Strategic Planning and Performance, Consultant - Medicare

at  Blue Shield of California

YOUR WORK

In this role, you will:

• Be responsible for planning and implementation of moderately complex projects
• Recommend effective action plans based on key business issues and implements to successful conclusion
• Be responsible for facilitating annual strategic planning process
• Assist financial partners to complete business planning and forecasting
• Assist in overseeing budget planning as part of the annual budget cycle
• Identify and resolve gaps in processes and oversight to ensure achievement of Medicare goals and targets
• Drive departmental projects in benefit of Medicare, including those that support Medicare growth, profitability, performance optimization, experience, etc.
• Support monitoring and optimizing Medicare performance by leading preparations for key Medicare performance governance meetings; collaborate with functional area partners to ensure their priorities are in line with Medicare priorities
• Build, implement, and manage an overarching, end-to-end vendor management governance model for the Medicare line of business to ensure vendor partners continuously meet compliance, contractual, and experience expectations

QUALIFICATIONSYOUR KNOWLEDGE AND EXPERIENCE

• Requires a bachelor’s degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Requires Program Management and Business Planning experience; vendor management experience preferred
• Requires health plan or provider experience; Medicare experience highly preferred
• Requires executive level presentation skills and meeting preparations
• Demonstrated ability to collaborate and drive complex work with positive outcomes and target/ goal achievementAbility to influence and communicate effectively with people at all levels, including executives

PHYSICAL REQUIREMENTS:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

JOB DESCRIPTIONYOUR ROLE

The Medicare team is accountable for membership growth, profit and loss, performance optimization, and overall customer experience for the Medicare line of business. The Strategic Planning and Performance, Consultant - Medicare will report to the Senior Manager, Strategic Planning and Performance. In this role you will support the success of the Medicare operating model through leading key initiatives that enable achievement of key goals, driving performance governance activities, and supporting employee engagement, communications, and leadership activities. You will help connect the dots and bridge the gap between Medicare goals and cross-functional work and priorities. Additionally, you will collaborate to lead end-to-end strategic partnership development and establish and manage overarching vendor oversight for Medicare in support of critical goals.

In this role, you will:

• Be responsible for planning and implementation of moderately complex projects
• Recommend effective action plans based on key business issues and implements to successful conclusion
• Be responsible for facilitating annual strategic planning process
• Assist financial partners to complete business planning and forecasting
• Assist in overseeing budget planning as part of the annual budget cycle
• Identify and resolve gaps in processes and oversight to ensure achievement of Medicare goals and targets
• Drive departmental projects in benefit of Medicare, including those that support Medicare growth, profitability, performance optimization, experience, etc.
• Support monitoring and optimizing Medicare performance by leading preparations for key Medicare performance governance meetings; collaborate with functional area partners to ensure their priorities are in line with Medicare priorities
• Build, implement, and manage an overarching, end-to-end vendor management governance model for the Medicare line of business to ensure vendor partners continuously meet compliance, contractual, and experience expectation