Blue Cross NC
Blue Cross NC
Blue Cross NC ir veselības apdrošināšanas uzņēmums, kas privātpersonām un grupām piedāvā veselības apdrošināšanas plānus un ar tiem saistītus pakalpojumus. Uzņēmuma darbības centrā ir palīdzēt biedriem iegūt veselības aprūpes apdrošināšanas segumu, veicināt labākus veselības rezultātus, izmantojot veselības programmas un pakalpojumus, kā arī sekmēt tā apkalpoto kopienu labklājību.

Senior Strategic Provider Relationship Analyst

Lead strategic provider relationships, contracting, and performance initiatives for Blue Cross NC. Help shape healthcare network strategy, resolve complex issues, and manage medical expenses.

Apraksts

  • Lead strategic initiatives with professional, institutional, and ancillary providers across assigned regions.
  • Advance enterprise stakeholder strategy and oversee complex provider relationship initiatives.
  • Ensure providers across all types comply with contractual agreements for BCNC products.
  • Act as the primary strategic contact for high-value and complex provider organizations.
  • Help develop and deliver Network Management’s multi-year strategic plan.
  • Represent BCNC in key stakeholder meetings and uphold contractual compliance.
  • Support negotiations with statewide and other high-impact providers.
  • Lead resolution of complex, high-cost issues involving hospitals, ASCs, and ancillary providers.
  • Advance efforts to lower administrative costs and improve provider satisfaction.
  • Provide subject matter expertise on provider trends and innovations.
  • Contribute to the enterprise provider education strategy.
  • Support action plans to achieve medical expense targets.
  • Oversee analysis of provider agreements and performance.

Prasības

  • Bachelor’s or advanced degree, where required.
  • At least 5 years of experience in healthcare strategy.
  • Seven or more years of experience may substitute for a degree.
  • Experience in healthcare financial management, managed care, process improvement, provider relations, provider services, and service provider management.

Priekšrocības

  • 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 continuing education.
  • 401(k) matching with an annual company contribution.
  • Paid time off.
  • Annual incentive bonus based on corporate goal achievement and individual performance.

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