Medicare Strategy Analyst

Pay Range: $73,600.00 - $110,400.00 Please email [email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We’re dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. 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 business analysis experience Knowledge of business analysis industry trends and best-practices Knowledgeable in the use of elicitation tools and techniques Knowledge of functional versus non-functional (quality of service) requirements Awareness of Traceability Matrix usage Able to apply Unified Modeling Language (UML) techniques to document processes during the project’s life cycle Advanced analytical skills, with the ability to interpret and synthesize complex data sets Good business acumen and political savvy Knowledge of business process improvement techniques and strategies Excellent verbal and written communications skills Negotiation skills Presentation skills Decision-making skills Good problem-solving skills Ability to interface with employees at all levels 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 The extras: Experience with Snowflake or other cloud-based data platforms. Proficiency in SQL preferred 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. 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 Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit www.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.