About the role
- Responsible for the strategic planning and development of 3-year benefit strategy. Also participates in the annual benefit negotiation process with OPM. Responsibilities include responding to requests and proposals from OPM, preparing presentations for OPM and BCBSA Senior Staff.
- Facilitates year-end benefit implementation which includes the Call Letter response, writing and publication of the Benefit Policy Manual (BPM), the Administrative Procedures Manual (APM), the Plan Brochures, and all materials related to benefits. This entails working closely with all BCBSA FEP departments and the FEP Operations Center.
- Lead and manage a team with the aim of driving effective performance management, fostering professional growth, and creating a positive and inclusive work environment. This role is dedicated to utilizing strong leadership and communication skills to motivate and inspire team members, ensuring they are aligned with and committed to achieving the organization’s goals.
- Directs initiatives designed to advance operational excellence in relation to new and innovative product offerings in support of FEP's strategic goals and to advance the Blue Brand overall - to include provider network innovations needed to enhance product offerings. Evaluates competitor and Blue Plan commercial group activities to keep current on innovation in product design and benefit offerings. Utilizes information to recommend business strategy for potential innovations.
- Advances BCBSA's Mission and Culture by serving as a subject matter expert on behalf of the member benefit and provider network teams; serves as a representative on multiple internal work groups and Plan advisory groups. Takes a leadership role in educating staff and BCBS Plans on FEP benefits.
The posting range for this position is:
$113,008.00-$162,551.28
Qualifications:
Education
- Required Bachelor's Degree in Healthcare, Business Administration, related field or equivalent work experience.
Experience
- Required 7+ Years of health care experience with progressive responsibility in a management or leadership role
Knowledge Skills and Abilities
- Negotiation skills
- Proficient in Microsoft Office – including Word, Excel and Power Point.
- Outstanding written, oral communication and presentation skills
- Organizational skills with flexibility to adapt to rapidly changing production components and schedules
- Analytical and problem-solving skills
- Skilled in strategic planning and thought leadership
- Relationship management skills
Certifications & Licenses
- Preferred: CHC - Certified Healthcare Compliance - CCB
- Preferred: Professional, Academy for Health Care Management (PAHM)
#LI-Hybrid
The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Aplyr's read
Blue Cross Blue Shield is a collective of independent health insurers, ideal for professionals passionate about community health and complex regulatory environments.
What's promising
- •BCBSA offers diverse roles in policy, data science, and healthcare solutions.
- •Strong focus on community-based health initiatives and local operations.
- •Opportunities to work on advanced projects in AI and cybersecurity.
What to watch
- •Complex organizational structure with 36 independent entities may lead to bureaucratic challenges.
- •Navigating regulatory environments can be demanding and intricate.
- •Limited public information about internal culture and employee satisfaction.
Why Blue Cross Blue Shield
- •Federation model allows for localized decision-making and community engagement.
- •Significant involvement in federal and state healthcare policy development.
- •Pioneering roles in healthcare data science and artificial intelligence.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Blue Cross Blue Shield
The Blue Cross Blue Shield Association (BCBSA) is a federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. It provides health insurance coverage to millions of Americans.
