Job Description

The Strategic Advisor, Healthcare assists with the complex analysis, evaluation and planning needed to achieve the organization’s innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Promotes enterprise understanding of the key areas in which the company is seeking to create competitive differentiation and establish sustainable competitive advantage in the marketplace.

• 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.

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.

Preferred Skills

• Underwriting experience.

• Experience in Sales support and consultation.

• Familiar with pharmacy pricing concepts.

Salary Range

$68,200.00 - $109,100.00