Business Case Development 

• Lead the development of business cases for strategic initiatives, technology investments, operational improvements, and capital requests. 

• Collaborate with stakeholders to define business problems, opportunities, objectives, assumptions, and success criteria. 

• Quantify financial and non-financial benefits, including revenue growth, cost savings, productivity gains, quality improvements, risk mitigation, and member experience enhancements. 

• Develop return on investment (ROI), net present value (NPV), payback period, and total cost of ownership (TCO) analyses. 

• Prepare executive-level presentations and recommendations for leadership review and approval. 

Capital Planning & Portfolio Support 

• Support annual and multi-year capital planning processes. 

• Evaluate and prioritize capital requests against strategic objectives, organizational value, and resource constraints. 

• Maintain capital project documentation, business case repositories, and investment tracking tools. 

• Monitor approved investments against forecasted benefits and business outcomes. 

• Assist leadership in developing investment roadmaps and prioritization frameworks. 

Strategic Analysis 

• Analyze market trends, competitive dynamics, regulatory changes, and Medicare Advantage industry developments. 

• Conduct research and benchmarking to identify opportunities for operational and strategic improvement. 

• Support enterprise strategy initiatives through quantitative and qualitative analysis. 

• Translate complex business requirements into actionable recommendations. 

Data & Financial Analysis 

• Gather, analyze, and interpret operational, clinical, financial, and member data. 

• Build forecasting models to evaluate initiative impacts and investment scenarios. 

• Create dashboards, reports, and performance metrics to measure business outcomes. 

• Identify key business drivers, risks, dependencies, and implementation considerations. 

Stakeholder Engagement 

• Partner with business leaders, project sponsors, and subject matter experts to gather requirements and validate assumptions. 

• Facilitate workshops, meetings, and interviews to assess business needs and opportunities. 

• Communicate findings effectively to both technical and non-technical audiences. 

• Provide ongoing support throughout initiative lifecycle planning and implementation. 

Job Requirements: 

Experience: 

Required:  

• 3-7 years of experience in business analysis, strategic planning, management consulting, healthcare finance, or related analytical roles. 

Education: 

Required:  

• Bachelors degree in Business Administration, Healthcare Administration, Finance, Supply Chain, Information Systems, or related field. 

Specialized Skills: 

Required:  

• Experience developing business cases, financial models, and executive presentations. 

• Strong analytical and problem-solving skills with the ability to synthesize complex information. 

• Advanced proficiency in Microsoft Excel and PowerPoint. 

• Experience working with data visualization and reporting tools such as Power BI, Tableau, or similar platforms. 

• Strong written and verbal communication skills. 

• Experience working cross-functionally with multiple stakeholders and leadership teams.