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Strategic Planning and Performance, Consultant - Medicare image - Rise Careers
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Strategic Planning and Performance, Consultant - Medicare

Job DescriptionYour RoleThe 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.Your WorkIn 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 expectationsQualificationsYour 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 achievement• Ability to influence and communicate effectively with people at all levels, including executivesPay Range:The pay range for this role is: $ 118800.00 to $ 178200.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.About The TeamBlue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!Our Values:• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.• Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.Our Workplace Model:Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That’s why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.Two ways of working: Hybrid (our default) and office• Hybrid – In a business unit approved office a few times per year to 3 days per week, on average• Office – In a business unit approved office 4+ days a week, on average. If the role you’re applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.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.Please click here for further physical requirement detail.Equal Employment Opportunity:External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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$67K
$104K

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Full-time, hybrid
DATE POSTED
August 15, 2024

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