National Accounts Manager
Sonova Group
SFDC
Manager – Government Programs Performance Analytics
Capital Blue Cross
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $98,880 - $186,290 per year
Job Level
SeniorLead
Tech Stack
SQLTableau
About the role
- Support financial strategy, forecasting, and performance oversight for Medicare Advantage and ACA portfolios
- 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
Requirements
- 8 years of progressive analytical experience in healthcare, financial management or related roles
- Prior experience in a payer environment is strongly preferred
- 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
- Bachelor’s degree in finance, Actuarial Science, Economics, Health Administration, or related discipline required
- 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
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
financial modelingforecastingactuarial skillsdata analysisstrategic planningperformance monitoringmedical cost analysisrevenue analysisrisk adjustmentstatistical modeling
Soft skills
strategic thinkinganalytical thinkingexecutive communicationleadershipinitiative drivingstakeholder engagementcomplex problem solvingdata translationthought leadershipaccountability
Certifications
FSAASACFAMBAMPH
