Senior Healthcare Consulting Advisor

Job not on LinkedIn

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $98.1k - $156.9k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Blue Cross NC

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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