Hybrid Health Ops Advisor – Credentialing & Strategy

Blue Cross and Blue Shield of North Carolina; United States; Hybrid; USD 74,000 - 118,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and adoption/surrogacy‑

401k match

Tuition reimbursement

Paid Time Off (PTO)

Annual Incentive Bonus

Job summary

Blue Cross NC is hiring a Business Operations Advisor, Provider Credentialing to support the Network Operations Team with credentialing committee work, planning, reporting, and special projects.

The role combines data analysis, budgeting, stakeholder engagement, and process improvements within a Hybrid-Flex work model, with opportunities to contribute to organizational goals.

Applicants should have a Bachelor’s degree (or 5+ years of related experience in lieu) and 3+ years in a related field.

Qualifications

• Bachelor’s degree or advanced degree required/preferred.
• 3+ years of experience in related field; in lieu of degree, 5+ years of experience.
• Executive reporting or data analysis experience is a plus.

Responsibilities

• Facilitate planning of strategic goals and development of departmental/divisional operational plans.
• Coordinate, plan and facilitate department events to improve effectiveness and outcomes.
• Assist with workforce planning and staffing models, tracking hires by budget and competency.
• Lead change management work to support business and process improvements.
• Consolidate and standardize data analysis and reporting for operations.
• Lead vendor relationship management as required by business operations.

Skills

Budget Administration

Budgeting

Business Process Improvements

Operations Management

People Management

Process Improvements

Project Management

Stakeholder Management

Strategic Planning

Vendor Relationships

Education

Bachelor’s degree

Advanced degree

Tools

Salesforce

Job description

Blue Cross NC is hiring a Business Operations Advisor, Provider Credentialing to support the Network Operations Team with credentialing committee work, planning, reporting, and special projects.

The role combines data analysis, budgeting, stakeholder engagement, and process improvements within a Hybrid-Flex work model, with opportunities to contribute to organizational goals.

Applicants should have a Bachelor’s degree (or 5+ years of related experience in lieu) and 3+ years in a related field.