• Model the end-to-end Professional Services flow (Pipeline > Bookings > Backlog > Resource Allocation > Revenue Recognition) • Own monthly variance drivers and build scenario modeling with "what-if" capabilities • Own the quarterly re-forecasting process, building out a bottoms up perspective and project level targets to help drive consistency and accountability across bookings and forecasting • Leverage CoCo and Raven to accelerate SQL development, automate validation, and generate natural language insights • Translate demand forecasts into role-based capacity requirements (Solution Architects, Data Engineers, Consultants, Trainers) • Move the business from Just-In-TIme Staffing, to future capacity forecasting based on demand • Identify skill gaps, capacity bottlenecks, and recommend rebalancing before hiring • Champion internal AI tools to transform planning workflows

Job Description This role is responsible for providing advanced analytical and modeling expertise supporting value-based care performance measurement and population risk normalization. The Sr. Population Risk Performance Analyst applies population risk models to attributed member populations to ensure accurate, consistent, and defensible financial and quality performance measurement across value-based care programs. The role operationalizes risk and actuarial modeling methodologies to support total cost of care evaluation, performance reconciliation, forecasting, and provider settlement processes. This position partners closely with actuarial, finance, clinical economics, and value-based care operations teams to ensure performance outcomes appropriately reflect population acuity and contractual measurement intent. This role is distinct from coding-based risk adjustment functions and focuses on performance measurement methodology and financial normalization. What You Will Do - Apply population risk and actuarial models to normalize performance measurement across value-based care programs. - Operationalize CMS-HCC, Milliman, and comparable population risk methodologies for performance evaluation and financial measurement. - Support development and maintenance of risk-normalized total cost of care and quality performance metrics. - Validate performance measurement methodologies used in shared savings, downside risk, and alternative payment models. - Analyze population risk movement and evaluate impacts on program financial performance and provider outcomes. - Partner with actuarial and finance teams to align modeling assumptions with contractual measurement logic. - Identify and investigate performance variances driven by population acuity, attribution changes, coding variation, or data completeness. - Support performance year reconciliation, settlement calculations, and financial exposure analysis. - Define and document measurement methodologies, assumptions, and model governance controls. - Collaborate with analytics and data engineering teams to integrate risk modeling logic into reporting and measurement pipelines. - Provide analytical expertise supporting provider performance reviews and measurement inquiries. - Translate complex modeling outcomes into clear insights for operational and executive stakeholders. - Ensure consistency and repeatability of population measurement processes across programs and performance periods. - Serve as subject matter expert for population risk interpretation supporting value-based care strategy and operations. What You Bring - Bachelor's degree or advanced degree in healthcare administration, business, public health, or related field. - 5+ years of experience in related field. - In lieu of degree, 7+ years of experience in related field - Demonstrated experience working with population risk models including CMS-HCC and Milliman methodologies (or equivalent). - Experience analyzing healthcare claims and eligibility datasets. - Strong SQL and analytical data experience. Preferred Qualifications - Experience supporting Medicare Advantage and Commercial value-based care programs. - Familiarity with total cost of care measurement and shared savings models. - Experience collaborating with actuarial, finance, or clinical economics teams. - Knowledge of attribution methodologies and population performance analytics. - Experience supporting provider settlement or reconciliation processes. #LI-Hybrid Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Analytical Analysis, Data Analysis, Data Analysis Reporting, Data Analytics, Data Engineering, Data Governance, Data Mining, Data Science, Identifying Trends, Trend Analysis_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. Accountable for occupancy planning and space management analysis and coordination. To ensure efficient utilization and optimization of Horizon’s real estate portfolio, the role provides occupancy and space planning support and analysis to the enterprise on various levels, including conducting reviews, developing scenarios, tracking KPIs, and ensuring accurate database management. Collaborates closely with the Real Estate team on projects and engages cross-disciplinary partners to develop and implement initiatives and standards. Responsibilities: - Determine current and future space management and occupancy planning needs by conducting assessments, analyzing data and creating forecasts. Prepare space analyses, develop strategies, and make recommendations that align with organizational goals. - Coordinate occupancy planning projects and scenario development, from programming and test fitting to implementation and presentation. - Assist with the development of occupancy scenario plans, analyze utilization data, and engage with various stakeholders to develop innovative solutions to space requests. - Support and manage customer expectations, conduct annual reviews and quarterly updates of space and occupancy planning work. - Facilitate meetings with relevant stakeholders, provide agendas, minutes, and project management fundamentals. - Report on and support program updates on a weekly, monthly, and quarterly basis, highlighting risks and opportunities. - Coordinate space among user groups to maximize real estate usage while enhancing adjacencies for improved collaboration and workflow. - Create and maintain templates and processes to standardize space requests, provide solutions, and build efficient space programs. - Partner with the real estate team on design management, review architectural plans, support with test fits, and support the move management team on large capital projects. - Support Real Estate in all programming, project support, presentation, and Business Case Analysis development. Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Education/Experience: - High School Diploma/GED required. - Bachelor’s degree preferred, or related experience in lieu of degree. - 2 - 3 years of experience in space utilization and occupancy planning, workplace design, and related disciplines is a plus. - Not required, but positive consideration will be given to candidates with Change Management experience including developing, analyzing, and implementing workplace strategies. Knowledge: - Strong knowledge of PowerPoint, Word, Excel, and Teams - Strong ability to analyze a variety of data sets and expertise in operating various technologies and database applications including reservation-based software. - Team-oriented mind-set and comfortable working independently and with a broader team. - Familiarity with architectural drawings; furniture, fixtures, and equipment; design and space planning concepts; project management knowledge. Skills and Abilities: - Excellent problem solving and critical thinking skills. - Excellent interpersonal and organizational skills with the ability to manage multiple projects simultaneously. - Ability to effectively partner with business owners to deliver flexible space solutions. - Written and Verbal Communication to convey information across divisions and departments at all levels. - Strategic thinking and ability to analyze situations and identify opportunities that align with strategic goals. - Utilize strong interviewing and listening skills to interpret and translate customer's stated business needs into scope and space requirements. - Demonstrate a high degree of flexibility in adapting to rapidly evolving business needs, effectively resolving new requirements and scope challenges. - Apply critical thinking to dynamically address planning challenges, ensuring thoughtful and well-rounded solutions. Travel: - Domestic travel as required. Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Salary Range: $70,500 - $94,395 ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: - Comprehensive health benefits (Medical/Dental/Vision) - Retirement Plans - Generous PTO - Incentive Plans - Wellness Programs - Paid Volunteer Time Off - Tuition Reimbursement Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Why MSI? We thrive on solving challenges. As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers’ unique needs. We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products – from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property – delivered through agents, brokers, wholesalers and other brand partners. Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle. Bring on your challenges and let us show you how we build insurance better. Position Summary: The Analyst for Vendor Management is responsible for overseeing the full lifecycle of vendor relationships—from onboarding through offboarding—ensuring alignment with organizational goals, budgetary controls, risk mitigation, and regulatory compliance. This role will serve as the central point of contact for vendor oversight, working cross-functionally with Finance, Legal, IT, and business units to optimize vendor performance and safeguard enterprise interests. Principal Responsibilities: Vendor Lifecycle - Design, build and lead end-to-end vendor processes including onboarding, coordination of contract execution, performance monitoring, and offboarding. - Maintain a centralized vendor master file with active coordination across departments. Budget and Financial Oversight - Collaborate with the Chief Technology Officer and then with Finance where needed to monitor vendor spending, ensure budget adherence, and support cost optimization initiatives. - Where applicable, manage the Capitalization of internal and external colleagues where their roles are marked for evaluation and build and execute these quarterly requirements. - Develop and continuously improve reporting capabilities for Upper Management to track budget deviations across business units. Vendor Relationship Management - Serve as the primary tactical liaison for strategic vendors, fostering long-term partnerships and resolving conflicts. Risk and Compliance - Perform vendor risk assessments and categorize vendors by criticality and exposure. - Ensure compliance with internal policies and external regulations (e.g., NYDFS). - Coordinate due diligence efforts and manage third-party risk questionnaires. - Oversee the overall execution of the Third-Party Risk Management Program. Process Improvement and Governance - Develop and implement vendor management policies, procedures, and governance frameworks. - Support audits and provide documentation for regulatory reviews and internal controls Knowledge, Skills, and Abilities: - Bachelor’s degree in business administration, Information Technology, Finance, Supply Chain, or related field. - 5+ years of experience in vendor management, procurement, or compliance. - Strong understanding of contract negotiation, vendor performance metrics, and risk frameworks. - Excellent verbal and written communication, analytical, and project management skills. - Ability to work independently and manage multiple vendor relationships simultaneously. - Strong planning, structure and analytical skills - Must have ability to collaborate and solve difficult problems, combining the ability to prioritize and function well in a dynamic environment - Ingrained sense of accountability and ownership - Continuous drive for learning, pushing technical limits, and finding new solutions - Experience with GRC tools and third-party risk platforms is a plus - Adaptability and growth mindset. Thrives in a collaborative environment and continuously seeks opportunities for improvement Special Working Conditions: - Fast-paced environment - Must be able to interact effectively with various levels of management - Must be able to adapt and implement new control procedures as necessary - Must be able to proactively and effectively communicate status updates to upper management as required - Remote work capability with secure and reliable internet connection Technical, Computer, And System-Specific Skills Required: - Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) - Ability to learn any other appropriate program or software system used by the firm as necessary - Proficiency in Microsoft Office Suite: Expert level in Microsoft Word for document creation, formatting, and template management. - Document Management Systems: Experience with SharePoint, or similar platforms for document storage, collaboration, and version control. #LI-JW2 #LI-REMOTE Click here for some insight into our culture! The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.