Care Pathway & Patient Engagement Strategist

Blue Cross and Blue Shield of North Carolina; Kansas; Hybrid; USD 89,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and adoption support

Tuition reimbursement

Job summary

Blue Cross NC is seeking a Care Pathway & Patient Engagement Analyst to advance affordability efforts within CuraCor Solutions’ framework. The role involves building analytic solutions that improve affordability, engagement, and outcomes by collaborating across Utilization Management, Care Management, Network, Pharmacy, Actuarial, Finance, Technology, and Clinical teams.

The ideal candidate is highly analytical and execution-oriented, capable of translating data into actionable recommendations

Qualifications

• Bachelor's degree or advanced degree in a related field.
• 5+ years of experience in related field.
• In lieu of degree, 7+ years of experience in related field.

Responsibilities

• Conduct claims and other analyses focused on care pathways, patient engagement, utilization patterns, provider performance, affordability opportunities, and healthcare consumer behavior.
• Develop predictive models, segmentation approaches, and targeting methodologies that support member outreach, affordability initiatives, care navigation programs, and engagement strategies.
• Execute analyses that evaluate engagement strategies, outreach programs, and affordability initiatives using rigorous measurement approaches, including A/B testing and quasi-experimental methods.
• Translate analytical findings into clear, concise recommendations and presentations for business leaders and operational stakeholders.

Skills

Analytical thinking

Cross-functional collaboration

Communication

Education

Bachelor’s degree or advanced degree in related field

Tools

SQL

Python

R

Job description

Blue Cross NC is seeking a Care Pathway & Patient Engagement Analyst to advance affordability efforts within CuraCor Solutions’ framework. The role involves building analytic solutions that improve affordability, engagement, and outcomes by collaborating across Utilization Management, Care Management, Network, Pharmacy, Actuarial, Finance, Technology, and Clinical teams.

The ideal candidate is highly analytical and execution-oriented, capable of translating data into actionable recommendations