Director, Operations Performance & Analytics

Blue Cross of Idaho; Meridian (MS); On-site; USD 180,000 - 240,000; Full time

Job summary

Blue Cross of Idaho is seeking a Director for the Operations Performance Office to lead enterprise performance management across Claims, Customer Service, Membership, Payment Integrity and related functions at our Meridian, Idaho HQ.

The role reports to the Chief Information & Operations Officer and drives KPI management, dashboards, predictive analytics, and AI-enabled improvements to enhance quality, efficiency, and member experience.

Qualifications

• Minimum of 10 years’ experience in operational analytics and reporting with at least 5 years in managing teams.
• Minimum of 5 years’ experience in health plan or managed care operations, including Claims, Customer Service, Membership, Payment Integrity, or related functions.

Responsibilities

• Lead enterprise operational performance management through KPIs, SLAs, scorecards, and governance frameworks.
• Facilitate operational and executive performance reviews, ensuring accountability for results and remediation plans.
• Drive alignment between operational performance objectives, strategic priorities, regulatory requirements, and customer outcomes.
• Monitor operational trends, risks, and performance commitments across Operations.
• Support Star Ratings, HEDIS, CAHPS, and member experience performance monitoring in partnership with Quality and Stars program leadership, including performance commitments embedded in vendor agreements.
• Lead operational reporting, dashboards, analytics, and business insights to support executive decision-making.
• Ensure data integrity, consistency, and governance across performance metrics.
• Develop predictive analytics, forecasting models, and operational intelligence capabilities to identify trends, risks, and improvement opportunities.
• Drive adoption of AI, automation, and advanced analytics to improve reporting, quality monitoring, and operational decision support.

Skills

Operational analytics

Performance governance

KPI management

Data governance

AI & automation

Vendor management

Leadership

Healthcare operations

Quality assurance

Job description

Blue Cross of Idaho is seeking a Director for the Operations Performance Office to lead enterprise performance management across Claims, Customer Service, Membership, Payment Integrity and related functions at our Meridian, Idaho HQ.

The role reports to the Chief Information & Operations Officer and drives KPI management, dashboards, predictive analytics, and AI-enabled improvements to enhance quality, efficiency, and member experience.