Senior Business Operations Advisor

Posted 5hrs ago

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Job Description

Senior business operations advisor supporting Blue Cross NC Medicare Advantage and Supplement performance. Driving strategic planning, data analysis, projects, and stakeholder partnerships.

Responsibilities:

  • Provide advanced department, divisional and/or segment-focused business and operational leadership support for Medicare Advantage and Medicare Supplement lines of business
  • Support business relationship management, business plan development, reporting, data and budget analysis, and execution of high-priority initiatives
  • Serve as a business partner in advancing growth, profitability, and member experience through Medicare value levers
  • Build and facilitate repeatable business management processes supporting growth, profitability, compliance, and operational performance
  • Lead coordination, planning, and facilitation of departmental/divisional events
  • Monitor business performance and key Medicare value drivers
  • Produce segment business plans and analysis under guidance from Segment Lead
  • Facilitate adoption and communication of standard operating procedures and processes
  • Facilitate change management for business and process improvements
  • Lead special projects and evaluate opportunities to reduce costs and improve efficiencies
  • Review best or next practice opportunities for potential adoption
  • Develop recommendations based on industry trends, CMS guidance, competitive intelligence, and market dynamics
  • Lead engagements with external entities and coordinate data gathering and research
  • Track initiatives/projects and create progress presentations for varied audiences, including ILT and Senior Leadership
  • Identify trends, risks, and opportunities and develop actionable recommendations
  • Coordinate budget analysis, monitor forecasts, and review progress against cost-reduction goals
  • Track and evaluate goal progress through KPI data collection and analysis
  • Strengthen business partnerships and stakeholder relationships through proactive communications and process improvements
  • Facilitate the Annual Report, CEO/Board reports, and other communications
  • Provide input and recommended strategy for leadership public speaking engagements and industry board or committee meetings
  • Coordinate and manage vendor relationships

Requirements:

  • Bachelor's degree or advanced degree (where required)
  • 5+ years of experience in related field
  • In lieu of degree, 7+ years of experience in related field
  • Demonstrated experience supporting Medicare Advantage and/or Medicare Supplement business operations, product performance, growth initiatives, or market management
  • Strong knowledge of Medicare value levers including Risk Adjustment, Star Ratings, CAHPS, provider performance, quality programs, and operational excellence
  • Experience translating complex business, operational, and market data into executive-level insights and recommendations
  • Proven ability to lead cross-functional initiatives involving Product, Operations, Clinical, Network, Finance, Actuarial, Marketing, and Data & Analytics teams
  • Knowledge of CMS regulations, Medicare product performance management, competitive market dynamics, and healthcare industry trends

Benefits:

  • 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
  • Numerous health and wellness programs
  • Parental leave and support
  • Adoption and surrogacy assistance
  • Career development programs
  • Tuition reimbursement for continued education
  • 401k match including an annual company contribution
  • Annual Incentive Bonus
  • Paid Time Off (PTO)
  • Competitive health benefits and wellness programs