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.

The ideal candidate will live within driving distance of the Omaha, Nebraska office. This position allows remote flexibility but will have 1 day per week in the office.

If living in one of our approved states (Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas) – this person may travel to our headquarters based on business needs.

What you'll do:

• Develop reports to track, trend, and analyze metrics necessary to evaluate performance under each value-based contract and across the portfolio of contracts.
• Create, modify, maintain, and enhance existing business processes, contracts, program data, and methodologies to support value-based care initiatives.
• Develop financial models, processes and/or create solutions, using analytic tools, to produce accurate and timely completion of value-based care initiatives.
• Monitor and reconcile value-based care financial payment processes and program performance measurement (finance/cost and utilization).
• Interpret, communicate, and present results to all levels of management in consistent and easy to understand formats to facilitate fact-based decision-making.  Update financial dashboards for all levels of leadership.
• Build and maintain close working relationships with internal stakeholders and key external client contacts (e.g. Providers/VBC Partners, Internal Clinicians, Vendors, BCBS Association, Blues Plans, Auditors).
• Participate in internal and external audits, surveys, process and procedure documentation, system modernization changes and associated activities, regarding value-based care initiatives, to ensure ongoing compliance to standards.
• Maintain knowledge of current business processes, policies, and procedures and evaluate impact to these by changes, pending or actual, in federal or state regulations or BCBS Association mandates.

To be considered for this position, you must have:

• Bachelor’s degree in computer science, information systems, analytics, business, healthcare administration, or another relevant academic field.

• Minimum of 2 years of experience in a healthcare environment, including value-based care support, or a related experience.

• Strong planning, organizational, interpersonal, verbal, and written communication skills.

• Proficiency with Microsoft Office applications.

• Demonstrated ability to work in high paced environment, handling multiple responsibilities and projects.

• Ability to build and maintain productive working relationships with others.

• Proactive about requesting enough information to fully understand and meet the business need.

• Previous experience with alternative payment models and concepts.

• Experience with the Agile project delivery methodology.

• High standard of performance, while pursuing aggressive goals.

• Ability to deal with ambiguity and make recommendations with less that complete or conflicting information.

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 customers.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

The strongest candidates for this position will also possess:

• Intermediate proficiency with visualization tools such as PowerBI.

• Ability to engage and collaborate with team members and business stakeholders at all levels of the organization.

• Ability to make decisions in a timely manner, sometimes with incomplete information and under tight deadlines.

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.