The Medicare Business Performance Strategist serves as a strategic execution and business operations partner to the Vice President of Medicare. This role is responsible for supporting the successful execution of Medicare priorities through business planning, performance management, operational coordination, and cross-functional leadership. The Strategist helps translate strategic objectives into actionable plans, ensures visibility into business performance, and facilitates alignment across the Medicare organization and enterprise partners. This role supports leadership decision-making through performance monitoring, executive reporting, initiative governance, and operational oversight. Medicare Business Operations Strategist focuses on strategy execution, operational effectiveness, business performance, leadership alignment, and accountability for organizational priorities.
Essential Responsibilities: - Partner with the Vice President of Medicare to support execution of strategic and operational priorities.
- Coordinate annual business planning, goal setting, strategic initiatives, and operational work plans.
- Support implementation of Medicare business strategies by facilitating alignment across departments and stakeholders.
- Monitor progress against strategic objectives and escalate risks, barriers, and dependencies as appropriate.
- Assist in identifying opportunities to improve operational effectiveness, organizational alignment, and business performance.
- Support Medicare business performance oversight through development and maintenance of dashboards, scorecards, and executive reporting.
- Monitor key operational, financial, membership, and performance indicators and provide insights to leadership.
- Support Medicare P&L management activities through data analysis, performance tracking, and reporting.
- Assist with annual budget development, budget monitoring, forecasting, and multi-year business planning activities in partnership with Finance and Medicare leadership.
- Coordinate periodic business reviews and performance discussions with leadership teams.
- Facilitate the operating rhythm of the Medicare leadership team, including meeting planning, agenda development, documentation of decisions, action item tracking, and follow-up.
- Support Medicare Run-the-Business meetings, leadership team meetings, business reviews, and other strategic forums.
- Ensure visibility and accountability for organizational commitments, priorities, and initiatives.
- Develop executive-level communications, briefing materials, presentations, reports, and leadership updates.
- Prepare materials supporting executive decision-making and strategic discussions.
- Coordinate high-priority initiatives sponsored by the Vice President of Medicare.
- Track initiative milestones, timelines, risks, dependencies, resource needs, and outcomes.
- Work with leaders across the organization to ensure effective execution of Medicare priorities.
- Facilitate cross-functional collaboration and problem-solving to remove barriers and accelerate progress.
- Support implementation of organizational changes, operational improvements, and strategic initiatives.
- Develop and maintain collaborative relationships with Medicare leaders and enterprise partners.
- Coordinate activities across departments to ensure alignment with Medicare business objectives.
- Support communication and change management efforts related to strategic initiatives and operational priorities.
- Represent the Vice President of Medicare in internal meetings, committees, and workgroups as assigned.
- Serve as a trusted resource and strategic partner to Medicare leadership.
Supporting Responsibilities: - Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
SUCCESS PROFILEWork Experience: Minimum of 5 years of experience in healthcare, Medicare strategy, business operations, strategic planning, project management, or closely related field. Experience managing multiple priorities, coordinating complex work across teams, and follow-through without direct authority required. Experience supporting senior leaders, executive-level initiatives, business planning, performance reporting, or cross-functional projects required.
Education, Certificates, Licenses: Bachelor's degree required in business administration, healthcare administration or related required. Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.
Knowledge: Knowledge of Medicare Advantage, Medicare Part D, and government healthcare programs; health plan operations and managed care principles; strategic planning, business operations, and organizational effectiveness practices; healthcare regulations and regulatory impacts; program and project management methodologies, analytic acumen; financial and operational performance measurement; and executive-level reporting, business planning, and decision-support processes.
Skills: Communication (written/verbal), Listening (active), Problem-solving, Collaboration, Teamwork, Organizational skills/Planning and Organization, Accountability, Flexibility
Competencies - Adaptability
- Building Customer Loyalty
- Building Strategic Work Relationships
- Building Trust
- Continuous Improvement
- Contributing to Team Success
- Planning and Organizing
- Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.
Skills:Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Compensation DisclaimerThe wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
Base Range: $72,443.87 - $126,776.77
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
