Strategic Advisor, Healthcare

Job Description

What You'll Do

• Support 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.

• Assists with 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 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 representative for healthcare delivery transformation and/or healthcare reimbursement and strategy.

• Analyze and monitor industry, regulatory, technology and market-based trends that affect divisional operations, provider reimbursement, medical expense strategy and overall payer-provider dynamics.

• Supports efforts for operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.

• Provides pharmacy sales support.

• Develops custom pharmacy pricing.

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree (where required)

• 3+ years of experience in related field.

• In lieu of degree, 5+ years of experience in related field.

Nice to Have (Hiring Preferences

• Underwriting experience.

• Experience in Sales support and consultation.

• Familiar with pharmacy pricing concepts.

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.