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Blue Cross NC
Blue Cross NC
5 001 – 10 000 Darbuotojai
DraudimasSveikatos draudimasSveikatos priežiūra
„Blue Cross NC“ yra sveikatos draudimo bendrovė, teikianti sveikatos draudimo planus ir susijusias paslaugas asmenims bei grupėms. Jos veiklos pagrindą sudaro pagalba nariams gauti sveikatos priežiūros draudimą, geresnių sveikatos rezultatų skatinimas pasitelkiant sveikatos programas ir paslaugas bei indėlis į aptarnaujamų bendruomenių gerovę.
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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.

USJungtinės ValstijosNCŠiaurės Karolina
89 174 $ – 142 679 $ / metai
HibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųAnalitikas

Aprašymas

  • 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.

Reikalavimai

  • 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.

Privalumai

  • 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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