Vice President of Healthcare Economics Job O'Fallon area,Missouri USA,Healthcare

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

Candidates applying to this position may be hybrid or remote and can live in one of the following states:
Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas.

The Vice-President of Healthcare Economics is a transformational leader who can balance operational excellence with innovation. This leader must deliver measurable affordability results today while designing the next generation of healthcare value creation. This position is the owner of medical cost analytics, accountable for explaining what drives healthcare cost trend, and leading the affordability agenda to respond to it. Success also requires envisioning and building a future in which Blue Cross and Blue Shield of Nebraska (BCBSNE) moves beyond being a payer of claims to becoming a trusted orchestrator of health, proactively guiding members towards better outcomes, improved experiences, and more affordable care.

What

you'll do:

Cost Management & Affordability Strategy:
Design and lead enterprise strategies to manage total cost of careand affordability, directly supporting BCBSNE's broader enterprise priorities. Direct analytics for trend,forecasting and provider economics across all lines of business, and partner with actuarial, finance, market segment leaders, and network and value-based care to inform pricing, contracting, and value-based strategy.

Lead the trend and affordability committee.
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 predicative 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 framework sand 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 predicative 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 health care 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…