Principal Strategic Advisor, Healthcare

Blue Cross NC

. Lead efforts to achieve innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement, and market offer opportunities .

Posted 10/12/2026full-timeDurham • North Carolina • United StatesLead💰 $130,560 - $208,896 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare redesign, reimbursement strategies, and operational improvements, with a strong focus on data analysis and strategic planning. Proven ability to lead cross-departmental collaboration and mentor junior team members in achieving innovation-based healthcare goals.

Highest-signal resume keywords

Healthcare RedesignProvider ReimbursementData AnalysisProject ManagementMentoring

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Quantitative AnalysisQualitative AnalysisStrategic PlanningRisk AdjustmentMedicare ExperienceACA Experience

Soft Skills

LeadershipCollaborationCommunication

Tools & Technologies

SQLRSASPython

Industry Keywords

Healthcare Delivery TransformationPayer/Provider EngagementMarket Offer OpportunitiesOperational ImprovementsImpact Assessments

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

Lead efforts to achieve innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement, and market offer opportunities
Identify, evaluate, and lead healthcare redesign, provider reimbursement, and partnership strategies
Support development and maintenance of current products and market offer components
Lead strategic planning, complex quantitative and qualitative analysis, and thought leadership
Present strategic concepts, planning data, medical expense/reimbursement rates, provider performance metrics, and impact assessments to internal and external audiences
Organize, optimize, and communicate progress across the overall work portfolio
Collaborate with departments across the enterprise as a subject matter expert in healthcare delivery transformation, reimbursement, and strategy
Identify, analyze, and monitor industry, regulatory, technology, and market trends
Drive operational improvements through analysis/reporting capabilities, project management techniques, and consulting/engagement approaches
Mentor and coach junior team members and may oversee other staff members

Requirements

What you’ll need

Bachelor's degree or advanced degree
8+ years of experience in a related field
In lieu of degree, 10+ years of experience in a related field
Risk Adjustment experience preferred
Experience with Medicare or ACA preferred
Experience with data analytic tools (SQL, R, SAS, Python) preferred

Benefits

Comp & perks

Annual Incentive Bonus based on annual corporate goal achievement and individual performance
401(k) with employer match
Paid Time Off (PTO)
Competitive health benefits
Wellness programs