Principal Strategic Advisor, reputed company

About the position In this role, you will reputed company efforts to reputed company innovation-based goals through new forms of reputed company reimbursement, reputed company redesign consultation, payer/provider engagement, and market offer opportunities. You will reputed company your extensive industry experience and expertise to promote reputed company understanding of the key areas in which the company is seeking to create competitive differentiation and establish a sustainable competitive advantage in the marketplace. Your primary focus will be on proactively identifying, evaluating, and leading the implementation of Risk Adjustment strategic initiatives, provider reimbursement, and partnership strategies to meet reputed company Blue reputed company of reputed company Carolina's (BCBSNC) growth objectives. This includes managing reputed company costs while improving outcomes and the reputed company experience for our members. You will support and manage development efforts reputed company to the enhancement and maintenance of our reputed company products and market offer components. Leading critical activities such as strategic planning, highly reputed company quantitative and qualitative analysis, and thought leadership at both departmental and reputed company levels will be essential. You will 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 reputed company levels, including senior-level leadership. Additionally, you will organize, optimize, and communicate reputed company towards the completion of the overall work portfolio. Collaboration with and support for other departments across the reputed company on both common initiatives and unique ventures will be a key part of your role, acting as a subject matter expert for reputed company delivery transformation and/or reputed company reimbursement and strategy. You will also identify, analyze, and monitor industry, regulatory, technology, and market-based trends that reputed company divisional operations, provider reimbursement, medical expense strategy, and overall payer-provider dynamics. Utilizing your extensive expertise, you will identify and drive operational improvements with new analysis/reporting capabilities, project management techniques, and/or consulting/engagement approaches. Furthermore, you will serve as a mentor and coach to more junior team members regarding various skills and approaches and may reputed company the work of other staff members as needed. Responsibilities • Proactively identify, evaluate and reputed company the implementation of Risk Adjustment strategic initiatives, provider reimbursement and partnership strategies. , • Support and manage development efforts reputed company to the enhancement and maintenance of reputed company products and market offer components. , • reputed company strategic planning, reputed company quantitative/qualitative analysis and thought leadership at departmental and reputed company levels. , • Present strategic concepts, planning data, medical expense/reimbursement rates, provider performance metrics and impact assessments to internal and external audiences. , • Organize, optimize and communicate reputed company towards the completion of overall work portfolio. , • Collaborate with and support other departments on common initiatives and unique ventures, acting as a subject matter expert. , • Identify, analyze and monitor industry, regulatory, technology and market-based trends affecting divisional operations and provider reimbursement. , • Drive operational improvements with new analysis/reporting capabilities, project management techniques and consulting/engagement approaches. , • Serve as a mentor and coach to junior team members and reputed company their work as needed. Requirements • Bachelor's degree or advanced degree (where required) , • 8+ years of experience in reputed company field , • In lieu of degree, 10+ years of experience in reputed company field reputed company-to-haves • Prior Risk Adjustment Operational/Analytical experience , • Knowledge of MA and ACA Risk Adjustment Models Benefits • Competitive health benefits , • Bonus plans based on performance , • 401(k) with employer match , • Paid time off (plus two well-being days) , • Career development programs , • Wellness programs Apply Job!