Manager of Government Programs Performance Analytics

Capital Blue Cross • Harrisburg, PA

68d

About The Position

This high-impact analytical role supports the financial performance and strategic business insights for our Medicare Advantage, ACA, and CHIP lines of business. Responsible for providing data-driven insights, financial planning, performance optimization strategies, and regulatory alignment to senior leadership.

Requirements

• Exceptional strategic and analytical thinking with demonstrated ability to connect data and financial insights to enterprise-level strategy.
• Expert financial modeling and forecasting capability; strong actuarial skills, strong grasp of healthcare cost and revenue drivers.
• Excellent executive communication skills.
• Proven ability to drive complex initiatives in a matrixed organization.
• High proficiency in financial and data tools such as Excel, SQL, Power BI/Tableau, and statistical modeling platforms.
• Strong leadership skills.
• Proven ability to translate complex analytics into strategic action.

Nice To Haves

• Deep knowledge of Medicare Advantage and ACA regulations, bid and rating structures, payment methodologies, risk adjustment, STARS, and medical loss ratio (MLR) requirements.
• Strong understanding of CMS guidelines.
• Familiarity with clinical/utilization management and network strategies.

Responsibilities

• Support financial strategy, forecasting, and performance oversight for Medicare Advantage and ACA portfolios.
• Support financial planning cycles, including annual operating plans, forecasts, and long-range strategic planning for government programs.
• Analyze medical cost trends, revenue drivers, and margin performance to inform executive decision-making.
• Act as a thought leader and financial advisor to internal department stakeholders.
• Direct the development of performance dashboards and executive scorecards for continuous monitoring and accountability.
• Support CMS and state regulatory filings.
• Serve as a subject matter expert on market dynamics and payer economics.

Benefits

• Medical, Dental & Vision coverage
• Retirement Plan
• Generous time off including Paid Time Off, Holidays, and Volunteer time off
• Incentive Plan
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree