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Blue Cross NC
Blue Cross NC
5,001 – 10,000 कर्मचारी
बीमास्वास्थ्य बीमास्वास्थ्य सेवा
Blue Cross NC एक स्वास्थ्य बीमा कंपनी है, जो व्यक्तियों और समूहों के लिए स्वास्थ्य योजनाएँ और संबंधित सेवाएँ प्रदान करती है। इसका कार्य सदस्यों को स्वास्थ्य सेवा कवरेज प्राप्त करने में सहायता करने, स्वास्थ्य कार्यक्रमों और सेवाओं के माध्यम से बेहतर स्वास्थ्य परिणामों को बढ़ावा देने और जिन समुदायों की यह सेवा करती है, उनके कल्याण में योगदान देने पर केंद्रित है।
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कंपनी की नौकरियाँ

Senior Provider Contract Analyst at Blue Cross NC (Hybrid)

Develop and negotiate provider reimbursement strategies for Blue Cross NC. Oversee healthcare network contracts, quality initiatives, and provider relationships.

USसंयुक्त राज्यNCउत्तरी कैरोलिना
$89,174 – $1,42,679 / वर्ष
हाइब्रिडपूर्णकालिकवरिष्ठआवश्यक भाषा: अंग्रेज़ीविश्लेषक

विवरण

  • Evaluate, shape, negotiate, implement, and manage complex reimbursement initiatives across the enterprise and its divisions.
  • Manage contracts with assigned healthcare provider systems.
  • Research, analyze, develop, implement, and negotiate provider network strategies.
  • Coordinate internal teams, staffing, and technology to deliver strategic network initiatives.
  • Advise internal and external stakeholders on network strategies.
  • Identify global provider network opportunities and recommend strategies.
  • Secure plan approval and carry approved strategies through provider contract negotiations.
  • Build feasibility models and forecast the performance impact of contracting strategies.
  • Negotiate directly with key providers, including academic medical centers and multispecialty practices.
  • Work with Network Management and internal partners to establish the operational and administrative capabilities needed for contract and service strategies.

आवश्यकताएँ

  • Bachelor’s or advanced degree, where required.
  • At least 5 years of experience in a related field.
  • Seven or more years of related experience may substitute for a degree.
  • Experience with complex project management; contracting strategy and administration; contract negotiations and healthcare contracts; healthcare networks and quality improvement; network development; people and project management; provider contracts and network management; resource allocation and management; and vendor relationships.

लाभ

  • Work-life balance, flexibility, and autonomy.
  • Medical, dental, and vision coverage.
  • Health and wellness programs.
  • Parental leave and support.
  • Adoption and surrogacy assistance.
  • Career development programs.
  • Tuition reimbursement for continued education.
  • 401(k) match with an annual company contribution.
  • Paid time off.
  • Annual incentive bonus based on corporate goal achievement and individual performance.
  • Flexible remote work with planned in-person connection.

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