Senior Healthcare Strategy & Growth Leader

Blue Cross and Blue Shield of North Carolina; Durham (CA); On-site; USD 131,000 - 209,000; Full time

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a Principal Strategic Advisor, Healthcare to lead innovation-based reimbursement and redesign initiatives, and to drive market opportunities. You will guide strategic planning, analytics, and cross-functional collaboration to advance enterprise goals and improve member outcomes.

The role requires extensive healthcare industry experience, strong leadership, and the ability to communicate complex concepts to executive audiences.

Qualifications

• Bachelor's degree or advanced degree.
• 8+ years of experience in a related field.
• In lieu of degree, 10+ years of experience in related field.

Responsibilities

• Proactively identify, evaluate and lead the implementation of healthcare redesign, provider reimbursement and partnership strategies to meet BCBSNC's growth objectives, as well as manage healthcare costs while improving outcomes and the healthcare experience for our members.
• Support and manage development efforts related to the enhancement and maintenance of our current products and market offer components.
• Lead critical activities such as strategic planning, highly complex quantitative/qualitative analysis and thought leadership at a departmental and enterprise level.
• Present information such as strategic concepts, planning data, medical expense/reimbursement rates, provider performance metrics and impact assessments to both internal and external audiences at all levels, including senior-level leadership.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert for healthcare delivery transformation and/or healthcare reimbursement and strategy.
• Identify, analyze and monitor industry, regulatory, technology and market-based trends that affect divisional operations, provider reimbursement, medical expense strategy and overall payer-provider dynamics.
• Utilizes extensive expertise to identify and drive operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.
• Serve as a mentor and coach to more junior team members regarding various skills and approaches and may oversee work of other staff members as needed.

Education

Bachelor's degree or advanced degree

Tools

SQL

R

SAS

Python

Job description

Blue Cross and Blue Shield of North Carolina is seeking a Principal Strategic Advisor, Healthcare to lead innovation-based reimbursement and redesign initiatives, and to drive market opportunities. You will guide strategic planning, analytics, and cross-functional collaboration to advance enterprise goals and improve member outcomes.

The role requires extensive healthcare industry experience, strong leadership, and the ability to communicate complex concepts to executive audiences.