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Job Description
Job DescriptionIT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better for all.
In this role you will serve as a consultative partner to customers, working end to end to and bringing deep business knowledge to understand problems, design and complete analyses appropriate the problem and translate insights to action. Lead our efforts in reducing medical expense and combatting Fraud, Waste & Abuse alongside our Payment Integrity group.
If you are ready to make a career out of making a difference, then you are the person for this team.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities.
In this role you will serve as a consultative partner to customers, working end to end to and bringing deep business knowledge to understand problems, design and complete analyses appropriate the problem and translate insights to action. Lead our efforts in reducing medical expense and combatting Fraud, Waste & Abuse alongside our Payment Integrity group.
If you are ready to make a career out of making a difference, then you are the person for this team.
What You Will Do
- Monitor and perform in-depth analysis of data for customers to determine areas of improvement or where investigation is needed.
- Identify complex data problems and issues and is responsible for resolution.
- Identify complex trends and make recommendations to business areas to effectively assist them with decision making on operational or other business issues.
- Communicate meaningful insights by creating charts and slide presentations and presenting findings to all levels of leadership staff.
- Maintain and coordinate existing cross-functional programs, and create and develop new programs.
- Support and manage complex applications systems on many platforms and manage code migrations and changes between different applications environments.
- Develop, maintain, and monitor reports on system security to ensure user access is appropriate for the specific division. Provide ongoing user support for ad hoc reporting, questions, queries, and problem support
- Ensure appropriate security and privacy for all data that contains PHI fields. Resolve all security and privacy issues in the data.
- Represent department on large enterprise project teams and process optimization efforts as needed.
- Serve as a mentor/coach for less experienced employees.
What You Bring
- Bachelor's degree or advanced degree (where required)
- 8+ years of experience in related field.
- In lieu of degree, 10+ years of experience in related field.
- SQL expertise
- Strong preference for experience in Healthcare domain with a focus on Payment Integrity, fraud, waste and abuse.
Salary Range
$91,100.00 - $164,000.00Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
8+ years
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