Health Econ Strategy:

• Lead the population health analytics function, stratifying populations by cost, condition, and risk to identify actionable cost and utilization drivers.
• Develop affordability strategies leveraging predictive risk identification and personalized member engagement.
• Work collaboratively with the Chief Medical Officer and leaders of medical and pharmacy management to quantify opportunities and outcomes.
• Establish consistent methods to measure utilization, unit cost, acuity, and trends.

Identify Emerging Risks and Savings Opportunities:

• Establish affordability targets, measurement frameworks, and reporting.
• Translate data and analytics into strategic recommendations for internal and external audiences, including BCBSNE customers, the Executive Leadership Team, and Board-level audiences.

Team Leadership:

• Lead and develop teams of analysts and economists supporting population health and cost-strategy work, including provider economics, unit-cost modeling, contract term evaluation, fee schedule impact analysis.

Partnerships that Drive Action and Outcomes:

• Partner with market segment leaders and business function owners to translate findings into accountable action plans.
• Drive action plans to measurable outcomes for specific populations and for the enterprise.

Innovation and Future-State Affordability:

• Design and test new leading indicators and models that proactively influence health outcomes before high-cost events occur.
• Advance BCBSNE in predictive analytics, event-driven health management, behavioral economics, and personalized interventions.

To be considered for this position, you must have:

• Advanced degree or proven experience in health economics, public health, biostatistics, or a related field.
• 8 to 12 or more years of experience in healthcare economics, population health analytics, or health plan strategy.
• Demonstrated people-leadership experience managing analyst or economist teams.
• Strong track record translating complex data into executive-level strategy and recommendations.
• Experience working across fragmented data environments.
• Experience working cross-functionally and leading through influence in a matrix-style environment.
• An equivalent combination of education and experience may be substituted for this requirement.
• The ability to meet or exceed the attendance and timeliness requirements of their departments.
• The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

The strongest candidates for this position will also possess:

• Experience designing or implementing event-driven healthcare models.
• Experience with behavioral economics and incentive design.
• Track record leading healthcare transformation initiatives.
• Demonstrated thought leadership regarding the future of healthcare financing and consumer engagement.
• Payer-side experience, ideally with ACO or value-based care strategy exposure.
• Experience with CMS Innovation Center models and provider risk arrangements.
• Familiarity with integrating non-traditional data sources, such as social determinants, behavioral, and retail data, into population health models.

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective, and background will lead to a better workplace for our employees and a better product for our customers and members.