Director, Government Programs - Planning & Consulting

Blue Cross Blue Shield of Michigan•Detroit, MI

About The Position

The Director Government Programs- Planning & Consulting position is responsible for driving the execution of strategic analytic priorities for Government Programs and CFO areas through business planning, consultation, and delivery oversight of data, analytics, and modeling capabilities. This role promotes the use of AI, automation, and best-in-class technology across teams; drives organizational priorities and business outcomes as the consultative partner across analytics, operations, and modeling teams by managing and coordinating execution of insights, tools, and governance. The Director leads, organizes and executes governance of Medicare Advantage analytics ecosystem working closely with MA segment leadership; establishes internal consultative intake and delivery of best-in-class data and advanced analytics / AI driven insights to support key segment initiatives and goals; partners with other government programs analytics functions and other key stakeholders (IT/analytics center of excellence) to standardize tools and drive adoption of emerging technologies. This position also represents the organization in cross-functional planning forums and ensure business needs are reflected in enterprise roadmaps (transformation office). Governance and Planning: Lead governance of Medicare Advantage Analytics Ecosystem and CFO area data/analytics projects and represent Government Programs & CFO priorities across enterprise planning forums. Align roadmap execution to enterprise strategic goals (e.g., AIP priorities), driving accountability and transparency. Establish Demand and Intake Management Processes: Drive demand and intake processes for modeling, analytics, and insights requests to align end user customer asks; collaborate with Government Programs and CFO leadership and key Ecosystem partners to prioritize, estimate, and plan work efforts. Drive Consultation and Advisory: Provide subject matter consultation to business units to optimize delivery of insights and operational tools; ensure optimal use and build of data assets collaborating with IT and other analytics groups. Support Execution Management: Monitor, coordinate, and manage execution of analytics and data tool delivery including dashboards, operational reporting, and advanced analytics products. Ensure on time, in-scope delivery across workstreams. Advance Standardization and Innovation: Partner with analytics groups and IT to standardize tools and drive adoption of emerging technologies and AI to ensure the organization enhances and optimizes data and analytics insights for Government Programs and the enterprise. Coordinate Stakeholder Engagement: Represent the organization in cross-functional planning forums and ensure business needs are reflected in the Government Programs Analytics group & Actuarial Services roadmap. Direct the activities of assigned business units including strategic planning, problem-solving, staff development and communication. Develop goals and objectives for assigned business units that support the organization’s strategy, products, and services. Collaborate across business units with key stakeholders to align business objectives. Oversee the development and implementation of business unit policies, systems, and processes. Lead, direct, evaluate and develop business unit leadership and team members. Provide effective and efficient solutions to complex business problems. Prepare and present formal presentations, documents, updates, etc. to executive leadership.

Requirements

Bachelor’s degree in Business, Health Administration, Analytics, or related field.
Eight years of experience in analytics delivery, healthcare consulting, strategy, computer science, engineering, or planning within health plans or government programs.
Previous experience leading a team is required.
Program and project management experience across analytics and business teams with strong business and communications skills (i.e., strong experience managing cross-functional programs with analytics components).
Strong consulting and facilitation skills, with experience coordinating across stakeholder groups and proven ability to influence matrixed organizations.
Strong understanding of Government Programs and payer finance, actuarial, and analytical processes, with the ability to translate between business needs and data/analytics requirements.
Innovation mindset and thought leader with the ability to drive operational change across a multitude of stakeholder groups.
Ability to synthesize different perspectives, summarize technical delivery progress, and present clear value propositions to senior executives and operational leaders.
Ability to effectively lead, coach and develop team members.
Ability to foster teamwork and work effectively in a cross-functional team environment.
Advanced organizational, planning, analytical, and problem-solving skills.
Ability to solve practical problems and deal with moving variables in situations with limited standardization and alignment.
Advanced knowledge of corporate organizational structures, including functional responsibilities.
Advanced verbal, written communication, and interpersonal skills.
Ability to influence others to achieve business unit objectives.

Nice To Haves

Master's Degree (MBA or MHA) in a related field is preferred.

Responsibilities

Lead governance of Medicare Advantage Analytics Ecosystem and CFO area data/analytics projects and represent Government Programs & CFO priorities across enterprise planning forums.
Align roadmap execution to enterprise strategic goals (e.g., AIP priorities), driving accountability and transparency.
Drive demand and intake processes for modeling, analytics, and insights requests to align end user customer asks; collaborate with Government Programs and CFO leadership and key Ecosystem partners to prioritize, estimate, and plan work efforts.
Provide subject matter consultation to business units to optimize delivery of insights and operational tools; ensure optimal use and build of data assets collaborating with IT and other analytics groups.
Monitor, coordinate, and manage execution of analytics and data tool delivery including dashboards, operational reporting, and advanced analytics products. Ensure on time, in-scope delivery across workstreams.
Partner with analytics groups and IT to standardize tools and drive adoption of emerging technologies and AI to ensure the organization enhances and optimizes data and analytics insights for Government Programs and the enterprise.
Represent the organization in cross-functional planning forums and ensure business needs are reflected in the Government Programs Analytics group & Actuarial Services roadmap.
Direct the activities of assigned business units including strategic planning, problem-solving, staff development and communication.
Develop goals and objectives for assigned business units that support the organization’s strategy, products, and services.
Collaborate across business units with key stakeholders to align business objectives.
Oversee the development and implementation of business unit policies, systems, and processes.
Lead, direct, evaluate and develop business unit leadership and team members.
Provide effective and efficient solutions to complex business problems.
Prepare and present formal presentations, documents, updates, etc. to executive leadership.