Capital Blue Cross · 2 weeks ago
Manager of Government Programs Performance Analytics
Harrisburg, PA
Full-time
Onsite
Senior Level, Lead/Staff
$99K/yr - $186K/yr
8+ years expCapital Blue Cross is committed to going the extra mile for their team and community. This high-impact analytical role supports financial performance and strategic business insights for Medicare Advantage, ACA, and CHIP lines of business, providing data-driven insights and performance optimization strategies to senior leadership.
ConsultingHealth CareHealth InsuranceProfessional Services
Responsibilities
Support financial strategy, forecasting, and performance oversight for Medicare Advantage and ACA portfolio
Support financial planning cycles, including annual operating plans, forecasts, and long-range strategic planning for government programs
Analyze medical cost trends, revenue drivers, and margin performance to inform executive decision-making
Act as a thought leader and financial advisor to internal department stakeholders
Direct the development of performance dashboards and executive scorecards for continuous monitoring and accountability
Support CMS and state regulatory filings
Serve as a subject matter expert on market dynamics and payer economics
Qualification
Required
8 years of progressive analytical experience in healthcare, financial management or related roles
Bachelor's degree in finance, Actuarial Science, Economics, Health Administration, or related discipline required
Exceptional strategic and analytical thinking with demonstrated ability to connect data and financial insights to enterprise-level strategy
Expert financial modeling and forecasting capability; strong actuarial skills, strong grasp of healthcare cost and revenue drivers. Excellent executive communication skills
Proven ability to drive complex initiatives in a matrixed organization
High proficiency in financial and data tools such as Excel, SQL, Power BI/Tableau, and statistical modeling platforms
Strong leadership skills
Proven ability to translate complex analytics into strategic action
Deep knowledge of Medicare Advantage and ACA regulations, bid and rating structures, payment methodologies, risk adjustment, STARS, and medical loss ratio (MLR) requirements
Strong understanding of CMS guidelines
Familiarity with clinical/utilization management and network strategies
Preferred
Prior experience in a payer environment is strongly preferred
Advanced degree (MBA, MPH) or professional certification (FSA, ASA, CFA) strongly preferred
Benefits
Medical, Dental & Vision coverage
Retirement Plan
Generous time off including Paid Time Off
Holidays
Volunteer time off
Incentive Plan
Tuition Reimbursement
Company
Capital Blue Cross
At Capital Blue Cross, we promise to go the extra mile for our team and our community.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Todd Shamash
President and CEO
Glenn Heisey
Executive Vice President and Chief Operating Office
Recent News
2025-10-02
2022-10-14
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