Data Management

Blue Cross NC is seeking a Payment Integrity Ideation Lead to drive the creation of audit concepts, data models, and reimbursement policies aimed at reducing overpayments. The role oversees strategic planning, workforce plans, and cross-functional collaboration, using large datasets and analytics to identify savings opportunities and optimize pre-pay claim accuracy. This hybrid role balances policy insight with hands-on analysis to transform how claims are reviewed and paid. J-18808-Ljbffr