Provider Contract Analyst - Remote

Overview

The Provider Contract Analyst is responsible for developing and managing innovative provider reimbursement initiatives for Blue Cross NC, ensuring effective collaboration with core network providers and internal stakeholders.

In Short

• Assess and negotiate provider network strategies.
• Implement value-based and shared risk arrangements.
• Improve quality of care and reduce costs.
• Support internal and external discussions on network strategies.
• Provide analysis for innovative contracting strategies.
• Collaborate with stakeholders for operational capabilities.
• Manage multiple projects and initiatives.
• Communicate effectively with internal and external parties.
• Participate in provider negotiations as needed.
• Contribute to the development of next-generation provider networks.

Requirements

• Bachelor's degree or advanced degree preferred.
• 3+ years of experience in healthcare network management.
• Experience in Medicaid and Medicare preferred.
• Strong analytical and problem-solving skills.
• Excellent communication and negotiation skills.
• Ability to manage multiple projects simultaneously.
• Team-oriented collaboration skills.
• Experience in provider incentive programs.
• Knowledge of contract administration improvements.
• Proven ability to develop effective provider strategies.

Benefits

• Competitive salary and total rewards package.
• Annual Incentive Bonus based on performance.
• 401(k) with employer match.
• Paid Time Off (PTO).
• Comprehensive health benefits and wellness programs.
• Opportunities for professional development.
• Supportive work environment focused on innovation.
• Ability to work remotely or in a hybrid model.
• Commitment to better health care for the community.
• Inclusive company culture with accommodations for disabilities.