CFO) of Healthy Blue’s North Carolina Medicaid Managed Care Program drives financial performance by enabling market leadership with prescriptive feedback on product performance, business initiative value, and cost efficiency while ensuring seamless cross-functional connectivity.
Responsible for accounting and finance operations, including all audit activities.
Proactively advocate for the quality and financial sustainability of Medicaid business
Develop spend and business initiative recommendations for Medicaid leads based on internal and external financial trends.
Conduct ad-hoc analyses to ensure financial diligence prior to decision finalization.
Produce financial performance reports, driving continuous transparency into market financial health.
Support planning for all financial levers
Track market P&L, escalating financial performance risks to senior leadership.
Monitor and report on membership including composition/demographic changes.
Coordinate cross-functional stakeholders and inputs (risk considerations, implementation costs, etc.)
Leverage segment analytics to inform short-term and long-term affordability recommendations.
Foster stakeholder collaboration across the entire organization as well as with external entities, including the North Carolina Department of Health and Human Services
Oversee material financial transactions.
Hiring Requirements
Bachelor’s degree in Finance or related field and 10 years of related experience.
In lieu of degree, 12+ years of experience in related field
Strong knowledge of Medicaid Managed Care required.
Must reside in North Carolina. Relocation assistance would be considered
Preferred Skills
Strong leadership and organizational skills.
Partnering with the CEO, board of directors, and key stakeholders to drive strategic initiatives and organizational success.
Excellent communication and interpersonal skills.
Strong ethical standards and high levels of integrity.
Salary Range
$131,900.00 - $250,600.00
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
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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.