What You'll Do

• Proactively identify, evaluate and work to implement healthcare redesign, provider reimbursement and partnership strategies to meet BCBSNC's growth objectives, as well as manage healthcare costs while improving outcomes and the healthcare experience for our members.
• Support and manage development efforts related to the enhancement and maintenance of our current products and market offer components.
• Collaborate and execute critical activities such as strategic planning, complex financial/qualitative analysis and thought leadership at a departmental and enterprise level.
• Present information such as strategic concepts, planning data, medical expense/reimbursement rates, provider performance metrics and impact assessments to both internal and external audiences at all levels, including senior-level leadership.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert for healthcare delivery transformation and/or healthcare reimbursement and strategy.
• Identify, analyze and monitor industry, regulatory, technology and market-based trends that affect divisional operations, provider reimbursement, medical expense strategy and overall payer-provider dynamics.
• Utilizes expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field

Hiring Preferences

• Prior experience designing provider quality incentives, measure provider performance and working with HEDIS care gap data
• Experience with statistical analyses
• Intermediate experience with SQL, R and/or Python