Sr Strategic Provider Relationship Analyst

Blue Cross and Blue Shield of North Carolina; North Carolina; Híbrido; USD 67 000 - 107 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical coverage

Dental coverage

Vision coverage

Parental leave

Adoption assistance

Tuition assistance

401k match

Resumo da oferta

Blue Cross NC is seeking a Sr. Strategic Provider Relationship Analyst to lead complex provider initiatives across designated regions.

You will guide enterprise stakeholder strategy, ensure contractual compliance, and serve as a subject-matter expert in high-visibility provider engagements with hospitals and other providers. In this role you will shape multi-year plans, support advanced contracting, drive cost-saving initiatives, and oversee analytics on provider agreements and performance.

Qualificações

• Bachelor's or advanced degree where required.
• 5+ years of experience in healthcare strategy.
• In lieu of degree, 7+ years experience.

Responsabilidades

• Lead strategic relationships with high-value provider organizations.
• Support statewide and high-impact provider contracting.
• Resolve complex issues and optimize operations.
• Provide SME on provider trends and enterprise strategy.
• Oversee analytics on provider agreements and performance.

Conhecimentos

Strategy development

Stakeholder management

Contracting support

Formação académica

Bachelor's or advanced degree

Experience in lieu of degree

Descrição da oferta de emprego

Job Description

The Sr. Strategic Provider Relationship Analyst is responsible for leading and managing complex strategic activities with professional, institutional, and ancillary providers across designated geographic regions. This role supports enterprise-level stakeholder strategy, oversees execution of multifaceted provider relationship initiatives, and ensures adherence to contractual agreements for all provider types and all BCNC products. It expands the base role by owning higher-impact initiatives and serving as a subject-matter expert in high visibility provider engagements.

What You'll Do

• Strategic Leadership & Advanced Relationship Management Serve as the primary strategic liaison for high-value and complex provider organizations. Support the design and execution of a multi-year strategic plan for Network Management. Represent BCNC in critical stakeholder meetings and ensure contractual compliance.
• Advanced Contracting Support Support negotiations for statewide and high-impact providers.
• Complex Issue Resolution & Operational Optimization Direct complex, high-dollar issue resolution for hospitals, ASCs, and ancillary providers. Drive initiatives that reduce administrative cost and improve provider satisfaction.
• Enterprise Provider Strategy & Innovation Serve as a subject matter expert on provider trends and innovations. Support enterprise provider education strategy.
• Data-Driven Performance & Medical Expense Management Support action plans to meet medical expense goals. Oversee analytics on provider agreements and performance.

What You Bring

• Bachelors or Advanced Degree where required
• 5+ Years of Experience in healthcare strategy
• In lieu of degree, 7+ years experience

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

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.

Hybrid Flex Policy

Blue Cross NC is a Hybrid Flex company. 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 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.

Salary Range

$66,998.00 - $107,197.00

Skills

• Health Care
• Healthcare Financial Management
• Managed Care
• Process Improvements
• Provider Relations
• Provider Services
• Service Provider Management

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].

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care - in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well‑being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award‑winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.