Job Details

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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 (Hiring Requirements)

• 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, such as healthcare reimbursement analysis or payer/provider engagement.
• Underwriting experience is preferred, with relevant examples including underwriting roles in healthcare insurance sectors.
• Experience in sales support and consultation is a plus, such as providing strategic advice to sales teams or consulting on healthcare redesign projects.
• Familiarity with pharmacy pricing concepts is desirable, including experience working with pharmacy benefit managers or analyzing drug pricing strategies.

Salary Range

At Blue Cross NC, we offer a fair and equitable compensation package. Our starting salaries are typically near the middle of the range listed, influenced by experience, skills, licensure, and organizational needs. Our base salary is part of a comprehensive Total Rewards package including an Annual Incentive Bonus, 401(k) with employer match, PTO, and health benefits.

Range: $68,200.00 - $109,100.00

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Business Development and Sales
• Industry: Insurance