Sr Strategic Advisor

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

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and adoption/surrogacy支

Tuition reimbursement

401k match including an annual company

Job summary

Blue Cross NC seeks an experienced healthcare strategy professional to proactively identify and implement redesign and reimbursement strategies, supporting growth objectives and cost management for members. You will collaborate on strategic planning, analysis, and thought leadership at both departmental and enterprise levels.

The role involves presenting data and concepts to senior leadership, coordinating across departments, and driving initiatives in a hybrid-flex environment with

Qualifications

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

Responsibilities

• Identify, evaluate and implement healthcare redesign, provider reimbursement and partnership strategies to meet growth objectives.
• Support and manage development efforts related to the enhancement and maintenance of products/market offer components.
• Collaborate on strategic planning, complex financial/qualitative analysis and thought leadership at departmental and enterprise levels.
• Present strategic concepts, planning data, and provider performance metrics to internal and external audiences, including senior leadership.
• Organize, optimize and communicate progress toward completing the overall work portfolio.
• Collaborate with other departments as a subject matter expert on healthcare delivery transformation and reimbursement.

Skills

Healthcare Consulting

Healthcare Financial Management

Healthcare Industry

Healthcare Innovation

Healthcare Management

Healthcare Reimbursement

Healthcare Strategic Planning

Health Outcomes

Medical Reimbursement

Performance Metrics

Physician Reimbursement

Project Management

Provider Reimbursement

Reimbursement

Reporting and Analysis

Education

Bachelor's degree or advanced degree

Job description

What You’ll Do

Proactively identify, evaluate and work to implement 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. Collaborate and execute critical activities such as strategic planning, complex financial/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 expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.

What You Bring

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

What You’ll Get

• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution
• Learn more

Where You’ll Work

Our Hybrid-Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused. In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote-Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter. Whether your role is Hybrid-Flex or Remote-Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $89,174.00 - $142,679.00

Skills

• Healthcare Consulting
• Healthcare Financial Management
• Healthcare Industry
• Healthcare Innovation
• Healthcare Management
• Healthcare Reimbursement
• Healthcare Strategic Planning
• Health Outcomes
• Medical Reimbursement
• Performance Metrics
• Physician Reimbursement
• Project Management
• Provider Reimbursement
• Reimbursement
• Reporting and Analysis

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application, hiring process, or have technical issues that prevent you from completing your application please notify HR at [e-mail]. Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming