Senior Business Operations Advisor

🔥 15 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $89.2k - $142.7k / year

⏰ Full Time

🟠 Senior

⚙️ Business Operations

👻 Ghost score 0%

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Blue Cross NC

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• 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