Principal Strategic Advisor, Healthcare

Job Description

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is seeking a Principal Strategic Advisor within our Healthcare division. The Principal Strategic Advisor leads efforts to achieve innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages extensive industry experience and expertise to 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:

• Proactively identify, evaluate and lead 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.

• Lead critical activities such as strategic planning, highly complex quantitative/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 senior-level 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 subject matter expert for healthcare delivery transformation and/or healthcare reimbursement and strategy.

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

• Utilizes extensive expertise to identify and drive Medical Expense savings with new solutions that will require analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches to delivering initiatives.

• Serve as a mentor and coach to more junior team members regarding various skills and approaches and may oversee work of other staff members as needed.

What You Bring:

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

• 8+ years of experience in related field.

• In lieu of degree, 10+ years of experience in related field.

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 …