Remote Medicare Performance Hub Director

Blue Cross and Blue Shield of Kansas Inc.; Chicago (IL); Remote; USD 198,000 - 278,000; Full time

Benefits offered by this job

Paid time off

11 holidays

Medical/dental/vision insurance

401(k) matching

Job summary

Blue Cross Blue Shield Association seeks a Senior Director for the Medicare Performance Hub to lead the program that drives Stars, Risk Adjustment, and Medical Cost Management across Plans. You will own governance, analytics, and vendor relationships, translating national insights into plan-level actions and performance improvements.

The role requires extensive leadership of multi-stakeholder initiatives, with responsibility for data strategy, dashboard delivery, and escalation frameworks to

Qualifications

• Experience in Medicare Advantage program management.
• Strong ability to translate data insights into actionable plan guidance.
• Proven multi-stakeholder program leadership in national blue plan environment.

Responsibilities

• Lead the MPH design, implementation, and ongoing management.
• Develop MPH operating model and governance with Plans and vendors.
• Oversee data integration and analytics requirements across data sources.

Skills

Star Ratings

Risk Adjustment

Medical Cost Management

Vendor management

Plan engagement

Data analytics

Education

BS or equivalent experience

MS in Health Administration or related

Tools

VRDC

NDW

Job description

Blue Cross Blue Shield Association seeks a Senior Director for the Medicare Performance Hub to lead the program that drives Stars, Risk Adjustment, and Medical Cost Management across Plans. You will own governance, analytics, and vendor relationships, translating national insights into plan-level actions and performance improvements.

The role requires extensive leadership of multi-stakeholder initiatives, with responsibility for data strategy, dashboard delivery, and escalation frameworks to