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Healthcare Consulting Advisor

$81.07k - $129.71k

Blue Cross & Blue Shield of NC

Job Description The Healthcare Consulting Advisor is responsible for interpreting claims, engagement, and health outcomes data to uncover utilization patterns, gaps in care, and opportunities to improve cost efficiency and member outcomes. The role produces executive level summaries, performance dashboards, and strategic reports that clearly communicate program performance and support data‑driven decision making. The Advisor develops polished presentations, educational materials, and policy summaries; drafts executive briefings for senior federal leadership; and translates complex clinical and insurance terminology into accessible, member-friendly language. This position plays a critical role in ensuring that insights are delivered with clarity, accuracy, and strategic alignment. This role additionally requires extensive knowledge and execution of comprehensive wellness programming tailored to the federal market, which includes federal employees and Agency Benefits Officers (ABOs) across government agencies. The Advisor must demonstrate a charismatic and engaging presence, strong creative problem‑solving capabilities, and proficiency in public speaking and presenting. The position is responsible for designing and implementing health initiatives, fitness challenges, and educational workshops to support health improvement goals across these diverse federal groups. 75% travel is required to be successful in this role. What You’ll Do Analyze claims, engagement, and health outcomes data to uncover actionable insights that inform strategy and decision‑making. Identify utilization trends, gaps in care, and opportunities for cost containment to support high‑value care delivery. Develop executive‑level summaries, performance dashboards, and strategic reports that tell a clear, compelling story with data. Create high‑quality presentations, educational materials, and policy summaries tailored to diverse audiences. Draft concise, impactful executive briefings for senior federal leadership. Translate complex clinical, insurance, and programmatic concepts into clear, member‑friendly language. Partner closely with FEP Group Consultants, traveling together to government agencies across all 100 North Carolina counties to support federal employee engagement and program delivery, requiring regular statewide travel. Manage multiple projects and deliverables simultaneously, demonstrating strong project management, prioritization, and documentation skills. Ensure timely execution of assignments, communications, and program deliverables across all FEP initiatives. Deliver engaging presentations and educational sessions in both in‑person and virtual formats to meet agency needs statewide. 75% travel is required. What You Bring Bachelor’s degree or advanced degree (where required) 3+ years of experience in related field. In lieu of degree, 5+ years of experience in related field. Open to North Carolina residents only. Strong preference for experience in population health and wellness programming, including health education and chronic condition initiatives for federal employee groups and Agency Benefits Officers (ABOs). Clinical or health education background preferred (e.g., RD, Nutritionist, or similar), with knowledge of preventive care guidelines (USPSTF, CDC) and chronic disease management. RN/LPN is a plus. Strong project management skills with the ability to manage multiple agency accounts; PMP preferred but not required; able to prioritize in a fast‑paced federal environment. Excellent communication and presentation skills, including executive‑level presentations, clear written reporting, and translating clinical and insurance concepts into member‑friendly language. Proven relationship‑building and organizational skills, understanding of benefit and insurance products, and ability to support agency engagement. Flexibility and willingness to travel up to 75% of the time. Bonus Points Strong preference for experience in population health and wellness programming, including health education and chronic‑condition initiatives for federal employee groups and Agency Benefits Officers (ABOs). Clinical or health education background preferred (e.g., RD, Nutritionist, or similar), with knowledge of preventive care guidelines (USPSTF, CDC) and chronic disease management. RN/LPN is a plus. What You’ll Get The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. Work‑life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution. 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. $81,068.00 - $129,708.00 Skills Wellness Consulting, Wellness Education, Wellness Management, Wellness Programs About Us It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care – in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well‑being of North Carolinians. Blue Cross NC is a fully taxed, not‑for‑profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award‑winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. Authorization to Work in the United States We use E‑verify to confirm authorization to work in the United States. To learn more about E‑Verify, including your rights and responsibilities, please visit E‑Verify Overview for English or Visión General de E‑Verify for Español. Request Accommodations Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at View email address on click.appcast.io. Hybrid Flex Company Blue Cross NC is a Hybrid Flex company. Whether the 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 of our approved states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina

Vacancy posted 1 day ago
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