Senior Strategic Advisor, Healthcare

Senior Strategic Consultant, Specialty Pharmacy

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.

What You'll Do

• 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.

What You Bring

• 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.

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that's flexible, connected, and future focused.

In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$89,174.00 - $142,679.00

Skills

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