About the role
Job Description
Responsible for leading the design and development of high quality, user-friendly analytic visualizations/ dashboards, reports, and related analytic content for business partners in Payment Integrity, Special Investigations Unit, and our enterprise partners . Work with the analytics team to deliver key strategic insights that help drive down medical expense across the company. This role requires the ability to become a key consultative partners to business, clinical, and technical staff across the organization.Collaborate and consult with business areas (PI, SIU, BH, Claims, Legal, Medical Economics, Enterprise Strategy) to ensure analytics work delivers high ROI value to organization.
Collaborate with other analysts to build user friendly data assets.
Mentor and provide knowledge transfer to junior team members by guiding them on development best practices
Design and architect high performance data visualization solutions for large-scope projects to enable delivery analytic value and ensure they are maintainable and scalable as business needs dictate
Facilitate cross-functional problem solving sessions to arrive at optimal solutions accounting for stakeholder needs to ensure successful project delivery.
Provide team status in various projects, escalate issues as needed, access and communicate risks to the development schedule and project to represent the Viz Team& interests in cross-functional project teams and ensure project success.
Hiring Requirements
Bachelor's degree or advanced degree (where required)
5+ years of experience in Healthcare Payment Integrity or a Fraud, Waste and Abuse related field.
In lieu of degree, 7+ years of experience in Healthcare Payment Integrity or a Fraud, Waste and Abuse related field.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
Agile Methodology, Business Intelligence (BI), Data Analysis, Data Governance, Data Modeling, Data Science, Data Visualization, Enterprise Application Development, Microsoft Power Business Intelligence (BI), Structured Query Language (SQL)_____________________________________________________________________
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.
Aplyr's read
Blue Cross and Blue Shield of North Carolina is a key player in health insurance, attracting professionals committed to improving healthcare access and quality in the state.
What's promising
- •Strong focus on improving healthcare access and quality in North Carolina.
- •Diverse range of roles from actuarial analysis to strategic advisory.
- •Commitment to value-based care and innovative health solutions.
What to watch
- •Limited public information about work-life balance and company culture.
- •Potential challenges in navigating complex healthcare regulations.
- •Dependence on state-specific market could limit broader career opportunities.
Why Blue Cross and Blue Shield of North Carolina
- •Exclusive focus on North Carolina allows for tailored healthcare solutions.
- •Emphasis on value-based care sets it apart in the insurance industry.
- •Offers specialized roles that align with healthcare innovation and strategy.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Blue Cross and Blue Shield of North Carolina
Blue Cross NC is a health insurance provider that offers a variety of health plans and services to individuals, families, and businesses in North Carolina.