Principal Business Operations Advisor

Remote Flex - North Carolinaremoteprincipal$119K – $190K

Posted 1w ago · via Workday

See if I'm a fit →Tailor my resume for this role →Apply on Workday ↗

About this role

Job Description Payment Integrity Ideation Lead - Drives the creation of new audit concepts, data models, and reimbursement policies to reduce overpayments. They leverage AI, vendor intelligence, claims data, and policy analysis to generate new savings opportunities and shift post-pay claim rework to proactive, pre-pay claim accuracy. Provides oversight and coordination of departmental strategic planning, business and workforce plan development, business relationship management, reporting, data and/or budget analysis and special projects as assigned. What You Will Do Create new recurring and ad-hoc concepts to identify cost avoidance/overpayment opportunities using large data sets on multiple variables.…

Read the full description on Bcbsnc's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

Skills match

For this role: sigma

Level fit

This role is principal-level. We check your trajectory against it.

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

Score yourself on this role.

Free · no card · written explanation included

See if I'm a fit →

Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

sigma

More at Bcbsnc

See all open jobs at Bcbsnc →