Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is a leading healthcare organization, and they are seeking a Healthcare Consulting Advisor to analyze claims and health outcome data. The role involves developing strategic reports and presentations to improve cost efficiency and member outcomes while requiring extensive travel across North Carolina.
Responsibilities
- 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
Skills
- 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
- 75% travel is required
- Strong project management, prioritization, and documentation skills
- 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
- 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 sciences background preferred (e.g., RN, RD, Nutritionist, or similar), with knowledge of preventive care guidelines (USPSTF, CDC) and chronic disease management
- Strong project management skills with the ability to manage multiple agency accounts; PMP preferred but not required
- Flexibility and willingness to travel up to 75% of the time
Benefits
- 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
- Annual Incentive Bonus*
- Paid Time Off (PTO)
Company Overview
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. It was founded in 1933, and is headquartered in Durham, North Carolina, USA, with a workforce of 5001-10000 employees. Its website is https://www.bluecrossnc.com/.