VP, Care Pathways & AI-Driven Patient Engagement

Blue Cross and Blue Shield of North Carolina; Durham (NC); On-site; USD 210,000 - 336,000; Full time

Job summary

Blue Cross NC seeks a highly analytical, technology-forward healthcare leader who can turn clinical and financial data into actionable care pathways that improve outcomes and affordability. This role blends advanced analytics with healthcare economics, population health, and innovative engagement strategies to influence enterprise decisions.

The ideal candidate will translate complex data into measurable interventions, work across functions, and leverage AI and personalization to drive value.

Qualifications

• Advanced analytics expertise with ability to translate healthcare data into actionable strategies and measurable outcomes.
• Healthcare economics, medical expense/cost of care, utilization, patient populations, or related areas.
• Technology-forward and innovative mindset, energized by AI and data-driven solutions.
• Move beyond reporting to identify opportunities, hypotheses, interventions, and action from insights.
• Experience solving cross-functional problems with distributed ownership and decision rights across teams.
• Strong executive presence and ability to influence senior leaders and align priorities.

Responsibilities

• Develop end-to-end care pathways using advanced analytics and clinical insight to improve outcomes and affordability.
• Translate complex clinical and financial data into actionable interventions with measurable impact across the enterprise.

Skills

Advanced analytics

Healthcare economics

Executive influence

Cross-functional leadership

AI / data-driven innovation

Strategic roadmap development

Education

MD or equivalent clinical credential

Job description

Blue Cross NC seeks a highly analytical, technology-forward healthcare leader who can turn clinical and financial data into actionable care pathways that improve outcomes and affordability. This role blends advanced analytics with healthcare economics, population health, and innovative engagement strategies to influence enterprise decisions.

The ideal candidate will translate complex data into measurable interventions, work across functions, and leverage AI and personalization to drive value.