E-Verify Program

Product Manager

• Lead the development of innovative products that advance affordability and simplicity in healthcare.
• Accountability for defining product vision and roadmap with BCNC.
• Oversee end-to-end product lifecycle: ideation, development, launch, and optimization.
• Responsibility for pricing strategy and analysis.
• Lead and mentor a team of product managers and analysts, fostering a culture of innovation and accountability.

Head of Product and Pricing

Manager

• Oversees the day-to-day operations in support of all facets of the laboratory operation.
• Ensures effective operation and maintenance of all laboratory equipment, manages testing, develops and manages budgets, meets customer service levels, and regulatory requirements.
• Manages staff including scheduling, performance management, and fostering employee engagement.
• Monitors and oversees implementation of process improvements to meet or enhance quality and service targets.
• Takes accountability and resolves next level escalation on customer service issues.
• Assists in developing and implementing operations budget.
• Monitors financial, volume, and productivity data to meet targets.
• Implements cost reduction opportunities when identified.
• Develops and maintains laboratory policies and procedures.
• May have accountability for management of a non-laboratory department.
• Performance management of employees, including performance reviews.
• Hires and onboards new employees.
• Trains, orients, and maintains competencies for employees.
• Maintains scheduling, time off approval and timecard sign-off.
• Maintains optimal staffing.

Laboratory Manager

Financial Planning and Analysis

• Lead a team responsible for financial planning, forecasting, and reporting across all Medicare and Federal Employee Program (FEP) products.
• Manage a team of financial analysts, providing mentorship, performance feedback, and professional development opportunities.
• Oversee recruitment, onboarding, and retention to retain top FP&A talent, fostering a high-performing and collaborative team culture.
• Set clear goals and KPIs for the team, aligned with organizational strategy and Medicare financial objectives.
• Partner with cross-functional leaders to enhance financial performance and strategic decision-making for Government Markets.
• Conduct ad-hoc financial analyses to ensure thorough diligence and support informed decision-making.
• Produce and deliver financial performance reports that provide transparency into market health and profitability.
• Support financial planning and forecasting for Medicare and FEP, identifying and sizing risks and opportunities.
• Monitor market-level P&L performance, escalating financial risks and variances to Government Market leadership.
• Coordinate inputs from cross-functional stakeholders—including risk, implementation costs, and operational impacts—to support optimal product pricing.
• Perform financial gap analyses and communicate findings to business partners to drive corrective action and strategic alignment.
• Develop and maintain dashboards and KPIs to monitor financial performance, operational efficiency, and strategic initiatives.
• Provide financial analysis for capital investments, strategic initiatives, and new market entries within the Medicare segment.
• Partner with internal audit and compliance teams to ensure financial processes and reporting meet regulatory and internal standards.
• Educate non-financial stakeholders on Medicare financial dynamics to support informed decision-making across departments.

Director, Financial Performance – Government Markets

Actuary

• Lead a team of actuaries responsible for pricing, forecasting, and strategic support of Medicare Advantage, Medicare Supplement, and Part D (PDP) products.
• Oversee the Medicare Advantage bid development and submission process, coordinating efforts across internal teams and external consultants.
• Demonstrate executive presence and communicate effectively across all levels of the organization, including presenting recommendations to Finance and Executive Leadership.
• Collaborate with product, pharmacy, finance, and actuarial teams to support bid strategy, pricing decisions, and profitability analysis.
• Influence and shape Medicare Advantage bid strategy to align with financial goals and broader business objectives.
• Provide financial leadership on CMS updates and regulatory changes impacting Medicare pricing and reimbursement.
• Drive continuous improvement in pricing operations, including automation, process optimization, and bid execution.
• Facilitate the development of long-term pricing strategies that support organizational goals and respond to evolving market dynamics.
• Communicate clearly and consistently with actuarial peers, internal stakeholders, and senior leadership.
• Manage a team of people leaders and individual contributors, fostering professional growth and developing subject matter expertise across the team.
• Oversee recruitment, onboarding, and retention to maintain a strong Medicare pricing team.
• Allocate resources effectively across projects to ensure timely delivery of pricing recommendations, regulatory filings, and internal forecasts.
• Maintain continuing education requirements as defined by the appropriate actuarial governing body (e.g., Society of Actuaries).

Director, Actuarial Services – Medicare Pricing

• Define and manage the product roadmap, including prioritizing features, creating product functional requirements, managing the product backlog, and working with engineering to align release schedules.
• Work closely with the data and software engineering team to ensure alignment on product, customer, and business objectives.
• Develop and manage product documentation, including user guides, release notes, and training materials.
• Collaborate with sales and marketing teams to develop go-to-market strategies and sales campaigns.
• Track key performance indicators to measure product success and drive improvements.
• Stay up-to-date with industry trends and competitive landscape to inform product development and strategy.
• Conduct market research and customer engagements to identify customer needs and market opportunities.

Risk

• Develop, maintain, and continuously improve the IT controls framework including documentation, risk management, training, and associated processes
• Provide oversight of the IT audit process within IT and track open audit findings, test exceptions, and systemic issues
• Serve as subject expert and provide counsel to leaders and business areas on IT controls and audits
• Improve IT software development lifecycle processes, document them, and implement controls
• Identify systemic weaknesses in IT controls, provide guidance on resolution, and escalate as needed
• Create, implement, and manage processes, policies, procedures, standards, and controls for IT risk management
• Lead highly complex IT process change initiatives impacting multiple divisions and manage/prioritize a portfolio of change initiatives
• Develop and enforce AI governance policies to ensure ethical, transparent, and accountable use of AI systems
• Collaborate with data science and engineering teams to assess AI-related risks and integrate mitigation strategies into the IT controls framework
• Monitor regulatory developments related to AI and ensure organizational compliance with emerging standards and legislation

Senior IT Governance Analyst, AI Governance

Strategy

• Support the implementation of healthcare redesign, provider reimbursement and partnership strategies
• Manage development efforts related to enhancement and maintenance of products and market offer components
• Assist with strategic planning, complex financial/qualitative analysis and thought leadership
• Present strategic concepts, planning data, medical expense/reimbursement rates, provider performance metrics and impact assessments
• Organize, optimize, and communicate progress towards completion of work portfolio
• Collaborate with other departments as a representative for healthcare delivery transformation and/or reimbursement strategy
• Analyze and monitor industry, regulatory, technology and market trends affecting operations and payer-provider dynamics
• Support operational improvements with new analysis/reporting capabilities, project management techniques or consulting approaches
• Provide pharmacy sales support and develop custom pharmacy pricing