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Blue Cross NC
Blue Cross NC
5.001 – 10.000 Angajați
Asigurare de sănătateAsigurăriAsistență medicală
Blue Cross NC este o companie de asigurări de sănătate care oferă planuri de sănătate și servicii conexe pentru persoane și grupuri. Activitatea sa se concentrează pe sprijinirea membrilor pentru a avea acces la acoperire medicală, pe îmbunătățirea rezultatelor de sănătate prin programe și servicii medicale și pe contribuția la bunăstarea comunităților pe care le deservește.
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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.

USStatele Unite ale AmericiiNCCarolina de Nord
66.998 $ – 107.197 $ / an
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăAnalist

Descriere

  • 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.

Cerințe

  • 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.

Beneficii

  • 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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