Job Overview
Location
Remote Flex - North Carolina
Job Type
Full-time
Category
Software Engineering
Date Posted
May 7, 2026
Full Job Description
đź“‹ Description
- • Develops medical/dental and reimbursement policies for coverage guidance of new drugs, technology, medical/dental procedures and clinical codes, ensuring compliance with regulatory standards and supporting healthcare coverage decisions.
- • Initiates and coordinates internal and external reviews of policies, gathers scientific literature and regulatory data, analyzes claims and coding systems, and prepares policy drafts for organizational use.
- • Works within the Healthcare Division of Blue Cross and Blue Shield of North Carolina, a mission-driven organization focused on improving health and well-being for North Carolinians through innovative health solutions.
- • Gains expertise in healthcare policy, clinical coding, regulatory compliance, and benefit design while serving as a subject matter expert influencing internal and external stakeholders.
🎯 Requirements
- • RN, LPN or Dental Assistant credential based on area of focus
- • 3+ years of experience in a related field such as clinical practice, medical coding, or healthcare policy
- • AAPC Certified Professional Coder certification
🏖️ Benefits
- • Annual Incentive Bonus based on corporate goal achievement and individual performance
- • 401(k) plan with employer match
- • Paid Time Off (PTO)
- • Competitive health benefits and wellness programs
Skills & Technologies
About Blue Cross and Blue Shield of North Carolina
Blue Cross and Blue Shield of North Carolina is a nonprofit health insurer domiciled in North Carolina, providing medical, dental, vision, Medicare, and Medicaid coverage to individuals, employers, and government programs. Founded in 1933, the company operates the largest provider network in the state and offers telehealth, pharmacy management, wellness, and care-coordination services. Its mission is to improve health care access, affordability, and outcomes for North Carolinians while maintaining community-focused, nonprofit governance.
Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.
Newsletter
Weekly remote jobs and featured talent.
No spam. Only curated remote roles and product updates. You can unsubscribe anytime.
