Blue Cross Blue Shield of Rhode Island

Medicare Strategy Analyst

US-Anywhere
+ 2 other locationsRemote
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience
  • 3-5 years of business analysis experience
  • Familiarity with industry trends and best practices in business analysis
  • Proficient in elicitation tools and techniques
  • Advanced analytical skills to interpret complex data sets
  • Excellent communication and negotiation skills
  • Ability to manage multiple priorities effectively

Responsibilities

  • Analyze market trends and competitive activities to identify performance gaps
  • Develop and maintain performance scorecards and dashboards
  • Create strategies to address performance gaps and support strategic goals
  • Craft presentations and reports for various audiences including leadership
  • Translate complex data into actionable insights for decision-making
  • Serve as a consultative resource to help advance strategic projects
  • Assist in developing short- and long-term Government Programs strategy

Benefits

  • Flexible work schedules including in-office, hybrid, or remote options
  • Support for associate well-being and work/life balance
  • Opportunity to mentor less experienced staff
  • Access to professional growth opportunities through strategic initiatives
  • Engaged work environment in a convenient downtown location
Full Job Description
Pay Range:
$73,600.00 - $110,400.00
Please email if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

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:
  • 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


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

About Blue Cross Blue Shield of Rhode Island

Blue Cross Blue Shield of Rhode Island is a non-profit health insurance company that provides medical, dental, and vision coverage to individuals and businesses in Rhode Island. The company also offers Medicare Advantage plans and prescription drug coverage. Blue Cross Blue Shield of Rhode Island was founded in 1939 and is headquartered in Providence, Rhode Island.
Learn more about Blue Cross Blue Shield of Rhode Island
Size
800 employees
Industry
Founded
1939

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