Job Description
The Healthcare Consulting Advisor is responsible for interpreting claims, engagement, and health outcome 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.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.
Bonus Points
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.
Experience in population health and wellness programming, including health education and chronic condition initiatives for federal employee groups and Agency Benefits Officers (ABOs).
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.
Availability and flexibility to travel 75% of the time.
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.
Skills
_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.