Senior Strategic Advisor, Healthcare

Blue Cross and Blue Shield of North CarolinaRemote Flex - North Carolina, SC
$89,174 - $142,679Hybrid

About The Position

Acts as a senior member of the strategic function by contributing to the achievement of innovation-based goals through new forms of pharmacy reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages industry experience and expertise to promote enterprise understanding of the key areas in which the company is seeking to create competitive differentiation and establish sustainable competitive advantage in the marketplace.

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.

Nice To Haves

  • Healthcare Consulting
  • Healthcare Financial Management
  • Healthcare Industry
  • Healthcare Innovation
  • Healthcare Management
  • Healthcare Reimbursement
  • Healthcare Strategic Planning
  • Health Outcomes
  • Medical Reimbursement
  • Performance Metrics
  • Physician Reimbursement
  • Project Management
  • Provider Reimbursement
  • Reimbursement
  • Reporting and Analysis

Responsibilities

  • Proactively identify, analyze, and evaluate specialty pharmacy market dynamics, including drug pipeline trends (e.g., biosimilars and new market entrants), manufacturer strategies, pricing benchmarks, and sourcing models to inform unit cost and network strategies.
  • Identify and support development of strategic sourcing opportunities that reduce specialty pharmacy unit cost, including alternative sourcing models, distribution strategies, and market‑based pricing approaches aligned with enterprise objectives.
  • Support strategic planning, structured financial and qualitative analysis, and market‑based assessments to inform specialty pharmacy pricing assumptions, sourcing strategies, and contract decisions.
  • Translate complex market intelligence and competitive insights into clear strategic implications and recommendations for internal stakeholders, including senior leadership.
  • Present strategic insights, market analyses, pricing benchmarks, and impact assessments to internal audiences at all levels, including executive leadership.
  • Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert to ensure market intelligence informs enterprise decision-making.
  • Identify, analyze, and monitor industry, regulatory, technology, and market trends that influence specialty pharmacy pricing, sourcing economics, network strategy, and overall cost management.
  • Engage with external vendors, consultants, and industry partners to gather insight, evaluate emerging solutions, and assess innovative sourcing or pricing models.
  • Organize, synthesize, and communicate progress and findings across the strategic work portfolio to support alignment and informed decision‑making.
  • Utilize expertise to advance strategic insight and analysis capabilities, continuously improving how market intelligence is applied to strategy development.

Benefits

  • Annual Incentive Bonus
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • Competitive health benefits
  • Wellness programs
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