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Job Description

The Strategic Advisor, Healthcare plays a crucial role in assisting with complex analysis, evaluation, and planning to achieve the organization’s innovation-based goals. This includes new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement, and market offer opportunities. Underwriting experience is essential for this role, as it supports the promotion of enterprise understanding in key areas where the company seeks to create competitive differentiation and establish a sustainable competitive advantage in the marketplace.

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.

+ Assist 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.

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

+ Provide pharmacy sales support.

+ Develop custom pharmacy pricing.

What You'll Bring

+ Bachelor's degree or advanced degree (where required). In lieu of a degree, 5+ years of experience in a related field.

+ 3+ years of experience in a related field. (For example, experience in healthcare reimbursement analysis or payer/provider engagement).

Bonus Points (Preferred Qualifications)

+ Underwriting Experience strongly preferred. Relevant examples include underwriting role in healthcare insurance sectors.

+ Experience in sales support and consultation is a plus. Examples might include roles where you provided strategic advice to sales teams or consulted on healthcare redesign projects.

+ Familiarity with pharmacy pricing concepts is desirable. Experience could include working with pharmacy benefit managers or analyzing drug pricing strategies.

+ Proficiency with MS Excel strongly preferred

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 including an annual company contribution

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

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.

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 (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-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 or hiring process, please notify HR at [email protected] .

For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:

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