Senior Strategic Provider Relationship Analyst
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Job Description
Senior analyst leading strategic provider relationships, contracting, and performance initiatives for Blue Cross NC. Supporting healthcare network strategy, issue resolution, and medical expense management.
Responsibilities:
- Lead and manage complex strategic activities with professional, institutional, and ancillary providers across designated geographic regions
- Support enterprise-level stakeholder strategy and oversee multifaceted provider relationship initiatives
- Ensure adherence to contractual agreements for all provider types and BCNC products
- Serve as the primary strategic liaison for high-value and complex provider organizations
- Support the design and execution of a multi-year strategic plan for Network Management
- Represent BCNC in critical stakeholder meetings and ensure contractual compliance
- Support negotiations for statewide and high-impact providers
- Direct complex, high-dollar issue resolution for hospitals, ASCs, and ancillary providers
- Drive initiatives that reduce administrative cost and improve provider satisfaction
- Serve as a subject matter expert on provider trends and innovations
- Support enterprise provider education strategy
- Support action plans to meet medical expense goals
- Oversee analytics on provider agreements and performance
Requirements:
- Bachelor's or advanced degree where required
- 5+ years of experience in healthcare strategy
- In lieu of degree, 7+ years of experience
- Experience with healthcare financial management, managed care, process improvements, provider relations, provider services, and service provider management
Benefits:
- 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 including an annual company contribution
- Paid Time Off (PTO)
- Annual Incentive Bonus based on annual corporate goal achievement and individual performance
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