Job Description

Develops and presents data-driven insights and program recommendations to large, self-funded employer groups and insurance brokers/consultants. Understands and communicates Blue Cross NC (BCNC) healthcare programs and services, medical policy, provider network/reimbursement strategies, cost drivers, and industry best practices. Defines and delivers tailored solutions to employer group customers through the analysis of relevant metrics to improve member health and positively impact quality and affordability of care.

What You'll Do

• Collaborates with internal stakeholders (i.e., Sales, Network, Data & Analytics, Quality) to develop and deliver tailored business presentations to positively impact employer group needs, improve BCNC competitive positioning, drive new membership, and improve retention.

• Presents in annual/quarterly meetings with employer groups to review relevant data, assess programs, advise on various healthcare topics, and suggest solutions to meet employer goals and objectives.

• Accesses diverse reporting sources and market intelligence to collect and analyze data, develop custom insights, and make recommendations.

• Analyzes employer group 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.

• Supports responses to employer groups and presents information involving healthcare programs, operations, and policies to varied audiences.

• Participates in relevant updates/calls/presentations with assigned employer groups and/or prospective clients.

• Effectively cross sells opportunities and markets programs to best meet current or prospective client needs.

• Assists with the planning and execution of key events for client groups (Healthcare Symposium, Advisory Councils).

• Participates in cross-departmental workgroups and committees as needed.

• Please note that travel within NC is required as a part of this position.

What You'll Bring

• Bachelor's degree or advanced degree

• 3+ years of experience in related field

• In lieu of degree, 5+ years of experience in related field

Bonus Points

• Experience working in healthcare and/or clinical experience/training.

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community

• Work-life balance, flexibility, and the autonomy to do great work

• Medical, dental, and vision coverage along with numerous health and wellness programs

• Parental leave and support plus adoption and surrogacy assistance

• Career development programs and tuition reimbursement for continued education

• 401k match including an annual company contribution

Learn more

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.

$81,068.00 - $129,708.00

Skills

Collaboration, Data Driven Approach, Health Care, Healthcare Networks, Healthcare Operations, Internal Stakeholders, Medical Policy, Provider Services, Reimbursement Strategies, Stakeholder Management

_____________________________________________________________________

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.