Head of Medicare Performance Hub

The Senior Director, Medicare Performance Hub (MPH) is a leadership role within the Blue Cross Blue Shield Association (BCBSA) Medicare business operations team. This individual will serve as the primary programmatic owner and operational lead for the MPH — a core enabling function designed to drive performance improvement in the areas of Star Ratings, Risk Adjustment, and Medical Cost Management.

The MPH leader will oversee the build-out, operationalization, and ongoing governance of the Hub, translating national program data and analytic insights into targeted, actionable guidance for Plans. This role sits at the intersection of analytics, clinical performance, provider performance, plan engagement, and vendor management — requiring a leader who can fluently navigate data-driven strategy while managing complex stakeholder relationships across internal BCBSA teams, Blue Health Intelligence (BHI), analytics platform partners, and the Blue System.

The Hub is designed to provide contract-level performance intelligence and member-level insights that enable Plans to execute local actions that improve Stars performance, coding accuracy, and medical cost outcomes. The MPH does not execute locally — it equips, enables, and holds Plans accountable. Plans retain responsibility for direct member and provider engagement; the MPH provides the intelligence infrastructure and consultative support that makes that engagement effective.

The MPH will

• Proactively identify benchmarks and performance targets across Stars, Risk Adjustment, and Medical Cost Management
• Monitor performance in real time where data and technology allow, and retrospectively identify gaps and remediation pathways
• Deliver actionable, member-level insights to Plans via dashboards and direct consultative engagement
• Coordinate with analytics platform partners, BHI, and BCBSA clinical and analytic staff to operationalize performance data
• Establish governance and accountab