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The hiring range for this role is: &nbsp;92,086.00 - 129,145.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.The Product Owner leads the efforts of defining the product backlogs by working closely with the team of business analysts, architects, technical SMEs and business owners. This role’s accountabilities include writing features, defining User stories, and working with Scrum Masters and business owners to align on business objectives and product implementation. Requires a solid knowledge foundation of business, operations and/or technical components of a health insurance organization.Follows the Agile methodology and process to support delivery. Participates in daily scrum stand-ups, retrospectives, product demonstrations and other scrum ceremonies. Writes Features and works with the team to define User Stories and manages them in the product backlog. Works with business owner to determine priority and assign the priority for Features and User Stories in the backlogs. Define the Minimal Viable Product (MVP) for the product features. Assists with communicating the technical challenges/hurdles to business owner and help resolve the issues related to business in working with the Production Support team. Provides inputs to business owner in defining the strategic business roadmap to achieve the program vision. Guides business analysts on how to break down the MVP into the User Stories and has oversight on effective User Stories. Provides inputs to the Scrum Masters on improvement opportunities with refinement sessions. Engages with business stakeholders to educate, learn, and provide input to support/improve Agile delivery. Supporting Team building and Team development by utilizing the abilities and skills of individuals and fostering a feedback culture. Develop materials for presentations and present product changes to stakeholders. Provide input in training materials through partnership with Member Education team.Education Bachelor’s Degree in related discipline or equivalent work experience within a similar environment Certifications Preferred but not required Product owner certification (Scrum or Scaled Agile Framework) Experience Minimum of 5 years’ experience in operations, IT, or business, with emphasis on product design/ development/ implementation 2 years related experience in the health insurance industry Experience in multi-tasking environment with ability to effectively assist and/or manage multiple projects concurrently; with the ability to function in a team-oriented, cross functional/matrixed environment Previous success as a Product Owner experience in a dynamic high-technology environment. Hands-on experience with Agile practices, Scrum process, Kanban etc. Skills Excellent communication, interpersonal and presentation skills. Analytical skills coupled with health insurance acumen. Organization, prioritization and time management skills. Business savvy to understand the product needs of the future and influence all stakeholders to prioritize them. Knowledge of Systems Development Lifecycle and the Project Management Lifecycle. Problem solving skills. Project Planning skills. People Management NoInternals onlyPlease note that if you are an internal living in a non-commutable state, you are welcome to apply. However, you will be required to visit the DC office onsite 20% of the time each month.#LI-Hybrid

Blue Cross Blue Shield Association

Product Owner

The hiring range for this role is: &nbsp;$290,000.00 - $330,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.Job Description Summary: The Vice President, Finance provides strategic leadership for BCBSA’s financial strategy, management, accounting, and technology services. Responsibilities include reporting to the Board and Finance and Audit Committee, overseeing Licensee Financial and Enrollment performance monitoring, and delivering high-quality services to Plan CFOs and senior financial constituencies. The position also focuses on building an adaptable, consultative, customer-focused team and maintaining expertise in industry best practices and technologies while fostering effective relationships with internal and external partners.Responsibilities include but are not limited to:<ul><li>Provide effective leadership to the Finance team, oversee the Management Team in managing the day-to-day operations. Coach, motivate, and implement appropriate training and career development opportunities for team members. This includes the communication and ongoing facilitation of performance feedback and appraisal processes. Serves as an active member of the BCBSA Senior Leadership Team</li><li>Provide leadership and strategic direction for the financial accounting function including payables, receivables, payroll, and tax preparation. Ensure there is an effective system of internal controls, including the development of financial policies and procedures. Work with internal and independent auditors to ensure reliable financial reporting, comply with applicable laws &amp; regulations, and safeguard Association assets.</li><li>Drive successful financial performance leveraging effective leadership of Financial Planning and Analysis, Decision Support, Forecasting, Budgeting, Resource Management and Management Financial Reporting. Builds and maintains consultative relationships with stakeholders across BCBSA, providing data and insights to support business decisions.</li><li>Oversee establishment and maintenance of system-wide policies on financial and enrollment reporting practices. Ensure credible Licensee financial and enrollment data is reported to BCBSA to support effective programs for licensure, compliance, and performance monitoring.</li><li>Manage the Insurance program for the Association and related Affiliate entities working with internal and external legal staff to evaluate risks, recommend insurance coverage where needed, and acquire coverage.</li><li>Develop and deliver high quality, timely, value-added services to Plan CFOs and other Plan executives.</li></ul>Required Education, Certifications and Experience:Education<ul><li>A Bachelor’s degree in Accounting or Business with an Accounting concentration which demonstrates knowledge of GAAP (Generally Accepted Accounting Principles) and Federal &amp; State regulations with CPA or MBA required</li><li>Master's Degree (Preferred)</li></ul> Certifications<ul><li>CPA (Preferred)</li></ul> Experience<ul><li>Ten (10) years of experience in a broad business background as well as a degree in Accounting or Business demonstrating extensive knowledge of GAAP, Government and non-government legal, regulatory and practice conventions required including FAR and CAS.</li><li>Eight (8) years of experience developing and managing staff</li></ul> Skills<ul><li>Knowledge of FEP, IRS and State regulations is required.</li><li>Demonstrated ability to manage, develop, motivate and provide leadership to management and staff.</li><li>Strong interpersonal skills required to lead in an employee empowered environment.</li><li>Demonstrated ability to manage multiple tasks in a fast-paced environment and the ability to effectively communicate results to senior management, other officers, Plan executives and board members of the Association.</li><li>Proficiency in various database and computer-based applications such as Workday, Power BI, Tableau, PeopleSoft, Excel, Word, and PowerPoint.</li><li>The ability to verify completed product, a detailed orientation is critical.</li><li>Effective written and verbal communication skills</li><li>Excellent organizational skills and demonstrated ability to manage multiple critical and time-sensitive activities in a fast-paced environment while maintaining poise and composure</li><li>Strong project management skills</li><li>Excellent customer service and a strong customer orientation and the ability to maintain and improve customer relations</li><li>Proven leadership abilities to guide staff in the development of new initiatives and system efficiencies; strong leadership skills to plan, manage, and direct operational functions with ability to implement change</li><li>Strong presentation skills and the ability to communicate concepts, issues, and proposals in a concise and compelling manner to small and large audiences at all levels in the organization as well as external parties; ability to conduct value-added and informative presentations to all levels of staff.</li></ul>Relationship management skills:<ul><li>Ability in the development and maintenance of business relationships</li><li>Ability in dispensing exceptional customer service and a strong customer orientation and the ability to maintain and improve customer relations</li><li>Strong quantitative, analytical, problem resolution skills, with financial concepts are preferred.</li></ul>People Management<ul><li>Yes</li></ul>#LI_HYBRID

VP, Finance

The hiring range for this role is: &nbsp;107,666.00 - 150,995.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.BCBSA Incentive &amp; Data Analytics Program Manager is responsible for the business analytical audits relating to the distribution of the BCBSA incentive programs, leads the development and design of business solutions, and applications that directly support the framework activities related to the BCBSA Audit Program that measures the performance of financial and operations controls. Identifies and drives process and system enhancements to improve efficiencies within the BCBSA Audit Program. Performs systematic data analysis including financial, medical claims, pharmacy claims, and member enrollment/eligibility data ensuring the interpretation of audit findings and development of recommendations and/or strategies to meet BCBSA core quality objectives. Develops and performs complex root-cause analyses, and data analyses to improve quality and efficiency of the core BCBSA Audit Program.Please note, this position has no direct reports.&nbsp;Provide leadership and management of the audit activities associated with the BCBSA Incentive program, develops, executes and maintains the automation infrastructure used to ensure the timely and accurate distribution of award payment according to projected schedules<ul><li>Leads projects to ensure the successful implementation of prepayment controls into the BCBS Claims System to ensure accurate claims' adjudication consistent with government contracts</li><li>Provides ongoing technical support to Audit teams and BCBS Plans throughout the life-cycle of all BCBSA or Affiliated companies' audits</li><li>Contribute and participates on initiatives and projects involving healthcare data and information solutions</li><li>Serves as liaison and SME working directly with BCBSA or Affiliated companies to ensure business requirements and functional requirements are developed for the successful implementation of system enhancements to resolve audit findings</li><li>Performs other work as directed</li><li>Specific formal software/system testing experience within a business environment; within a managed care or health services delivery setting; experience in software development and information systems integration; documenting System Requirements, Operational Requirements, Test and Evaluation and User and Administrator Training.</li><li>Experience in health care or government-contracting environment.</li><li>Blues Plan experience preferred.</li><li>Intermediate knowledge of auditing, finance and claims operations.</li><li>Advanced analytic skills in predictive modeling and risk stratification, including a working knowledge of quantitative analysis, prevalence, ROI, outcome measurements, benchmarks, trends and outliers. </li><li>Expert use of Microsoft 365, Excel, Visual Basic, Tableau, IDEA/Advantage Sweet and SQL programming language.</li><li>Ability to create strategies that support initiatives and translate these into action plans.</li><li>Ability to build consensus for business results in a decentralized decision-making structure.</li><li>Excellent interpersonal and communication skills</li><li>Ability to translate and present complex business concepts and/or quantitative information in a clear, concise and understandable manner. </li><li>Ability to plan, facilitate and present at meetings and conferences. Ability to interact effectively with senior management both internal and external to the Association.</li></ul>Skills<ul><li>Proficient use of Microsoft 365, Excel, Visual Basic, and SQL programming language</li><li>Analytic skills in predictive modeling and risk stratification, including a working knowledge of quantitative analysis, prevalence, ROI, outcome measurements, benchmarks, trends and outliers</li><li>Data modeling skills with Microsoft Access and development skills using VBA, SQL, forms and reports.</li></ul>Education Bachelor's or Master's Degree - Business administration with a concentration in management information systems or health care, or equivalent work experience.People Management No#LI-Hybrid

Manager of Data Analytics -FEP

The hiring range for this role is: &nbsp;107,666.00 - 150,995.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.Job Description Summary The Manager, Storytelling, is responsible for developing content that drives BCBSA's strategic agenda and amplifies the role of the Blue Cross Blue Shield System as the most influential voice in U.S. health care.Responsibilities include but are not limited to:<ul><li>Develop and edit content --including op-eds, blog posts, reports, social media copy, talking points, one-pagers, and web copy--for a variety of channels regarding BCBSA and Blue Cross and Blue Shield companies that strengthens the reputation of the organization and the BCBS Brand.</li><li>Collaborate with BCBSA subject matter experts and Plan storytellers to ensure alignment between storytelling efforts and broader organization and Plan initiatives.</li><li>Analyze the performance of content and assess the factors that contributed to the performance--continually advance understanding of our target audience and how they consume content--ensuring insights are factored into the planning of future efforts and shared with team members.</li><li>Manage content guidelines, production schedules and approval processes.</li></ul>Required Education, Certifications and Experience<ul><li>5 years experience telling stories through multimedia channels </li><li>Experience in communications/writing/multimedia, preferably in health care.</li><li>Advanced written skills</li><li>Advanced proofreading skills and use of AP Style with an acute eye for detail and quality</li><li>Ability to creatively and proactively advance business and advocacy goals</li><li>Ability to multi-task and thrive in challenging situations that require creativity, drive and commitment</li><li>Advanced ability to translate technical and complex information</li><li>Ability to work well under pressure, with demonstrated success at working under deadlines with tight time frames</li><li>Knowledge of health care industry</li><li>Problem-solving skills</li><li>Relationship building skills and ability to work in a collaborative environment</li></ul>Preferred Education, Certifications and Experience<ul><li>Bachelors Degree</li><li>Experience with data-driven approach to communications</li><li>Experience working in a large, matrixed organization</li><li>Previous public relations agency, trade association, political campaign, government or journalism experience</li><li>Project management skills</li></ul>People Management No#LI-HYBRID

Manager, Storytelling

The hiring range for this role is: &nbsp;125,870.00 - 176,525.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.The Product Director will have business ownership overseeing the full lifecycle development for one or more of the inter plan product capabilities. They will lead a cross functional direct/matrix team through strategy, vision and execution applying product management paradigms. They will gain BCBSA and Plan consensus and governance approval of proposed strategies to address market needs. Accountable for building cross-functional relationships and strategic partnerships to fully assess impact of solutions, gain adoption of solutions and to develop communication strategies. This includes building bridges internally and within Plans between business and technology staff through effective strategic planning and prioritization. Accountable for building and maintaining strong working relationships with vendor partners including Blue Health Intelligence (BHI) and Consortium Health Plans (CHP). Represent BCBSA interests in national and government/regulatory forums. Frequent Plan interaction to present business case for initiatives and gain consensus.Leads and directs the transformation of one or more Enterprise Data Solutions assets, transaction processing capabilities and information assets, enabling the Blues to distinguish themselves in the marketplace. As Business owner, be responsible for system solutions and development of inter-plan capabilities including but not limited to member/claims capabilities, informatics applications, consumer engagement applications, and data services. Leads and directs cross-functional efforts and develops business justification for solutions that meets goals and objectives. Proactively implements and explores new solutions in support of emerging business needs and enhanced efficiencies. Responsible for directing the assessment of alternate solutions including the analysis of Plan specific and System-wide impacts associated with solutions. Accountable for improving the functionality, efficiency, and quality of support to Plans for business application solutions and for interactions with EIT division. Leads long-term planning and strategy development for one or more products including identifying business value, resource requirements and budget/timelines to ensure successful implementation internally and with Blue Cross Blue Shield Plans. Leads and directs the development of business requirements in response to strategic priorities. Accountable for building bridges between business staff and technology staff through leadership of cross-functional relationships, strategic planning and prioritization of enhancements and new requirements. Responsible for ensuring all inter-dependencies are appropriately identified and accounted for. Responsible for the financial management of business application projects, initiatives and ongoing support and maintenance budgets, including the development and execution of long-term business plans for one or more National Programs applications. Accountable for gaining BCBSA, Plan consensus and governance approval of proposed inter-Plan business applications and technology solutionsEducation Bachelor’s and Masters Degree in business, information technology, data analytics, healthcare or the equivalent work experience. Experience 7 years’ of experience with the development and implementation of major initiatives including cloud based applications. 5 years’ experience managing staff and budget. 10 years’ experience in progressive health insurance, in combination of both product/business development and operations. 10 years’ experience in software development methodologies and product management. Experience leading large data warehouse and analytical applications. Experience leading organization-wide initiatives and building consensus for business results in a decentralized decision-making structure. Demonstrated ability to lead in a matrixed environment. Experience with Agile development methodologies. Project management experience; demonstrated ability to set priorities, lead a team to meet objectives for complex projects involving multiple stakeholders, and execute according to plans and budget. Experience in the development of product roadmaps and strategies preferred. Analytic experience relating health care data preferred. Skills Relationship management skills.: Ability to work across all levels of the organization, including working with BCBSA staff, Plan executive and management audiences and vendors., Strong customer-service mindset.; Ability to develop key business partnerships both internal and external, build peer relationships. Strong consensus-building skills in a decentralized decision-making structure. Data analytical skills; ability to analyze data and processes, options, and alternatives to provide recommendations; analyze alternatives to derive final recommendations. Communication skills (oral and written): Demonstrated ability to effectively communicate recommendations, solutions, and project status to customers, senior management. Ability to communicate across multiple business and technology teams. Problem resolution skills: Ability to gain various viewpoints and arrive at critical decisions. The ability to problem solve independently and as part of a team. Demonstrated strategic thinking and approach to problem solving. Effective organization, presentation, and negotiation skills Ability to demonstrate good judgment and critical thinking skills relative to problem analysis/resolution at both the strategic and functional levels. Demonstrated ability to influence outcomes preferred. Extensive knowledge of Health Care industry and Health insurance systems and processes preferred. People Management YesInternals onlyPlease note that if you are an internal living in a non-commutable state, you are welcome to apply. However, you will be required to visit either the DC or Chicago office onsite work 20% of the time each month.#LI-Hybrid

Product Director

The hiring range for this role is: &nbsp;92,086.00 - 129,145.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.As the Program Manager of OPM relations, provides primary support with execution of all coordination and project management activities and ensuring excellence with the customer relationship with OPM, AFHO, Blue Plans, and all other FEP constituencies related to FEHBP. Manage communications with OPM (e.g. OPM Site Visits, Issue Log resolution, Carrier letter response coordination, Service Charge proposal document, SalesForce, etc.) working seamlessly and collaboratively with stakeholders across the FEP organization for on-time, defect-free delivery of all requests.OPM Relations | Support the Director of OPM Relations and also serve as an additional liaison between the FEP Director’s Office (FEPDO) and OPM contract specialists with responsibility for interactions and relationship management related to day-to-day issues and initiatives with the agency. Supports effective customer relationship management through consistent and aligned communications; timely and quality deliverables; efficient resolution of disputes/conflicts; and other related activities. Manages the service Charge proposal by coordinating staff for Service Charge Proposal and OPM Site Visits. Process Management | Proactively identifies issues and manages actions to execute projects and initiatives focused on establishing, improving and maintaining effective internal process management (e.g. OPM Site Visits, Issue Log resolution, Carrier letter response coordination, and service charge proposal document). Business Owner for the FEP Hub's Emergent Issues in the SalesForce Tile that involves a series of interconnected responsibilities in developing requirements, supervising deliverables and analytics, developing reports and dashboards, and extracting/analyzing data to make recommendations for FEP Hub Improvements Plan Relations | Collaborates on the design and execution of end-to-end projects that focus on communications with both internal and external FEP customers. Ensures that all communications are aligned and consistent, advocating FEP interests accurately; and that selected communications vehicles are appropriate for delivering messages to the properly identified audiences. Proactively identifies opportunities and initiates strategies for improving communications between the FEPDO and its customers—Plans, BCBSA, OPM and internal staff. Manage the collection, reporting, communication, and support associated with OPM Site Visits. Work in close collaboration with Finance to analyze, manage, and oversee budgeting and accounting for overall spend. Customer Communications | Collaborates on the design and execution of end-to-end projects that focus on communications with both internal and external FEP customers. Ensures that all communications are aligned and consistent, advocating FEP interests accurately; and that selected communications vehicles are appropriate for delivering messages to the properly identified audiences. Proactively identifies opportunities and initiates strategies for improving communications between the FEPDO and its customers—Plans, BCBSA, OPM and internal staff.Education High School Bachelors Degree High school degree or equivalent work experience Bachelor’s degree in health care or related field or equivalent work experience Certifications Project Management Professional Certification Experience 5 years of experience with an FEHBP plan in an account management role 5 years of experience supporting Project Managers in a PMO (Project Management Office) or corporate setting, underscoring a significant tenure of practical involvement and support in project management activities At least three years' experience managing communications for a government or non-governmental organization (NGO). Experience managing and maintaining FEP Hub Emergent Issues in support of OPM matters. Skills FEP (Federal Employee Program) knowledge is preferred, highlighting the advantage of familiarity with the specific products and services offered to federal employees, which can significantly impact the effectiveness of project delivery and stakeholder engagement. Demonstrates proficiency in building and sustaining strong levels of customer trust and confidence. The ability to establish and maintain high levels of customer trust and confidence is critical for fostering long-term relationships and ensuring customer satisfaction. Effective communication skills including verbal, written, and presentation skills. This competency is essential for clear and persuasive communication with stakeholders, teams, and customers, facilitating successful project outcomes and collaborative efforts. Knowledge of MS Office Suite of products and Adobe Ability to work effectively both independently and in a team-based environment Demonstrated willingness to be flexible and adaptable to changing priorities The ability to establish and maintain high level customer trust and confidence Demonstrated team leadership skills Organizational and time management skills The ability to research and analyze data or process questions/inquiries Demonstrated experience in analyzing and responding to complex sets of information and/or the processing of information requests Must be proficient with database and other software applications, including MS Word and PowerPoint Interpersonal skills and relationship development abilities Multi-tasking skills People Management No#LI_HYBRI

Prog Mgr OPM Relations

The hiring range for this role is: &nbsp;107,666.00 - 150,995.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.Develops (authors) evidence-based medical policy reviews to provide timely, clinical effectiveness information on medical technologies (i.e., procedures, devices, diagnostic tests, and drugs). Analyzes medical evidence and drafts medical policy, including complex analyses and evidence synthesis, for review by the BCBSA Medical Policy Panel (MPP-a panel comprised of Plan clinicians/medical directors) and in select cases review by the BCBSA Medical Advisory Panel (MAP-an external panel comprised of nationally recognized experts in technology assessment, clinical research and clinical practice).Identify, critically appraise, and summarize scientific literature and clinical practice guidelines for medical technologies (procedures, devices, diagnostic tests and drugs). Perform thorough and objective analysis of the research design and validity of conclusions of current literature and unpublished data. Prepare clear, documented and defensible reports that summarize this information as evidence summary reports for presentation to the MPP and MAP. Provide technical expertise to facilitate the Panel’s review processes. Contribute to the scientific quality, credibility and consistency of BCBSA Reference Medical Policies through participating in the peer review process and various learning activities (e.g., Learning Sessions, Journal Clubs, Medical Advisory Panel meetings, team meetings). Utilize expertise in designated clinical specialty to serve as resource to Medical Policy Services (MPS) staff and the MPP. Additional MPS project work contribution: Support MPS Leadership in managing/performing various MPP-related operations and other special projects as requested (e.g., Contribute to research needed for updating search strings, research on topics salient to the BCBSA external engagements and quality measure when requested, etc.)EducationRequired - Master's Degree; MPH, MHA, MS or equivalent in biomedical or biostatistical science, clinical evaluation research, or epidemiology.Preferred - PhD, PharmD Experience Medical, regulatory, compliance, research, or healthcare writing experience or primary publication history demonstrating proficiency in literature review, evidence synthesis, and interpretation of clinical data on health outcomes Skills Research and/or clinical experience in scoping, literature review, and evidence synthesis of clinical data on health outcomes Demonstrated methodological skills in evaluation of clinical trial design, quality, and relevance. Ability to work independently to generate, synthesize and analyze data, reports and tables.Agility to conduct research in multiple clinical categories Technical proficiency with information technologies (e.g. Microsoft Office) and literature-searching. Excellent verbal and written communication skills, problem solving and organizational abilities. Demonstrated ability to manage multiple projects with overlapping timetables. Demonstrated presentation skills to facilitate the review and understanding of materials. Experience in working collaboratively with physicians, clinical investigators and research scientists. Ability to work effectively as a team member. People Management No#LI_HYBRID

Sr Clinical Research Consultant

The hiring range for this role is: &nbsp;107,666.00 - 150,995.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.Job Description Summary: This role oversees the design, development, administration, and optimization of Blue Cross Blue Shield Association’s web properties. This role involves close collaboration with business stakeholders, designers, IT partners, developers, content creators, and marketing professionals to ensure top-notch performance, user experience, search engine optimization, and stability.Responsibilities include but are not limited to:Primary Job FunctionsWebsite Management: Oversee content management solutions platforms day-to-day operations including development, maintenance, enhancements, integrations and performance. Manage regular website release schedule and follow agile sprint cycle. Ensure adherence to accessibility and usability guidelines for all websites. Engage and collaborate with technology counterparts to ensure successful testing of all system updates, upgrades, launches, enhancements, system integrations. Help manage third-party partners and vendor, tracking and communicating progress, and monitoring performance. Also includes publishing of new pages and approved content and updating existing content as requested by business stakeholders—employing SEO, UX/UI, accessibility and web design best practices.Cross-Functional Collaboration: Work closely with key stakeholders such as business stakeholders, designers, IT partners, developers, content creators and marketing professionals to ensure effective use of the CMS platforms and identify ways to improve the visitor experience. As needed, act as a liaison between IT and business owners, representing business needs in regard to enhancements and defect resolution.Leadership: Guide the workloads and responsibilities of direct report(s) as they support the day-to-day operations of the company’s internal and external web platforms.Performance Management: Utilize data and insights to continuously optimize web experiences, track performance metrics, and identify opportunities for improvement.Required Education, Certifications and Experience:Education<ul><li>Required: Bachelors Degree</li></ul>Experience<ul><li>Required: 5+ years of web development, design or management, digital marketing, or related roles. Worked closely with and understand information architecture, user experience, analytics, testing and development. </li><li>Required: Hands-on experience working in development, staging and production of a wide array of CMS environments.</li></ul> Certifications<ul><li>Required: Google Analytics certification and experience working within Google tools, such as Google Tag Manager, Search Console, Google 360, Looker Studio, etc. </li></ul> Knowledge, Skills, and Abilities<ul><li>Expert knowledge of a wide array of CMS platforms, including Drupal, SharePoint, dotCMS.</li><li>Functional knowledge of Adobe Creative Suite software (Photoshop, Dreamweaver, etc.)</li><li>Familiarity with email marketing software and campaign creation</li><li>Ability to work against tight deadlines in a fast-paced environment, and work on multiple projects simultaneously.</li><li>Must be a self-starter, highly motivated, strategic and adaptable thinker that develops innovative solutions and delivers against tight deadlines while keeping a keen eye on detail and accuracy.</li><li>Commitment to stay at the front of the industry regarding digital trends, continuously bringing outside perspectives and best practices.</li><li>Strong analytical skills, and proven track record in making data-driven decisions to continually optimize performance and determine future work and investments.</li><li>Knowledge of web programming languages, including HTML, CSS, SQL, JavaScript, and PHP, is required.</li><li>Ability to work against tight deadlines in a fast-paced environment, and work on multiple projects simultaneously.</li></ul><ul><li>Revenue Management: No</li><li>Budget Management: Yes</li><li>People Management: Yes</li></ul>#LI_HYBRID

Website Manager

The hiring range for this role is: &nbsp;125,870.00 - 176,525.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.This role spearheads the Commercial Markets' initiatives to bolster the success of Blue Cross and Blue Shield Licensees by formulating and executing strategic priorities. These priorities augment the value of national programs, encompassing policy formulation, compliance stewardship, vendor oversight, budget establishment and maintenance, and the advancement of BlueCard operational programs. Anticipates market opportunities, proactively deploying solutions, and ensuring the daily operations of national solutions align with the Plans' and market's expectations. Leadership role necessitates close collaboration with cross-functional teams and stakeholders within BCBSA, Plans, and other entities to fortify existing programs and introduce new ones, and maintain the programs' market leadership. Leads the engagement and cooperation with essential internal and Plan stakeholders, formal workgroups, and Governance committees to facilitate the development and endorsement of solutions that deliver value to BCBS Plans, their accounts, consumers, and providers.Primary Job Functions<ul><li>Strategic Positioning - Responsible for creating and executing strategic plans and solutions that meet evolving market needs, including evaluating the effects on specific Plans and the System as a whole. Ensures that solutions align with market demands for accessible care, cost reduction, and enhanced efficiency. Guides teams to develop inventive and original solutions to meet market needs, as well as supporting improvements to current programs. Leads the creation and implementation of a multi-year business strategy that responds to present and future market challenges, BCBS Plan objectives, and the crafting of communications that highlight the value of the program.</li><li>Program Operations - Leads, directs, and establishes strategic priorities for the operations of all national programs, ensuring they demonstrate market leadership and fulfill Licensee requirements for national solutions. Oversees third-party relationships, including vendor selection, contract negotiation, and management, as well as daily operations, performance auditing, operational issue resolution, Plan education, and billing. Defines and implements system modifications and enhancements to the vendor systems that support Inter-Plan Programs Operations. Oversees the development and implementation of system changes and improvements for vendor systems that support the messaging of national program value and value analytics, including research on program value and effectiveness. Works closely with cross-functional teams and stakeholders within BCBSA, Plans, and external partners to ensure National Programs achieve success metrics, including operational SLAs, and foster growth and enhancement of quality and value. Guides the development, interpretation, and enforcement of compliance with policies for new and ongoing initiatives supporting all national programs. Collaborates with policy, legal, Brand, and other divisions to align License Agreements and Inter-Plan Policies, ensuring consistency across all governing documents.</li><li>Team Development - Leads and mentors staff to support the creation and enhancement of new solutions and improvements to existing programs, including evaluating Plan-specific and System-wide impacts. Ensures the department's success by selecting, overseeing, training, and assessing staff performance and the effectiveness of their contributions towards departmental goals. Provides impactful coaching and feedback to staff members and supports staff professional development.</li><li>Financial Oversight - Ensures the responsible oversight of revenues and expenses linked to national solutions, ensuring that programs are executed within budget and revenue goals are achieved.</li></ul>Education, Experience, and CertificationEducationBachelor’s degree in business or operations or equivalent experience.Preferred: Masters degree in business, health care, or equivalent experience.ExperienceRequired/Preferred Years of Experience Description Required 10 Years10 years’ business or operations experience within the healthcare industry. 10 years’ experience in project management and/or development and implementation of major initiatives in support of large national accounts. 7 years prior experience managing staff and budget.Knowledge, Skills, and AbilitiesSkills<ul><li>Experience with strategic thinking and approach to problem solving.</li><li>Ability to develop key business partnerships both internal and external.</li><li>Effective organization, presentation, negotiation and communications skills (oral and written).</li><li>Ability to demonstrate good judgment and critical thinking relative to problem analysis/resolution at both the strategic and functional levels.</li><li>Ability to build effective relationships with cross-functional teams.</li><li>Demonstrated interpersonal skills for building and fostering key relationships.</li><li>Strong consensus-builder and negotiator.</li></ul>People ManagementYes#LI-Hybrid

Director, Implementations Program Operations

The hiring range for this role is: &nbsp;92,086.00 - 129,145.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange 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.&nbsp;This job is also eligible for annual bonusincentivepay.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.Job Description Summary: This position provides Workplace Services (WPS) support for all BCBSA employees, visitors, and vendors. It serves as the primary point of contact for building management, third-party service providers, and WPS staff for onsite event coordination. Responsibilities include vendor management, contracting, invoicing, and coordination of the WPS operating budget. The role requires regular interaction with all levels of BCBSA employees to address space and building system issues in real-time, ensuring high-level customer service. The ability to manage multiple WPS projects concurrently and maintain strong relationship management skills is essential.Responsibilities include but are not limited to:Primary Job Functions<ul><li>Building Management Liaison: a) Monitor building management against lease requirements for office. Act as liaison between building management and employees providing communication of building access, maintenance, and other events. b) Coordinate with all WPS team members for on-site perspective regarding building management and outsourced service providers performance. c) Function as BCBSA WPS representative with regular meeting and coordination with building management to ensure awareness of any all changes to building policies/procedures, access, and events.</li><li>Vendor Management: a) Procure and manage All WPS vendor resources to provide janitorial, repairs and maintenance services, furniture repair/maintenance, and leasehold improvement to the premises, ensuring timely and effective delivery of services and efficient and competitive use of budgeted and approved resources. b) Source and prepare vendor procurement requisitions and documentation; schedule and coordinate installation; oversee maintenance of attic stock material inventory and overall management of WPS internal and ancillary storage spaces.</li><li>BCBSA WPS Customer Service Liaison: a) Regularly meet with Executives and Executive Assistants s across departments/divisions to ensure all needs related to office space, systems, and WPS vendor are being performing at high level. b) Ensure all WPS communications are accurate and up to date on BCBSA internal website, helpdesk email inbox, and Service Now Facilities management system. c) Provide representation of BCBSA WPS team for all onsite events and activities ensuring a high level of support and customer service.</li><li>WPS Technology Management: a) Secondary WPS Technology Administrator for the Security Access Control keycard system as well as Service Now WPS Maintenance System. b) Function as liaison with the internal IT department and vendors for all WPS technology/systems. Manages the data entry and upgrades for each system. c) Provide administration of Save-A-Space Reservation system management, including coordination of larger meetings events with catering team and room setup/breakdown requests for all employee meetings and events.</li><li>WPS Budget &amp; Financials: a) Track and manage monthly operating expenses in coordination with WPS team members. Prepare vendor proposals for forecasting/budgeting submissions to the Finance department. b) Provide analysis of WPS operating expenses to ensure the effective, efficient and competitive use of budgeted and approved resources. c) Review Facility Management invoices for services and/or goods received, accuracy, and prepare invoices for approval and payment working closely with procurement and accounts payable departments.</li></ul>Required Education, Certifications and ExperienceEducation<ul><li>Required: Associate Degree or equivalent experience</li></ul> Certifications<ul><li>Preferred: CFM (IFMA designation of Professional Facilities Manager) or FMA (BOMI equivalent of Professional Facilities Manager).</li></ul> Experience<ul><li>Required: Minimum of five years of experience in office administration, facility, or property management. Experience with ServiceNow or similar workflow management tool.</li><li>Preferred: Computer-Aided Facilities Management (CAFM) experience </li></ul>Knowledge, Skills, and Abilities<ul><li>Ability to be in-person, in office at least four days a week.</li><li>Ability to have attention to detail</li><li>Ability to demonstrate a sense of urgency is required.</li><li>Ability to prioritize and perform multiple assignments simultaneously.</li><li>Ability to professionally interact with all staff levels including Senior Leadership.</li><li>Ability to interact effectively with third-party service providers.</li><li>Ability to work independently, with little direct supervision</li><li>Proficiency in Microsoft software applications: Word, Excel, PowerPoint.</li><li>Exceptional customer service skills.</li><li>Excellent written and verbal communication skills.</li></ul><ul><li>Revenue Management: No</li><li>Budget Management: Yes. Develops and contributes to budget for the All facilities (including support services); monitors budget; manages individual project budget as necessary.</li><li>People Management: Yes</li></ul>

33 Blue Cross Blue Shield Association Jobs