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Vice President Anthem Blue Cross Rn Jobs (NOW HIRING)

Lillian Carter Health Center

RN

Plains, GA

RN Supervisor Top Pay and Benefits! Who we are As a faith-based organization, our mission is simple ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance

Harborview Rome

Wound Care Nurse - RN

Rome, GA · On-site

$35 - $38/hr

Wound Care Nurse - RN Top pay and benefits! Who we are As a faith-based organization, our mission ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance

Harborview Thomaston

RN Supervisor

Thomaston, GA · On-site

RN Supervisor Top Pay and Benefits! Who we are As a faith-based organization, our mission is simple ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance

Harborview Tifton

RN Charge Nurse

Tifton, GA

RN Supervisor Top Pay and Benefits! Who we are As a faith-based organization, our mission is simple ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance

Tree of Life Rehabilitation

RN/LPN Cart Nurse

Live Oak, FL

$24.25 - $33/hr

RN/LPN Supervisor Top Pay and Benefits! Who we are As a faith-based organization, our mission is ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance

Harborview Rome

RN Charge Nurse 7p-7a

Rome, GA · On-site

$32 - $35/hr

RN Charge Nurse Top pay and benefits! Who we are As a faith-based organization, our mission is ... Health Insurance with Anthem Blue Cross or Cigna * Dental, Life, Vision, and Disability Insurance

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$64K

$148K

$234K

How much do vice president anthem blue cross rn jobs pay per year?

As of Aug 11, 2026, the average yearly pay for vice president anthem blue cross rn in the United States is $148,042.00, according to ZipRecruiter salary data. Most workers in this role earn between $126,000.00 and $169,000.00 per year, depending on experience, location, and employer.

How does a vice president RN at Anthem Blue Cross typically collaborate with cross-functional teams to drive healthcare quality initiatives?

As a Vice President RN at Anthem Blue Cross, you will regularly work with interdisciplinary teams including clinical staff, data analysts, policy experts, and executive leadership to design and implement quality improvement programs. Collaboration often involves leading meetings, aligning stakeholders on strategic goals, and leveraging clinical expertise to inform business decisions. You may also partner with provider networks and external organizations to ensure compliance with healthcare regulations and best practices. This role requires strong communication and leadership skills to facilitate effective teamwork and achieve organizational objectives.

What are the key skills and qualifications needed to thrive as a vice president RN at Anthem Blue Cross?

To thrive as a Vice President at Anthem Blue Cross with an RN background, you need executive leadership experience, a strong clinical foundation as a Registered Nurse, and expertise in healthcare operations and compliance. Familiarity with healthcare management systems, data analytics tools, and relevant certifications such as a valid RN license and potentially a master's degree (e.g., MSN, MBA, or MHA) are typically required. Strategic thinking, effective communication, and the ability to inspire and manage large teams are crucial soft skills in this role. These competencies are essential for driving organizational goals, ensuring regulatory compliance, and delivering high-quality care in a complex healthcare environment.

What does a vice president RN at Anthem Blue Cross do?

A Vice President RN at Anthem Blue Cross is a senior nursing executive responsible for overseeing clinical operations, quality initiatives, and strategic planning within the healthcare organization. This role typically involves leading teams of registered nurses, developing clinical policies, ensuring regulatory compliance, and collaborating with other executives to improve patient outcomes and healthcare delivery. The Vice President RN also represents the nursing perspective in organizational decision-making and helps drive programs that enhance care quality and efficiency.

What is the difference between Vice President Anthem Blue Cross Rn vs Nurse Manager?

AspectVice President Anthem Blue Cross RnNurse Manager
CredentialsRN license, advanced leadership or management certificationsRN license, often with management experience
Work EnvironmentExecutive setting, strategic planning, corporate leadershipHospital or clinical unit, staff supervision, patient care
Employer & IndustryHealth insurance companies, healthcare industryHospitals, clinics, healthcare facilities

The Vice President Anthem Blue Cross Rn focuses on strategic leadership within health insurance, overseeing programs and policies, while the Nurse Manager manages clinical staff and patient care in healthcare facilities. Both roles require RN licensure, but differ significantly in scope, responsibilities, and work environment.

What cities are hiring for Vice President Anthem Blue Cross Rn jobs? Cities with the most Vice President Anthem Blue Cross Rn job openings:
What are the most commonly searched types of Anthem Blue Cross Rn jobs? The most popular types of Anthem Blue Cross Rn jobs are:
What job categories do people searching Vice President Anthem Blue Cross Rn jobs look for? The top searched job categories for Vice President Anthem Blue Cross Rn jobs are:
Vice President Anthem Blue Cross Rn jobs near you
Infographic showing various Vice President Anthem Blue Cross Rn job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 85% Full Time, 9% Part Time, and 4% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $148,042 per year, or $71.2 per hour.

VP, Payment Integrity

Blue Cross and Blue Shield of North Carolina

Philadelphia, PA • On-site

Other

Posted 4 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

189th of 304 rated insurance

Job description

Job Description

To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and coding requirements and post payment recoupment, to promote accuracy in claims payment and correct coding to drive savings. Leads strategies for reimbursement policy development, claims editing, post payment analytics and recoupment efforts, provider education, coordination of benefits and development of new innovative programs to drive downstream cost savings for the organization. Has direct or matrixed accountability for SIU integration with or other payment integrity activities. Ensures alignment and compliance with industry standards and accountable for cost of care initiatives and assigned targets to provide affordable care to members.

Blue Cross NC is seeking a strategic and innovative Vice President, Payment Integrity to lead the vision, strategy, and execution of enterprise payment integrity programs that advance affordability, payment accuracy, and operational excellence.

As a key member of the leadership team, this executive will oversee initiatives designed to prevent, identify, and recover inaccurate healthcare payments while enhancing provider experience and supporting sustainable healthcare costs. The Vice President will partner across Finance, Medical Economics, Provider Network Management, Clinical Operations, Technology, Compliance, and Legal to drive measurable impact through analytics, automation, and process innovation.

What You'll Do

  • Assess the Payment Integrity ecosystem, prioritize high-value opportunities, and establish KPIs for savings, operations, and performance tracking.
  • Develop and execute an enterprise-wide Payment Integrity strategy aligned with organizational affordability and performance goals.
  • Lead programs focused on payment accuracy, claims integrity, coding validation, recovery operations, coordination of benefits, and related payment integrity functions.
  • Leverage advanced analytics, automation, and emerging technologies to identify opportunities, reduce waste, and improve outcomes.
  • Establish performance metrics, governance frameworks, and reporting to measure business impact and value realization.
  • Partner with provider-facing teams to balance payment accuracy with a positive provider experience.
  • Manage a high-performing multi-vendor portfolio by enforcing SLAs, optimizing fee structures, and minimizing provider abrasion.
  • Serve as a trusted advisor to executive leadership on payment integrity trends, risks, opportunities, and industry best practices.
  • Build and develop a high-performing team while fostering a culture of innovation, accountability, and continuous improvement.

What You'll Bring

  • Bachelor's degree in Business, Healthcare Administration, Finance, Public Health, or a related field.
  • 12+ years of progressive leadership experience in payment integrity, healthcare economics, claims operations, health plan operations, revenue cycle, or a related healthcare function.
  • Proven success leading large-scale strategic initiatives and high-performing teams within a payer, health plan, consulting organization, or healthcare enterprise.
  • Deep knowledge of healthcare reimbursement methodologies, claims administration, payment accuracy, and regulatory requirements.
  • Strong financial, analytical, and business acumen with the ability to translate complex data into actionable strategies.
  • Exceptional executive presence, communication skills, and ability to influence across diverse stakeholder groups.

Why Blue Cross NC

At Blue Cross NC, we're committed to making healthcare better and more affordable for the people we serve. This role offers a unique opportunity to shape the future of payment integrity, influence enterprise strategy, and drive meaningful impact on affordability, operational performance, and healthcare outcomes across North Carolina and beyond.

Join us and help transform healthcare through innovation, integrity, and strategic leadership.

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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