Senior Healthcare Consulting Advisor

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Create and deliver data-driven insights, healthcare consulting, and focused recommendations to large and intricate ASO client groups, insurance brokers/consultants, and provider systems/ACOs.

• Provide independent advice on Blue Cross NC healthcare programs and services, medical policies, provider network/reimbursement strategies, cost drivers, and industry best practices.

• Identify and implement customized solutions for employer group clients and provider systems by analyzing metrics and customer insights.

• Enhance member health, improve provider quality, and increase both the quality and affordability of care.

• Offer subject matter expertise on healthcare industry topics to internal teams and mentor junior staff.

• Manage relationships and consult with major national BCBSNC clients or Blue Premier systems/ACOs.

• Formulate customized business strategies to meet client/provider needs, enhance competitive positioning, foster partnerships/membership, and boost retention rates.

• Conduct regular annual and quarterly meetings with clients/providers alongside internal stakeholders.

• Gather and analyze data from various reporting sources and market intelligence.

• Evaluate financial, quality, and utilization data to uncover opportunities for reducing costs, enhancing quality, and improving member health.

• Assist in operationalizing requested client/provider services and addressing inquiries related to healthcare programs, operations, and policies.

• Engage in updates, calls, presentations, finalist meetings, events, workgroups, committees, training, and consultative-service initiatives.

• Negotiate client/provider partnerships and engagements, cross-selling opportunities, and market programs.

• Foster goodwill, establish relationships with business leaders and providers, and uphold the corporate image within the community.

⛳️ Requirements

• Bachelor’s degree or advanced degree (if required).

• Over 5 years of experience in a relevant field.

• Alternatively, 7+ years of experience in a related field in lieu of a degree.

• Proficient in data analytics and reporting, including advanced Excel skills, pivot tables, and data interpretation.

• Proven stakeholder management experience with the capability to build relationships and influence cross-functional partners.

• Strong business acumen with the ability to convert data and insights into actionable business recommendations.

• Established client-facing experience with a track record of successfully managing client relationships, presentations, and strategic discussions.

• Master’s degree is preferred.

🏝️ Benefits

• Annual Incentive Bonus based on achieving corporate goals and individual performance.

• 401(k) plan with employer matching.

• Paid Time Off (PTO).

• Competitive health benefits.

• Wellness programs.

• Comprehensive Total Rewards package.