Provider Network Strategist

StrategyStrategyFull TimeRemoteMid LevelTeam 1,001-5,000

Location

United States

Posted

14 hours ago

Salary

Not specified

Seniority

Mid Level

No structured requirement data.

Job Description

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience.  Some of our offerings include:

  • Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute

  • Annual incentive bonus plan based on company achievement of goals

  • Time away from work including paid holidays, paid time off and volunteer time off

  • Professional development courses, mentorship opportunities, and tuition reimbursement program

  • Paid parental leave and adoption leave with adoption financial assistance

  • Employee discount program


Job Description Summary:

The Provider Network Strategist plays a critical role in translating complex healthcare concepts into clear, actionable guidance that supports strategic decision making. Leveraging extensive experience across network strategy, value based programs, provider relations, and multiple lines of business, this role connects organizational objectives with practical steps and structured deliverables. The analyst works closely with diverse stakeholders to gather insights, clarify expectations, and maintain alignment throughout initiatives. By simplifying complexity, communicating effectively with both technical and non-technical audiences, and understanding the broader healthcare business landscape, the Provider Network Strategist ensures clarity, consistency, and strategic coherence across the organization.

Job Description

•    Synthesize complex concepts across network strategy, value-based programs, and operations into clear, actionable guidance for diverse audiences. 
•    Translate organizational goals into structured workplans, outlining key components, decision points, dependencies, and expected outcomes. 
•    Coordinate cross functional alignment by gathering inputs, clarifying expectations, and ensuring stakeholders remain informed and connected throughout the initiative. 
•    Develop polished, decision ready materials (briefs, presentations, summaries, frameworks) that clearly convey status, implications, and recommendations. 
•    Identify risks, gaps, and interdependencies early and propose pragmatic paths to maintain momentum and consistency across efforts. 
•    Frame and facilitate discussions that drive clarity—surfacing assumptions, confirming scope, and aligning on next steps without formal authority. 
•    Apply knowledge of all major lines of business (Commercial, JAA, FEP, Medicare Advantage, Medicaid) to ensure solutions are feasible and appropriately tailored.
 

Minimum Qualifications                                                                       

  • Bachelor’s degree in Business, Economics, Information Systems, Healthcare Administration, or related field, or an equivalent combination of education and experience

  • Five or more years of experience in network strategy, provider relations, healthcare operations, value-based programs, or a closely related discipline

  • Proven ability to communicate clearly with both technical and non-technical stakeholders through written summaries, presentations, and status updates

  • Experience with breaking complex concepts into clear, manageable components for diverse audiences

  • Experience coordinating across multiple stakeholders to gather information, clarify expectations, and maintain alignment throughout an initiative

  • Experience with all health insurance lines of business, including but not limited to: Commercial, JAA, FEP, Medicare Advantage, Medicaid

  • Understanding of business needs and objectives in the healthcare industry 

  • Excellent written and verbal communication skills, with the ability to create polished, professional deliverables

  • Strong conceptual thinking skills with the ability to understand broad organizational objectives and connect them to practical steps and actions

Preferred Qualifications

  • Master's degree in related field

  • 10 or more years of experience in network strategy, provider relations, healthcare operations, value-based programs, or a closely related discipline

  • Experience shaping frameworks, roadmaps, or narratives that help teams understand priorities, decision points, and impacts

  • Experience with synthesizing input from multiple sources to form cohesive, actionable recommendations

  • Experience supporting leadership through clear summaries, decision-ready materials, and structured messaging

  • Skilled at anticipating operational considerations and identifying dependencies, risks, or gaps early in the process

  • Familiarity with healthcare contracting, reimbursement structures, and value-based care concepts

Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

Job Requirements

  • Bachelor’s degree in Business, Economics, Information Systems, Healthcare Administration, or related field, or an equivalent combination of education and experience.
  • Five or more years of experience in network strategy, provider relations, healthcare operations, value-based programs, or a closely related discipline.
  • Proven ability to communicate clearly with both technical and non-technical stakeholders through written summaries, presentations, and status updates.
  • Experience with breaking complex concepts into clear, manageable components for diverse audiences.
  • Experience coordinating across multiple stakeholders to gather information, clarify expectations, and maintain alignment throughout an initiative.
  • Experience with all health insurance lines of business, including but not limited to: Commercial, JAA, FEP, Medicare Advantage, Medicaid.
  • Understanding of business needs and objectives in the healthcare industry.
  • Excellent written and verbal communication skills, with the ability to create polished, professional deliverables.
  • Strong conceptual thinking skills with the ability to understand broad organizational objectives and connect them to practical steps and actions.
  • Master's degree in related field (preferred).
  • 10 or more years of experience in network strategy, provider relations, healthcare operations, value-based programs, or a closely related discipline (preferred).
  • Experience shaping frameworks, roadmaps, or narratives that help teams understand priorities, decision points, and impacts (preferred).
  • Experience with synthesizing input from multiple sources to form cohesive, actionable recommendations (preferred).
  • Experience supporting leadership through clear summaries, decision-ready materials, and structured messaging (preferred).
  • Skilled at anticipating operational considerations and identifying dependencies, risks, or gaps early in the process (preferred).
  • Familiarity with healthcare contracting, reimbursement structures, and value-based care concepts (preferred).

Benefits

  • Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute.
  • Annual incentive bonus plan based on company achievement of goals.
  • Time away from work including paid holidays, paid time off and volunteer time off.
  • Professional development courses, mentorship opportunities, and tuition reimbursement program.
  • Paid parental leave and adoption leave with adoption financial assistance.
  • Employee discount program.

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