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Job SummaryThis position supports the strategy, design, growth, and optimization of Medicare Advantage provider Value-Based Care (VBC) programs and alternative payment models across primary care, facility, and specialty programs. Responsibilities include integrating analytical findings, market insights, and business needs to inform VBC program strategy and design; evaluating program performance and identifying strategic enhancements; developing VBC contracting strategies; developing VBC contract templates and program documentation; and creating executive-ready recommendations and presentations. Candidate must possess relevant Medicare Advantage and/or provider VBC experience; exceptional communication and presentation skills; strong strategic and analytical capabilities; and demonstrated ability to independently lead complex workstreams and drive recommendations forward.Required Job Qualifications:
- Bachelor’s degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations
- or relevant health care industry experience
- 3 years of experience leading with large and complex multi-million-dollar projects.
- Experience communicating with senior management from multiple divisions.
- Experience developing and delivering presentations.
- Problem resolution experience and skills.
- Knowledge of strategic planning techniques and industry trends
- Experience interpreting business and financial information and negotiations skills.
- Verbal and written communications skills including establishing working relationships across departments,
- Preparing presentations to senior management and establishing team environment.
- Organizational skills and detail oriented
- Experience managing multiple complex projects successfully.
- PC proficiency to include MS Office products.
Preferred Job Qualifications:
- Master’s degree, such as an MBA, MPH, MHA, or related advanced degree.
- Direct experience with Medicare Advantage VBC strategy and alternative payment model design
- Experience with provider network strategy, provider contracting/value-based contracting,
- Contract development, provider performance, or Medicare Advantage Stars.
- Experience partnering with analytical teams and translating analytical findings into strategic insights and decisions.
- Proven strategic thinking and execution.
- Ability to drive decisions, create optionality and determine impacts of options.
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Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.
Base Pay Range$69,800.00 - $125,900.00Exact compensation may vary based on skills, experience, and location.
Skills Required
- Bachelor’s degree and 5 years of experience, or 9 years of experience in business analysis, process improvement, project management, business operations, or relevant healthcare industry experience
- Three years of experience leading large, complex, multi-million-dollar projects
- Experience communicating with senior management across multiple divisions
- Experience developing and delivering presentations
- Problem resolution experience and skills
- Knowledge of strategic planning techniques and industry trends
- Experience interpreting business and financial information and negotiating
- Strong verbal and written communication skills, including establishing cross-departmental working relationships
- Experience preparing presentations for senior management and establishing a team environment
- Strong organizational skills and attention to detail
- Experience successfully managing multiple complex projects
- PC proficiency, including Microsoft Office products
- Master’s degree such as an MBA, MPH, MHA, or related advanced degree
- Direct experience with Medicare Advantage Value-Based Care strategy and alternative payment model design
- Experience with provider network strategy and provider value-based contracting
- Experience with contract development, provider performance, or Medicare Advantage Stars
- Experience partnering with analytical teams and translating analytical findings into strategic insights and decisions
- Proven strategic thinking and execution
- Ability to drive decisions, create optionality, and determine impacts
Health Care Service Corporation Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Health Care Service Corporation and has not been reviewed or approved by Health Care Service Corporation.
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Retirement Support — A pension plan alongside a matching 401(k) is offered, an uncommon combination in the private sector. This combination is described as a standout element that helps retain employees.
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Healthcare Strength — Healthcare options are broad, with multiple medical, dental, and vision choices, wellness incentives, and access to resources like on-site fitness centers and an EAP. These offerings add meaningful value beyond base pay.
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Parental & Family Support — Paid parental leave (up to six weeks at full pay after one year), adoption assistance, and mothers’ rooms are available. These supports reinforce family needs alongside work commitments.
Health Care Service Corporation Insights
What We Do
Imagine Something New, Something Different. Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families. HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development. HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC. Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization. Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
