Senior Healthcare Consulting Advisor

🕒 3 dias atrás

🌲 North Carolina – Remoto

🌲 North Carolina – Remote

💵 $98.092 - $156.947 / ano

⏰ Tempo Integral

🟠 Sênior

👻 Score fantasma 0%

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Blue Cross NC

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

Fundada em 1933

🏥 Saúde

🛡️ Seguros

⚕️ Seguro de Saúde

Healthcare • Insurance • Healthcare Insurance

A Blue Cross NC é uma fornecedora de seguros de saúde que oferece uma gama de planos e serviços de saúde para indivíduos e grupos. A empresa se concentra em fornecer cobertura de saúde de qualidade e melhorar os resultados de saúde de seus membros por meio de programas e serviços de saúde inovadores. A Blue Cross NC está comprometida em aumentar o acesso a cuidados de saúde acessíveis enquanto apoia a saúde e o bem-estar das comunidades que atende.

Descrição

• Develop and present data-driven insights, healthcare consulting, and targeted recommendations to large and complex ASO client groups, insurance brokers/consultants, and provider systems/ACOs • Advise independently on Blue Cross NC healthcare programs and services, medical policy, provider network/reimbursement strategies, cost drivers, and industry best practices • Define and deliver tailored solutions for employer group customers and provider systems through analysis of metrics and customer insights • Improve member health, provider quality, and the quality and affordability of care • Provide subject matter expertise on healthcare industry topics to internal stakeholders and mentor staff • Manage relationships and consult with large and national BCBSNC clients or Blue Premier systems/ACOs • Develop tailored business plans to address client/provider needs, improve competitive positioning, drive partnerships/membership, and improve retention • Conduct periodic, annual, and quarterly client/provider meetings with internal stakeholders • Collect and analyze data from diverse reporting sources and market intelligence • Analyze financial, quality, and utilization data to identify opportunities to lower costs, improve quality, and improve member health • Support operationalizing requested client/provider services and responding to inquiries involving healthcare programs, operations, and policies • Participate in updates, calls, presentations, finalist meetings, events, workgroups, committees, training, and consultative-service initiatives • Negotiate client/provider engagements and partnerships, cross-sell opportunities, and market programs • Promote goodwill, build relationships with business leaders and providers, and maintain the corporate image within the community

🎯 Requisitos

• Bachelor's degree or advanced degree (where required) • 5+ years of experience in related field • In lieu of degree, 7+ years of experience in related field • Experience with data analytics and reporting, including advanced Excel skills, pivot tables, and data interpretation • Demonstrated stakeholder management experience, with the ability to build relationships and influence cross-functional partners • Strong business acumen with the ability to translate data and insights into actionable business recommendations • Proven client-facing experience with demonstrated success managing client relationships, presentations, and strategic discussions • Master's degree preferred

🏖️ Benefícios

• Annual Incentive Bonus based on annual corporate goal achievement and individual performance • 401(k) with employer match • Paid Time Off (PTO) • Competitive health benefits • Wellness programs • Robust Total Rewards package