Hybrid-Flex Provider Network Strategy Lead

Blue Cross and Blue Shield of North Carolina; Durham (NC); Hybrid; USD 89,000 - 143,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k match with company contribution

Paid Time Off (PTO)

Annual incentive bonus

Tuition reimbursement

Parental leave and surrogacy/adoption助

Job summary

Blue Cross NC is seeking a Senior Provider Contract Analyst to lead assessment, development, and negotiation of complex provider reimbursement initiatives. You will coordinate with internal stakeholders, drive innovative contracting, and manage contract execution with major providers and systems.

The role emphasizes strategic network opportunities, feasibility forecasting, and collaboration across the organization.

Qualifications

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

Responsibilities

• Research, analyze, develop, implement and negotiate innovative provider network strategies.
• Coordinate with internal stakeholders to secure resources for strategic initiatives.
• Lead direct provider negotiations with major providers and networks.
• Support development of feasibility models and forecasting for contracting strategies.

Skills

5+ years of experience in related

In lieu of degree, 7+ years experience

Education

Bachelor's degree or advanced degree

Job description

Blue Cross NC is seeking a Senior Provider Contract Analyst to lead assessment, development, and negotiation of complex provider reimbursement initiatives. You will coordinate with internal stakeholders, drive innovative contracting, and manage contract execution with major providers and systems.

The role emphasizes strategic network opportunities, feasibility forecasting, and collaboration across the organization.