DURHAM, N.C. — North Carolina’s biggest health insurer has picked a top executive with the federal Centers for Medicare and Medicaid Services to become its next CEO.

Blue Cross and Blue Shield of North Carolina said Tuesday that Dr. Patrick Conway will become the insurer’s chief executive on Oct. 1. He will replace Brad Wilson, who is retiring.

Conway is deputy administrator for innovation and quality at CMS, which oversees government-funded coverage programs for the poor and people who are over age 65 or disabled. Conway joined the agency in 2011 as chief medical officer. His federal work has focused on value-based care programs, which tie payments for doctors and hospitals to the quality of care provided and innovation.

Blue Cross and Blue Shield covers about 3.8 million people in North Carolina.