Senior Provider Contract Analyst

Blue Cross NC

. Assess, develop, articulate, negotiate, implement, and manage complex enterprise and divisional innovative provider reimbursement initiatives .

Posted 10/22/2026full-timeDurham • North Carolina • United StatesSenior💰 $89,174 - $142,679 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider reimbursement initiatives, contract negotiations, and healthcare network strategies. Proven ability to manage complex projects and coordinate internal resources to implement effective provider network solutions.

Highest-signal resume keywords

Provider Contract NegotiationsHealthcare Network ManagementComplex Project ManagementContract ManagementResource Allocation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contracting StrategiesProvider Network ManagementHealthcare ContractsHealth Care Quality ImprovementNetwork DevelopmentFeasibility ModelsPerformance ForecastingNegotiation SkillsVendor RelationshipsPeople Management

Certifications & Qualifications

Bachelor's DegreeAdvanced Degree

Industry Keywords

Provider ReimbursementHealthcare Provider SystemsInternal StakeholdersStrategic Network InitiativesOperational Capabilities

About the role

Key responsibilities & impact

Assess, develop, articulate, negotiate, implement, and manage complex enterprise and divisional innovative provider reimbursement initiatives
Manage contracting with assigned healthcare provider systems
Research, analyze, develop, implement, and negotiate innovative provider network strategies
Coordinate internal stakeholders and resources, including FTEs and technology, to implement strategic network initiatives
Provide expertise in internal and external discussions regarding network strategies
Facilitate innovative global provider network opportunities and recommend provider strategies
Gain Plan approval and implement approved strategies through provider contract negotiations
Develop feasibility models and forecast performance impacts of innovative contracting strategies
Participate in direct negotiations with key providers, including academic medical centers and multispecialty professional providers
Coordinate with Network Management and internal stakeholders to establish operational and administrative capabilities for contract and service strategies

Requirements

What you’ll need

Bachelor's degree or advanced degree (where required)
5+ years of experience in a related field
In lieu of degree, 7+ years of experience in a related field
Experience with complex project management, contracting strategies, contract management, contract negotiations, healthcare contracts, healthcare networks, health care quality improvement, network development, people management, project management, provider contracts, provider network management, resource allocation, resource management, and vendor relationships

Benefits

Comp & perks

Work-life balance, flexibility, and autonomy
Medical, dental, and vision coverage
Health and wellness programs
Parental leave and support
Adoption and surrogacy assistance
Career development programs
Tuition reimbursement for continued education
401(k) match including an annual company contribution
Paid Time Off (PTO)
Annual Incentive Bonus based on annual corporate goal achievement and individual performance
Flexible remote work with intentional in-person connection