Utilization Management Specialist
Blue Cross and Blue Shield of North Carolina
About this role
A Utilization Management Specialist at Blue Cross NC is a member of the Government Pharmacy Utilization Management Operations Team, focused on supporting utilization management processes and ensuring adherence to regulatory standards. The role contributes to accurate processing of pharmacy-related utilization decisions and assists with departmental administrative workflows to support timely operations.
Skills
Qualifications
About Blue Cross and Blue Shield of North Carolina
bluecrossnc.comBlue Cross NC makes health insurance easy. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Better care starts here.
Recent company news
WRAL NewsBlue Cross NC to offer voluntary separation packages amid financial challenges
Oct 1, 2025
Daily Tar HeelNC Chamber, Blue Cross N.C. announce new affordable health plan for small businesses
Nov 10, 2025
Raleigh News & ObserverBlue Cross NC offers voluntary buyouts, citing financial pressures
Oct 1, 2025
CBS 17‘Blue Cross NC is not immune’: State’s largest health insurance provider offers employee buyouts to cut costs
Oct 2, 2025
The Business JournalsBlue Cross NC CEO: Buckle up — health care's reckoning is here
Aug 14, 2025
About Blue Cross and Blue Shield of North Carolina
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Blue Cross and Blue Shield of North Carolina.
Salary
$46k – $73k
per year
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