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[Remote] Medicare Strategy Analyst

Remote · USA Full-time New today

Note: The job is a remote job and is open to candidates in USA. Blue Cross & Blue Shield of Rhode Island is dedicated to serving Rhode Islanders and is seeking a Medicare Strategy Analyst to support the advancement of Government Programs performance and priorities. The role involves analyzing marketplace trends, developing strategic narratives, and collaborating with leadership to ensure the achievement of corporate goals.

Responsibilities

  • 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

Skills

  • Bachelor's 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
  • 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

Benefits

  • Flexible work arrangements that include remote and hybrid opportunities
  • Paid time off
  • Tuition reimbursement
  • Assist with student-loan repayment
  • Health, dental, and vision insurance
  • Programs that support your mental health and well-being
  • Bonuses
  • Investment plans
  • Paid time to volunteer

Company Overview

  • At Blue Cross & Blue Shield of Rhode Island (BCBSRI), we know that health is more than what happens at the doctor’s office. It was founded in 1939, and is headquartered in Providence, Rhode Island, US, with a workforce of 501-1000 employees. Its website is http://www.bcbsri.com.
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