[Remote] Business Operations Advisor, Provider Credentialing

Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is hiring a Business Operations Advisor, Provider Credentialing, to support its Network Operations Team. The role provides business and operational support for credentialing, planning, workforce management, reporting, data and budget analysis, partnerships, and special projects.

Responsibilities

• Facilitate planning of strategic goals and development of departmental/divisional operational plans
• May produce segment business plans and analysis under guidance from Segment Lead
• Coordinate, plan and facilitate various departmental/divisional events (i.e. Departmental Summits, All Hands Meetings, Leadership Planning Sessions, staff meetings) to make them more effective, purposeful and outcomes based
• Assist with the overall workforce plan and staffing models, taking into account multiple and interrelated initiatives to either increase or decrease headcount, each with their own set of success criteria/outcomes, budget, and duration. Responsible for tracking employee hires by budget & competency, per the Strategic Plan and other key inputs
• Aid in the adoption of standard operating procedures and processes for the department and assist with the communication and education of new SOPs outside of the department
• Lead change management work to support business and process improvements and overall departmental/divisional effectiveness
• Handle special projects for the department/division/segment as assigned. Possible duties could include:
• Assist in the evaluation of potential opportunities to reduce costs/improve efficiencies
• Lead the review and evaluation of best or next practice opportunities for potential adoption
• Review industry literature and ensure leadership is briefed on current and emerging issues of importance to the organization
• Serve as lead on engagements with external entities (i.e. consultants) and coordinate data gathering and research efforts based on the direction of leadership
• Track initiatives/projects for the department/division/segment and may create presentations of initiative/project progress for varied audiences, which may include ILT and Senior Leadership
• Consolidate and standardize data analysis and reporting for relevant business operations
• Perform departmental budget analysis, monitor budget forecasts and review progress against administrative cost reduction goals
• Track goal progress, including data collection and analysis of key performance metrics (KPIs)
• Accompany leaders to internal and/or external partnership meetings, and capture discussions for follow-up
• Prepare input for Annual Report, CEO/Board reports, and other marketing/communication opportunities with a focus on partnering to deliver communications that are relevant and oriented to specific business partnerships both internal and external
• Provide support for leadership’s public speaking engagements and/or industry Board and Committee meetings
• Lead in management of vendor relationships as required by business operations’ needs

Skills

• Bachelor's degree or advanced degree (where required)
• 3+ years of experience in related field
• In lieu of degree, 5+ years of experience in related field
• Budget Administration
• Budgeting
• Business Process Improvements
• Operations Management
• People Management
• Process Improvements
• Project Management
• Stakeholder Management
• Strategic Planning
• Vendor Relationships
• 5+ years of provider credentialing experience is highly preferred
• Experience working for a health insurance payor/payer is highly preferred
• Executive reporting and data analysis experience is highly preferred
• Salesforce experience is preferred

Benefits

• Work-life balance, flexibility, and the autonomy to do great work
• Medical, dental, and vision coverage
• Numerous health and wellness programs
• Parental leave and support
• Adoption and surrogacy assistance
• Career development programs
• Tuition reimbursement for continued education
• 401k match including an annual company contribution
• Annual Incentive Bonus, based on annual corporate goal achievement and individual performance
• Paid Time Off (PTO)
• Competitive health benefits and wellness programs
• Hybrid Flex roles: remote flexibility with at least two days a week in the office for collaboration and connection
• Remote Flex roles: virtual work with a few in-office visits each year for meaningful moments that matter

Company Overview

Company H1B Sponsorship