Strategic Healthcare Reimbursement Architect

Habitat For Humanity Of Durham; Durham (NC); On-site; USD 131,000 - 209,000; Full time

Job summary

Blue Cross NC is seeking a Principal Strategic Advisor to lead initiatives in innovative healthcare reimbursement, redesign consultation, and payer/provider engagement. The role focuses on promoting enterprise-wide understanding of strategic differentiation and building sustainable competitive advantage.

You will drive strategic planning, advanced analytics, and thought leadership while collaborating across departments and presenting to senior leadership.

Qualifications

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

Responsibilities

• Proactively identify, evaluate and lead implementation of healthcare redesign, provider reimbursement and partnership strategies to meet BCBSNC's growth objectives.
• Support and manage development efforts related to enhancement and maintenance of current products and market offer components.
• Lead strategic planning, quantitative/qualitative analysis and thought leadership at departmental and enterprise level.
• Present strategic concepts, planning data and provider metrics to internal and external audiences including senior leadership.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Collaborate across departments as subject matter expert for healthcare delivery transformation and strategy.
• Identify and monitor industry, regulatory, technology and market trends affecting operations and payer-provider dynamics.
• Drive operational improvements with new analysis/reporting capabilities and project management approaches.
• Mentor and coach junior team members and oversee work as needed.

Skills

Healthcare Operations

Healthcare Process Improvement

Healthcare Reimbursement

Operational Efficiency

Operational Process Improvements

People Management

Project Management

Provider Reimbursement

Reporting and Analysis

Strategic Planning

Education

Bachelor's degree or higher

Job description

Blue Cross NC is seeking a Principal Strategic Advisor to lead initiatives in innovative healthcare reimbursement, redesign consultation, and payer/provider engagement. The role focuses on promoting enterprise-wide understanding of strategic differentiation and building sustainable competitive advantage.

You will drive strategic planning, advanced analytics, and thought leadership while collaborating across departments and presenting to senior leadership.