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Job Description
We're seeking a Strategic Advisor, Healthcare to join the Clinical Technology and Delivery team! You will assist with the complex analysis, evaluation and planning needed to achieve the organization's innovation-based goals through new forms of, healthcare redesign consultation and payer/provider engagement. In addition, you will promote enterprise understanding of the key areas in which the company is seeking to create competitive differentiation and establish sustainable competitive advantage in the marketplace.
What You'll Do
Support the implementation of healthcare redesign and partnership strategies to meet Blue Cross NC'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.
What You Bring
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.
Bonus Points (preferred qualifications)
Experience with Epic and/or the Epic Payer Platform Demonstrated program management experience Blend of clinical, business, and technical expertise Proven ability to effectively engage, partner with, and influence internal and external stakeholders
What You'll Get
- The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
- Work-life balance, flexibility, and the autonomy to do great work
- 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
#LI-Hybrid 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. $73,698.00 - $117,917.00
Skills Data Analysis, Healthcare Industry, Healthcare Management, Healthcare Reimbursement, Healthcare Strategic Planning, Healthcare Strategy, Medical Reimbursement, Operational Process Improvements, Performance Metrics, Pharmacy, Pharmacy Operations, Physician Reimbursement, Project Management, Provider Reimbursement, Reimbursement
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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
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