Medicare Strategy Analyst

Pay Range:

Please emailif you are a candidate seeking a reasonable accommodation for the application and/or interview process.

At BCBSRI our greatest resource is our people.

We come from varying backgrounds different cultures and unique experiences. We are hard-working caring and creative individuals who collaborate support one another and grow together. Passion empathy and understanding are at the forefront of everything we donot just for our members but for our employees as well.

We recognize that to do your best work you have to be your best self.
Its why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health dental and vision insurance as well as programs that support your mental health and well-being. We pay competitively offer bonuses and investment plans and are committed to growing and developing our employees.

Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where youre at in the organization youre an integral part of our team and your input thoughts and ideas are valued.

Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.

Were dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality affordable and equitable care. To further improve the health and well-being of our fellow Rhode Islanders we regularly roll up our sleeves and get to work (literally) in communities all across the statebuilding homes working in food pantries revitalizing community centers and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can our associates receive additional paid time to volunteer.

Why this job matters:

Reporting to the Director of Government Programs Performance & Strategy this role supports the advancement of Government Programs performance and priorities across Medicare and DSNP lines of business. Assess current state of marketplace trends competitive activities and Government Programs performance to identify gaps in corporate and divisional plans. Develop mitigation strategies to ensure achievement of corporate and divisional goals. Serve as a strategic thought partner synthesizing cross-functional data and inputs into insights and decision-ready narratives for leadership. Assess existing organization project portfolio; ensure projects add value to organization and contribute to the achievement of key performance indicators. Assist in the analysis and research for short and long-range corporate and Government Programs strategy development.

What you will do:

• Analyze current state of marketplace trends competitive activities and Government Programs performance to identify gaps in corporate and divisional plans.

• Develop maintain and continuously improve Government Programs performance scorecards dashboards and tracking tools. Monitor and interpret performance trends to surface insights risks and opportunities. Socialize goals and progress with leadership and cross-functional partners to maintain visibility and accountability.

• Create mitigation strategies and identify investments that will best address gaps and support strategic imperatives. Assess impacts to the member and provider experience and overall Government Programs position. Structure options tradeoffs and recommendations to support informed leadership decision-making.

• Develop presentations reports strategic narratives and communications for a range of audiences from the Board of Directors and the Executive Leadership Team to Government Programs associates and cross-functional partners.

• Translate complex strategy regulatory changes performance data and competitive landscape insights into clear audience-appropriate storylines that drive understanding and action.

• Serve as a consultative resource to Government Programs leadership plugging into key priority areas as needed to help structure advance and lead strategic projects and initiatives to completion.

• Assist with the development of short-range (one to two year) and long-range (three to five years) Government Programs strategy and assess implementation annually to determine how corporate and divisional priorities evolve.

• Support the establishment of repeatable processes to develop socialize and track strategic priorities for Government Programs.

• Assess existing organization project portfolio; ensure projects add value to organization and contribute to achieving key performance indicators.

• Collaborate with Government Programs leaders and enterprise partners to ensure initiatives achieve expected business results.

• Mentor less experienced staff.

• Perform other duties as assigned.

What you need to succeed:

• Bachelors degree or an equivalent combination of education and applicable work experience

• Three to five years of experience in business analysis market research or a strategic planning capacity

• Experience developing executive-level and associate-level presentations and translating complex inputs into clear narratives

• Knowledge of strategic planning frameworks processes best practices and how to support the development and advancement of a strategic plan

• Ability to quickly learn new subject matter ask the right questions and independently build working knowledge of complex business areas

• Knowledge of business analysis industry trends and best-practices

• Knowledge of market research methodologies

• Strong research capabilities

• Advanced analytical skills with the ability to interpret and synthesize complex data sets

• Attention to detail

• Good business acumen and political savvy

• Knowledge of business process improvement techniques and strategies

• Excellent verbal and written communications skills

• Presentation development skills

• Decision-making skills

• Creative and resourceful problem-solving skills

• Ability to interface with employees at all levels

• Comfort in a dynamic and fast-moving work environment

• Ability to effectively navigate ambiguous situations with limited direction

• Excellent organizational skills and ability to successfully prioritize multiple tasks

• Ability to handle multiple priorities/projects establish workflows and meet necessary deadlines

The extras:

• Experience designing executive-ready reports and dashboards (e.g. Power BI or similar tools).

• Experience leveraging Microsoft Copilot or other AI-assisted analytics and productivity tools.

• Background in health insurance Medicare Advantage or regulated healthcare environments

• Familiarity with Medicare/managed care CMS Star Ratings or risk adjustment preferred

Location:
BCBSRI is headquartered in downtown Providence conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states pending approval from the Human Resources Department: Arizona Connecticut Florida Georgia Louisiana Massachusetts North Carolina Oklahoma Rhode Island South Carolina Texas Virginia
  

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do and it strengthens our ability to meet the challenges of todays healthcare industry. BCBSRI is an equal opportunity employer.

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