Assistdepartments with strategic analysis to provide recommendations that ensure quality, cost ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Assistdepartments with strategic analysis to provide recommendations that ensure quality, cost ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Director of Central Intake
Columbus, OH · On-site +1
... strategies preferred. * Knowledge of Medicare, Medicaid, Managed Care, and commercial payer ... Flexibility for remote work according to organizational policies * Travel for meetings, industry ...
Director of Central Intake
Columbus, OH · On-site +1
... strategies preferred. * Knowledge of Medicare, Medicaid, Managed Care, and commercial payer ... Flexibility for remote work according to organizational policies * Travel for meetings, industry ...
Field Reimbursement Manager (FRM), Endocrinology - Ohio/Pennsylvania
Columbus, OH · Remote
$154K - $200K/yr
... payer policies and access dynamics Cross-Functional Collaboration * Partner with Clinical Sales Specialists to align on account strategy and provide insights into access-related challenges and ...
Field Reimbursement Manager (FRM), Endocrinology - Ohio/Pennsylvania
Columbus, OH · Remote
$154K - $200K/yr
... payer policies and access dynamics Cross-Functional Collaboration * Partner with Clinical Sales Specialists to align on account strategy and provide insights into access-related challenges and ...
Be Seen First
Remote Health Insurance Agent - Own Your Book & Residuals Income
Columbus, OH · Remote
$5.0K - $25K/mo
A book that keeps paying you month after month, even after the season ends * Add dental, vision ... time‐tested strategies with innovative tools to help agents excel in the Health Insurance ...
Quick apply
Be Seen First
Remote Health Insurance Agent - Own Your Book & Residuals Income
Columbus, OH · Remote
$5.0K - $25K/mo
A book that keeps paying you month after month, even after the season ends * Add dental, vision ... time‐tested strategies with innovative tools to help agents excel in the Health Insurance ...
Field Reimbursement Manager New York City Northern New Jersey
Columbus, OH · On-site
$46.92 - $58.17/hr
Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms. * Cultivate and expand ...
Quick apply
Field Reimbursement Manager New York City Northern New Jersey
Columbus, OH · On-site
$46.92 - $58.17/hr
Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms. * Cultivate and expand ...
Field Reimbursement Manager Ohio Upper PA
$46.92 - $58.17/hr
Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms. * Cultivate and expand ...
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Field Reimbursement Manager Ohio Upper PA
$46.92 - $58.17/hr
Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms. * Cultivate and expand ...
Field Reimbursement Manager (FRM), Endocrinology - Ohio/Pennsylvania
Columbus, OH · On-site
$154K - $200K/yr
... payer policies and access dynamics Cross-Functional Collaboration * Partner with Clinical Sales Specialists to align on account strategy and provide insights into access-related challenges and ...
Field Reimbursement Manager (FRM), Endocrinology - Ohio/Pennsylvania
Columbus, OH · On-site
$154K - $200K/yr
... payer policies and access dynamics Cross-Functional Collaboration * Partner with Clinical Sales Specialists to align on account strategy and provide insights into access-related challenges and ...
Field Reimbursement Manager Baltimore MD
$46.92 - $58.17/hr
... MD(Remote). This is an excellent opportunity to join a winning culture and get your foot in the ... a strategic reimbursement advisor and primary point of contact for healthcare providers ...
Quick apply
Field Reimbursement Manager Baltimore MD
$46.92 - $58.17/hr
... MD(Remote). This is an excellent opportunity to join a winning culture and get your foot in the ... a strategic reimbursement advisor and primary point of contact for healthcare providers ...
Considering remote candidates in the following locations: IN, KY, MI, OH ESSENTIAL JOB FUNCTIONS We ... Execute on access and reimbursement strategic priorities, working with business partners to ...
Quick apply
Considering remote candidates in the following locations: IN, KY, MI, OH ESSENTIAL JOB FUNCTIONS We ... Execute on access and reimbursement strategic priorities, working with business partners to ...
SEO Strategist (Consultant)
$140K - $220K/yr
This position is a remote role (does not report to an office everyday) however you will be ... paying a Realtor commission. We have a history of strong growth and success, having bought and sold ...
SEO Strategist (Consultant)
$140K - $220K/yr
This position is a remote role (does not report to an office everyday) however you will be ... paying a Realtor commission. We have a history of strong growth and success, having bought and sold ...
SEO Strategist (Consultant)
Columbus, OH · On-site
$140K - $220K/yr
This position is a remote role (does not report to an office everyday) however you will be ... paying a Realtor commission. We have a history of strong growth and success, having bought and sold ...
SEO Strategist (Consultant)
Columbus, OH · On-site
$140K - $220K/yr
This position is a remote role (does not report to an office everyday) however you will be ... paying a Realtor commission. We have a history of strong growth and success, having bought and sold ...
About the Role Craft unique brand identity & website design that helps visitors convert into paying ... Ensure content strategy and design are aligned * You'll build cohesive and lightweight design ...
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Senior Product Developer- Diversified Business
Columbus, OH · On-site
$107K - $172K/yr
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Senior Product Developer- Diversified Business
Columbus, OH · On-site
$107K - $172K/yr
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Columbus, OH · On-site
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Controls Technician
Columbus, OH · On-site
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Controls Technician
Columbus, OH · On-site
$28.25 - $37/hr
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Controls Technician
Columbus, OH · On-site
$28.25 - $37/hr
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Join a team where technology meets strategy. As a Principal Actuarial Data Systems Analyst, you ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Join a team where technology meets strategy. As a Principal Actuarial Data Systems Analyst, you ... In a Remote Flex role,you'llwork virtually, with a few in-office visits each year ...
Controls Technician
$28.25 - $37/hr
We believe in paying well and offering great benefits to attract the best talent. What we do ... Provide remote and on-site technical support to customers * Troubleshoot and diagnose mechanical ...
Controls Technician
$28.25 - $37/hr
We believe in paying well and offering great benefits to attract the best talent. What we do ... Provide remote and on-site technical support to customers * Troubleshoot and diagnose mechanical ...
Controls Technician
Columbus, OH · On-site
$28.25 - $37/hr
We believe in paying well and offering great benefits to attract the best talent. What we do ... Provide remote and on-site technical support to customers * Troubleshoot and diagnose mechanical ...
Quick apply
Controls Technician
Columbus, OH · On-site
$28.25 - $37/hr
We believe in paying well and offering great benefits to attract the best talent. What we do ... Provide remote and on-site technical support to customers * Troubleshoot and diagnose mechanical ...
Remote Payer Strategy information
See salary details
$54K - $62.7K
24% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$62.7K - $71.5K
10% of jobs
$71.5K - $80.2K
13% of jobs
The median wage is $84.5K / yr.
$80.2K - $88.9K
6% of jobs
$88.9K - $97.6K
1% of jobs
$97.6K - $106.4K
1% of jobs
$106.4K - $115.1K
5% of jobs
$115.1K - $123.8K
5% of jobs
$131.2K is the 75th percentile. Wages above this are outliers.
$123.8K - $132.5K
11% of jobs
$132.5K - $141.3K
13% of jobs
$141.3K - $150K
11% of jobs
$54K
$100.9K
$150K
How much do remote payer strategy jobs pay per year?

Manager, IT Solution Delivery (Clinical Data Exchange & Epic Payer Platform)
Columbus, OH • On-site
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
Blue Cross and Blue Shield of North Carolina rating
7.8
Based on 13 frontline employees who took The Breakroom Quiz
188th of 301 rated insurance
Job description
Job Description
As a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members. This role will interact and participate in the implementation and operation of Epic Payer Platform. Experience with Epic EHR and/or Epic Payer Platform implementation or operations will give an edge to applicants.You will lead and manage IT teams through successful delivery of solutions to address business needs. Manage on-going maintenance of related systems. Manage relationships with business and technology partners. Performs all people leader tasks. Maintain and enforce ideal architecture for applications under your domain.
With communication needs varying from technical and detailed to business focused and "C" suite consumable, you will be centered in the heart of making the bi-directional data exchange between payers and providers a reality.
WhatYou'llDo
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Leads an IT Solution Delivery team responsible for the successful delivery of enterprise-wide projects.
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Align and guideyour business partners and collaborate on Deliveryroadmapto meet KPIsand Milestones.
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Aligntechnology stack, delivery team,delivery partnerplanningand vendorpartnersto themulti-year delivery roadmap.
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Stay up to date on the Interoperability standards, versions, ImplementationGuidesand industrymovement to keep BCBSNCin a forward position within the Interoperabilityspace.
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Contribute and steerarchitecturesolutions and/orcollaborateswith architecture on solutions for applications under his/her domain.
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Manage and guide the detailed design,developmentandintegrationactivities for IT solutions.
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Provides concurrent oversight to multiple projectsgenerally accountableto a single business division.
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Delivers complex communication of status and issues to senior leadership, VPs, and stakeholders in a clear and concise manner.
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Accountable for managingrelationshipswithinternal and externalbusinessstakeholders,vendorsand other delivery partners.
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Accountable for implementing technical solutions to adherewithIT guiding principles and imperatives.
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Contribute to the evolution and delivery of the ITstrategy inclusive ofarchitectural patterns,standardsand best practices.
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Accountable tomaintainapplicationhealth and performance through enforcement of architecture decisions that enable Blue Cross NC to better serve its members and constituents.
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Perform analytic functions and coach team members in technical and analytical production.
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Guides team through assessment of alternative systems approaches for workability and economic feasibility.
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Responsible for end-to-end vendor management for IT partners.
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Assistdepartments with strategic analysis to provide recommendations that ensure quality, cost effectiveness, goals, regulatoryrequirementsand mandates are met through IT solutions ina timelyfashion.
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Provide direct reports with well-defined job expectations, ongoing performance feedback,accurateandtimelyperformance appraisals, coaching, mentoring, training, conflict resolution
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Play a key role in definition of the Solution Delivery Methodology and enforce the adherence of associated procedures
What You Bring
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Bachelor's degree or advanced degree (whererequired)
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3+ yearsplus ofleading IT deployment teams.
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8+ years of experience in relatedfield.
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In lieu of degree, 10+ years of experience in related field.
Bonus Points
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Payer/Provider clinical data exchange use-cases
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background in SMART on FHIR Applications and strategies,
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Electronic Prior Authorization (ePA), Quality Care Gaps, Risk Adjustment (HCCs) HEDIS, FHIR Implementation Guides,
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Epic Payer Platform integration and operations,
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or similar experiences on the Hospital Information Systems roles for the same criteria.
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Knowledge in interoperability and HL7 FHIR,FHIR work groupsand governing bodies(Da Vinci, Carin,Sequoia, NCQA, CMS, etc.).
WhatYou'llGet
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The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community
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Work-life balance, flexibility, and the autonomy to dogreat work
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Medical, dental, and vision coverage along withnumeroushealth and wellness programs
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Parental leave and support plus adoption and surrogacyassistance
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Career development programs and tuition reimbursement for continued education
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401k match including an annual company contribution
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Learn more
WhereYou'llWork
Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.
In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year formeaningfulmoments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.
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
Data Integration, Data Solutions, Data Warehousing (DW), Enterprise Data, Information Technology (IT), Information Technology (IT) Projects, Information Technology (IT) Services, Information Technology Infrastructure Library (ITIL), Information Technology Management, IT Leadership, IT Service Management (ITSM), People Management, Performance Analysis, Solutions Delivery, Technical Solutions, Technology Solution Delivery_____________________________________________________________________
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.
What Blue Cross and Blue Shield of North Carolina employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Blue Cross and Blue Shield of North Carolina
Sourced by ZipRecruiter
Industry
Insurance services
Company size
5,001 - 10,000 Employees
Headquarters location
Durham, NC, US
Year founded
1933