Sr Healthcare Consulting Advisor

Job Description

Develops and presents data-driven insights, healthcare programs, and targeted recommendations to our largest and most complex ASO client groups and insurance brokers / consultants.

Independently advises on BCNC healthcare programs and services, medical policy, provider network / reimbursement strategies, cost drivers, and industry best practices.

Leverages significant employer-group experience and expertise to define and deliver tailored solutions to employer group customers through the analysis of relevant metrics and comprehensive customer insight to improve member health and positively impact quality and affordability of care.

As a senior member of the team, provides subject matter expertise on healthcare industry topics to internal stakeholders and mentors staff.

What You'll Do

• Manages relationship and consults with large (1,000+) and national BCBSNC clients by developing tailored business presentations to positively impact client needs, improve BCBSNC competitive positioning, drive new partnerships / membership and improve retention.
• In coordination with internal stakeholders (i.e., Sales, DNA), conducts periodic / annual / quarterly meetings with clients to review relevant data, assess programs, advise on various healthcare topics, and suggest solutions to meet client goals and objectives.
• Accesses diverse reporting sources and market intelligence to collect and analyze data, develop custom insights and make recommendations.
• Analyzes client financial, quality and / or utilization data to determine success of current engagement approach and identifies further opportunities to lower healthcare cost, improve quality, and / or improve member health.
• Works with internal partners to understand internal capabilities related to current and future service offerings and assists in operationalizing what our clients are requesting;

supports responses to client groups involving healthcare programs, operations and policies.

• Participates in relevant updates / calls / presentations with assigned employer groups and / or prospective clients .
• Negotiates client specific engagements and partnerships, and effectively cross sells opportunities and markets programs to best meet current or prospective client needs.
• Supports and participates in finalist meetings for new and renewing groups.
• Assists with the planning and execution of key events for client groups / providers (Healthcare Symposium, Advisory Councils )
• Promotes goodwill and builds relationships with business leaders and providers; projects and maintains the corporate image within the community.
• Represents the department on enterprise workgroups and committees.
• Participates in trainings and / or initiatives to improve the consultative services offered to client groups.

What You'll Bring (Hiring 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

Nice to Have

Clinical background

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 package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

Based on annual corporate goal achievement and individual performance.

$84,000.00 - $152,200.00