field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

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

Blue Cross Blue Shield Association

VP, Finance

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;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;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.Key responsibility for building and maintaining critical BCBS Plan/Client relationships with management staff responsible for operational performance of the Federal Employee Program (FEP). Plays a key role in providing strategic guidance, solving complex business problems and drive organizational efficiencies to improve Plan/Client operational performance. Serves as a trusted advisor to Plan/Client, providing insights and recommendations to Plans that drives to strengthen alignment with FEP strategic business objectives and goals. Influences and directs Plans/Clients to improve operational excellence and achieve critical business outcomes that positively impact Federal Employee Member satisfaction and overall Program performance. Collect, analyze and interpret client/Plan performance data to provide innovative and data-driven solutions, unique to client/Plan needs. Plans and executes Plan Training Townhalls/Conferences that promotes comprehensive understanding and knowledge of the Federal Employee Program and fosters government contracting compliance. Monitors and assess impacts of large-scale Program-wide projects to unique Plan/Client needs. Collaborate with Plan/Client leadership to understand business goals and develop annual business plans that support their Plan/Client administrative costs budget proposals and maximize operations performance. Acts as a resource for Plan Leadership and provides guidance when needed.Influences and manages Plans relationships:<ul><li>Drives operational excellence that aligns with FEP Strategy, achieving business success measures and driving Plan satisfaction.</li><li>Provides guidance and direction to Plans to implement performance improvements and program initiatives to affect change and consistently achieve excellent performance scores on PIP and member satisfaction.</li><li>Evaluates and analyzes Plans’ internal business processes, procedures and policies to identify opportunities for process and/or performance improvements that drives operational excellence and efficient business processes that have favorable impact on the Plans' efforts to manage FEP administrative costs.</li><li>Develops and executes Plan business strategies that are aligned with the Program strategy and objectives that drive operational excellence and cost efficiencies.</li><li>Continuously monitor Plans' performance to proactively resolve issues before impacting their performance.</li></ul>Timely resolution of Plan questions and issues:<ul><li>Accountable for ensuring timely and accurate resolution of Plan questions and issues relative to operational performance and contract administration.</li><li>Partners and collaborates with other BCBSA/FEP business units, including Program Integrity, Care Management, Provider Network Management, FEP Operations Center, etc., to resolve Plan specific and global issues related to the administration of FEP as defined by the OPM contract.</li></ul>OPM/CPR audit responsibilities:<ul><li>Provides direction and support to Plans to reduce operational audit findings identified in OPM and/or CPR audits.</li><li>Consults with Plans to implement process improvements to resolve and minimize recurring OPM and CPR audit findings and reduce Program risks relative to uncollected funds for benefits overpayments.</li><li>Collaborates with Program Assurance to coordinate activities to timely resolve audit issues affecting the Plans and financial exposure to the Program.</li></ul>Annual Conference accountabilities/Project Management<ul><li>Acts as business leads accountable for planning and executing the conferences and trainings that provide a venue for all Plans to meet with the BCBSA/FEP to exchange information, provide directional guidance, and address national issues in the contract administration of FEP.</li><li>Leads and facilitates the Operations Advisory Workgroup (OAWG), which is a cross-functional Plan advisory group accountable for providing the BCBSA/FEP with recommendations and feedback on claims, customer service, and care management initiatives and policies.</li><li>Leads, plans, and executes Plan training that provides education and direction to Plans’ new management and staff responsible for FEP business functions.</li><li>Conducts and leads FEP Core Business Initiatives critical to the operations of the Program. (SC Plan and FEPOC Business Portability, FEP Business Contingency).</li><li>Provides business expertise on cross-functional projects/committees to provide guidance on issues impacting local Plans and to address/mitigate any potential adverse impact on Plans and the Program.</li></ul>Education Bachelor’s degree in business or a related discipline, or equivalent years of related experience Certifications Experience<ul><li>5+ years’ work experience, with in health insurance operations.</li></ul><ul><li>Advance experience and understanding of health plans' operational business procedures/processes.</li></ul><ul><li>Extensive experience with account/relationship management with the ability to maintain strong business relationships.</li></ul><ul><li>2 or more years’ experience working as FEP Plan leadership, in Operations with demonstrated outstanding performance.</li></ul> Skills<ul><li>Superior relationship management skills with demonstrated ability to maintain strong relationships with key with business partners.</li></ul><ul><li>Demonstrated comprehensive understanding of BCBS Plans’ FEP operations.</li></ul><ul><li>Exceptional negotiating skills with the ability to influence Client/Plans’ behavior to drive business objectives.</li></ul><ul><li>Advance analytical and conceptual skills with ability to analyze and resolve problems/issues timely and accurately.</li></ul><ul><li>Advance negotiation and strategic thinking skills with the ability to influence Client/Plans’ behavior to drive Program success.</li></ul><ul><li>Analytical skills with ability to identify and prioritize critical business issues.</li></ul><ul><li>Exceptional presentation skills and experience presenting to various size groups.</li></ul><ul><li>Excellent communication skills, both oral and written.</li></ul>People Management NO#LI_HYBRID

Sr Manager Plan Ops

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.Job Description Summary: Responsible and accountable for overall delivery of Enterprise Information Technology (EIT) technical solutions initiatives. Serves as the single point of contact within EIT for delivery of complex technology solutions. Works cross-departmentally and cross-organizationally to ensure the successful delivery of EIT technology solutions initiatives.Responsibilities include but are not limited to:Technical Solution Delivery: Accountable for overall technical solution delivery for assigned initiatives. Serves as the central point of contact within the organization for successful delivery of assigned overall technical solutions. Responsible for EIT cross functional coordination (Systems Analysis, Software Engineering, Performance Engineering, Product Verification, Service Delivery, Customer) to ensure overall delivery objectives are met. Serves as the primary point of contact for Business, Senior EIT Management, and EPMO to ensure successful overall EIT technical solution delivery. Solution Delivery Controls: Establishes and maintains effective overall controls for technical solution delivery initiatives. Works with business and EPMO to define overall solution scope. Works with EIT functional teams to estimate requested scope and identify team resource work capacity. Balances scope estimates and capacity to ensure overall technical solution delivery can be successfully accomplished. Works with business and EPMO areas to address any gaps in scope verses capacity. Works with all teams to identify and document technical delivery milestone dates. Reviews estimates and verifies cross-team consistency. Accurately documents and manages assumptions for technical solutions delivery. Concisely and clearly provides status updates on technical solution delivery initiatives. Ensures adherence to all technical solutions methodology processes and practices, including reviews, walkthroughs and sign-offs. Leadership: Provides overall cross-team leadership to drive technical solution delivery to a successful conclusion. Works proactively to identify and address issues. Works with all EIT teams and BCBSA teams, to identify and implement solutions to issues. Maintains momentum of all teams to achieve overall technical solution delivery. Relationship Management: Works across all teams in a collaborative and effective manner. Navigates solutions to issues with a win-win approach, where all stakeholder needs and inputs are considered and balanced. Maintains positive and constructive working relationship with all participants in the technical solution delivery initiatives. Application of Technical Skills: Works on an as-needed basis as a hands-on technologist, applying technical skills in the development and delivery of technical solutions. Follows established technical solutions methodology processes and practices throughout the technical solutions delivery initiatives.Required Education, Certifications and Experience:Education<ul><li>High School Diploma or GED</li><li>Bachelor’s Degree in Computer Science, Information Systems, Business Administration or equivalent work experience.</li><li>Master's Degree (preferred)</li></ul> Certifications<ul><li>AWS Certified Cloud Practitioner (preferred)</li><li>Certified AWS solution architect and security (preferred)</li></ul> Experience<ul><li>Minimum 10 years of IT work experience including application system design and implementation.</li><li>Experience developing and integrating technical solution components.</li><li>Experience with Value-based, Care Management, or Disease Management analytics platforms</li><li>Experience leading technical delivery programs and projects, including, managing the full SDLC, issue/risk resolution, status reporting, dependency management, technical team communication, and deployments</li><li>Experience managing and controlling technical delivery release scope, including, soliciting business priorities from Business customer directly and leadership team, organizing scope into releases, building roadmaps, key tasks lists, manage scope changes, and communicating scope augmentations to program leadership, project management, and technical team</li><li>Experience managing technical estimates, including, estimation planning, managing the technical team to deliver estimates, and writing vendor Statement of Work verbiage</li><li>Experience with vendor relationship management, including, assuring vendors are meeting contract expectations, conducting deliverable reviews, and providing formal documented vendor feedback</li><li>Experience with program and project procurements, budgeting, and forecasting, including, managing contract project dollar allocations and progress toward contract dollar limits for all projects on contract, vetting contract modifications, partnering with enterprise procurement team, and approving invoices</li><li>Experience with implementing and identifying opportunities for project/program technical delivery improvements, including, process improvements, quality management improvements, knowledge sharing/knowledge management improvements, collaboration tool improvements, and program reporting tool improvements</li><li>Experience with multiple development methodologies, including RUP and Agile.</li><li>Experience in Office 365 suite of tools, including but not limited to SharePoint Online, Groups, Teams, Yammer, OneDrive, Power BI, Power Automate.</li><li>Blue Cross Blue Shield Plan experience (preferred)</li></ul> Skills<ul><li>Strong background and deep understanding of healthcare industry Value-based, Care Management, or Disease Management data, Business processes, and their member lifecycle</li><li>Ability to discuss key Value-based, Care Management, or Disease Management topics and analytics with Business partners at their level of competence of the topic</li><li>Strong facilitation skills with driving Business experts to decisions and technical teams to solutions</li><li>The ability to develop and maintain business relationships</li><li>Excellent presentation development skills and verbal presentation skills</li><li>Strong technology project management skills</li><li>Strong team-oriented interpersonal and communication skills to cultivate positive working relationships</li></ul> People Management<ul><li>No</li></ul>#LI_HYBRID

Technical Solutions Director

The hiring range for this role is: &nbsp;$180,000.00 - $215,000.00This 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 Managing Director, Security Operations, Incident Response &amp; Threat Hunting will manage the team responsible for various security services in domains of Security Operations, Incident Response, and Threat Hunting. This role will lead a team of security engineers, analysts, and administrators responsible for maintaining security infrastructure, responding to security alerts, investigating/triaging security incidents, performing forensics detailed forensics analysis, building detection and monitoring rules, and building custom incident response tooling.Responsibilities include but are not limited to: ​<ul><li>Manage all SoC operations, technology administration, threat hunting programs, Incident response processes.</li><li>Establish processes to measure and report on team performance and business value.</li><li>Work with various business stakeholders to demonstrate the business value and operational outputs of the team at an executive level.</li><li>Ensure that forensic evidence is preserved and can be used for legal proceedings if necessary.</li><li>Research and monitor emerging security technologies, understand current industry and technology trends and opportunities, and assess their impact to the business.</li><li>Conduct research to identify new attack vectors facing BCBSA computing environment.</li><li>Work with and influence business contacts in regards to technology controls, risk mitigation techniques related to application layer security.</li><li>Develop and maintain applicable incident management program metrics for continual measurement and improvement.</li><li>Manage and motivate teams with diverse skills and backgrounds.</li><li>Assess and prioritize security risks and formulate effective risk management mitigation plans.</li><li>Collaborate with cross-functional teams to integrate security measures into business processes and applications.</li><li>Regularly review and update security documentation to reflect changes in the threat landscape and business requirements.</li><li>Participate in security audits, assessments, and certification processes.</li><li>Work closely with legal and compliance teams to address any security-related legal and regulatory requirements.</li><li>Lead incident response efforts, including investigation, containment, and resolution.</li><li>Lead post-incident analysis and implement corrective actions to prevent future occurrences.</li><li>Participate in the selection, implementation, and maintenance of security technologies.</li><li>Communicate effectively with stakeholders, addressing security concerns and providing guidance on best practices.</li><li>Assist in security-related documentation (RFPs, PPTs, etc.)</li></ul>Required Education, Certifications and Experience<ul><li>Bachelors Degree Computer Science, Information Technology, or related field required.</li><li>Minimum of 10 years information security experience with a heavy technical focus and with 7 years of progressively increasing responsibility.</li><li>Minimum of 5 years in a leadership position as a hiring manager or team lead capacity with experience developing and leading staff.</li><li>Experience/knowledgeable in conducting audits of information systems and their application to ensure accuracy of information and promote operational efficiency</li><li>Experience acting in a security incident response role with responsibility of analyzing alerts/threats, responding accordingly, developing incident response plans and procedures</li><li>Experience documenting incident cases and managing lessons learned meetings</li><li>Experience in working with Managed Security Service Providers (MSSPs) and ensuring alignment to agreed upon SLAs.</li><li>Experience in implementing and managing core TVM systems and processes such as: Security Event Management, Vulnerability Management, Web application firewall, data base monitoring, forensics toolsets, firewalls, proxies, packet captures, etc.</li><li>Experience in managing Information Security operational and capital budgets.</li><li>Experience with implementation of technical security architectures within a large enterprise environment is preferred.</li><li>Competency in making operational decisions, monitoring progress and reporting results.</li><li>Ability to communicate at all levels, with experience in leading operational review meetings with business partners and executives that may range from technical resources to VP/SVP.</li><li>Technical domain knowledge along with understandings for the costs for delivering the required services</li><li>Competency to Interpret and summarize technical information for presentation to non-technical business contacts</li><li>Knowledgeable in security technologies, procedures, and best practices to include functions such as Web Application Firewalls, Intrusion Detection Systems, Endpoint Detection and Forensics, SIEM, and Vulnerability Scanning</li></ul>Preferred Education, Certifications and Experience<ul><li>CISSP, CRISC, CISA or other relevant certifications preferred</li><li>Knowledge of the BCBS system and practices.</li></ul>People Management Yes #LI-Hybrid

Managing Director,  Secuity Operations

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.Serves as clinical director of the Federal Employees Program pharmacy programs. Provides leadership and direction for the Federal Employees Program prescription drug benefit programs and Blue Cross Blue Shield Association initiatives to promote the cost-effective use of pharmaceuticals. Provides leadership in the development, management and evaluation of the Service Benefit Plan Formulary. Keeps abreast of and interprets trends within the pharmaceutical marketplace and healthcare industry which could affect pricing, delivery system, and benefit coverage and provider utilization and formulates strategies to respond to trends. Project responsibilities include project coordination, ability to set priorities, consensus building and providing reports to both peers and Executive level.Primary Job Functions<ul><li>Develops, manages, and evaluates drug formulary, drug utilization review programs, fraud and abuse programs, safety and quality monitoring programs. In addition, provides oversight over Pharmacy Benefit Manager clinical programs.</li><li>Interacts significantly with the Pharmacy and Medical Policy Committee as policies are being drafted for final review of the full Pharmacy and Medical Policy Committee. Has oversight of the contract and activities of support vendor for Pharmacy and Medical Policy Committee: creation of monographs, drug and class reviews. Presents recommendations for final vote of from Pharmacy Policy to Pharmacy and Medical Policy Committee members.</li><li>Formulates and coordinates integration of pharmacy clinical programs with overall Federal Employees Program administrative policy.</li><li>Provides leadership and support to pharmacy work groups, best practices, and forums.</li><li>Initiates new programs for managing utilization and increasing cost savings.</li></ul>Education Required: Doctor of Pharmacy degreeExperience:Required: A minimum of 5 years related work experience including 3 years in a leadership role.Certifications Required: Currently licensed as a pharmacist in the state of Maryland Knowledge, Skills, and Abilities<ul><li>Knowledgeable about how health care and patient care is delivered and how health care professionals interact in the health care environment, e.g., progressive experience in managing drug utilization review and formulary programs as well as Pharmacy and Therapeutics Committee experience.</li><li>Technical proficiency with information technologies (Microsoft software applications) is required.</li><li>Excellent interpersonal skills and presentation skills, including the ability to work with all levels of the Association, Plans, government agencies and vendors.</li><li>Leadership, organizational, analytical, and project management skills are also imperative, as well as the ability to solve problems, make sound business decisions, and communicate effectively, both in writing and orally.</li></ul>Revenue/Budget Management: NoPeople Management: NoTravel Requirements: 11-25%#LI-Hybrid

Director of Pharmacy Policy

The hiring range for this role is: &nbsp;78,638.00 - 110,285.00This 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 "Consultant Employer Group Waiver Plan (EGWP) Operations position supports the vendor relationship, daily operations, and delivery of member benefits for Medicare Part D Employer Group Waiver Plan (EGWP). This position collects, maintains, and resolves issues, shares program operational and performance data, supports timely resolution of inquiries, communication development, process documentation, reporting, implementation, compliance, and audit activities in support of and in compliance with the Federal Employee Program (FEP) Program, CS 1039, Office of Personnel Management (OPM), and Centers for Medicaid Services (CMS) EGWP Part D policies and regulations.Primary Job Functions<ul><li>Oversees accurate and timely resolution of member inquiries including but not limited to CMS, OPM, internal and external sources.</li><li>Identifies performance and compliance risks and communicate to leadership timely to minimize non-compliance. Reviews and tracks weekly, monthly, and quarterly reporting to identify any issues and implement corrective action strategies as needed.</li><li>Assists with managing, tracking and approvals for communication requests, system updates, benefit changes in compliance with CMS and FEP requirements/standards.</li><li>Support and interact with internal and external stakeholders to provide timely resolution to inquiries and issues.</li><li>Fosters collaborative relationships with internal and external stakeholders and vendor account teams.</li></ul>Increase Program value:<ul><li>Implements new programs to increase the value of our services. This includes planning, implementation, data analysis, communications, and outcome management.</li><li>Review trends and industry information to determine best practices, operational efficiencies, or process improvements to enhance program performance and the member experience.</li></ul>Compliance:<ul><li>Support development of operational standard operating procedures (SOP), policy, brochures, training materials and curriculum.</li><li>Assist and support contract proposals, negotiations, counter proposals, SLA development, contract modifications and amendments.</li><li>Coordinates the development and maintenance of program reporting and continuous review for outcomes in alignment with FEP goals.</li><li>Support audit and compliance activities.</li></ul> EducationRequired: Bachelor’s degree in Pharmacy, Business, Accounting, Management, Health Services, Information Systems or equivalent work experience. Experience Required: Minimum of three years of experience within a business environment services delivery setting, with experience in project management, and/or healthcare informatics Preferred: • Experience in project management and/or account management• Experience setting priorities and meeting objectives for projects with multiple stakeholders• Technical proficiency with Microsoft Office, Teams and SharePoint Knowledge, Skills, and Abilities<ul><li>Project management skills for reporting multiple projects, involving multiple stakeholders, under tight deadlines</li><li>Advanced organizational skills with the ability to develop approaches that meet required objectives</li><li>Excellent communication (written and oral) and interpersonal skills with an ability to communicate to small and/or large audiences (both internal and external to BCBSA)</li><li>Technical proficiency with information technologies (e.g. Microsoft software applications)</li><li>Interpersonal skills with the ability to work with all levels of the Association, Plans, government and vendors</li><li>Ability to manage stakeholders and reconcile and integrate competing interests</li></ul>Revenue/Budget Responsibility: No People Management: NoTravel Requirements: 11-25%#LI-Hybrid

Pharmacy Technician Consultant  (Part-D)

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.Job Description Summary The Director leads the holistic strategy for employee development through programs, resources and experiences that align with and build organizational culture and capability. Leads the design and creation of a holistic employee learning experience that supports current as well as future organizational needs. Provides thought leadership and strategy to grow all employees through assessment, experiences and formal learning modes with resources needed to cultivate and advance organizational capabilities and drive business outcomes. Manage budget and vendor relationships. Has an on-going understanding of external trends and insights; integrates the same into our organization to promote effective delivery and sustainability of learning. Researches and leverages industry trends, benchmarks and best practices as well as internal data to provide guidance and influence the strategic development and deployment of resources.Responsibilities include but are not limited to:<ul><li>Leads the design, development, implementation, delivery and measurement of employee development strategies that maximize employee potential and build capabilities needed to achieve organizational priorities. Identifies and manages key vendors. Is accountable for a variety of modalities (computer-based learning, assessments, etc.) and programming to enhance learning and its lasting impact on individuals and the organization.</li><li>Facilitates learning sessions as well as may act as a collaborator or coordinator for sessions for groups of varying sizes.</li><li>Strategizes and links multiple stakeholders, partners, teams, systems and activities across the company to connect a holistic employee learning and development strategy and employee experience.</li></ul>Required Education, Certifications and Experience<ul><li>7 or more years in employee development, effectiveness or communication roles</li><li>Demonstrated experience leading projects and/ or programs with cross functional teams through successful completion.</li><li>Experience designing and analyzing employee development programming, that are connected to the vision, strategies and cultural expectations of the organization</li><li>Experience selecting and managing vendors and other delivery (internal) partners</li><li>Strong/demonstrated capability for designing and leading large, facilitated experiences, virtual and in person.</li><li>Brings innovative ideas to market, has good judgement about what ideas will work within the organization</li><li>Drives for results effectively and looks for ways to gain feedback and continuously improve processes and outcomes</li><li>Prioritizes competing initiatives and spends time and resources on what’s most important</li><li>Relationship generator, strong collaborator, influencer and creates a sense of belonging and inclusion within team</li><li>Designs and consults with the employee experience in mind</li><li>Strong presentation, training and development skills</li></ul>Preferred Education, Certifications and Experience<ul><li>Bachelors Degree</li><li>Background and experience in Learning &amp; Development, Talent Development, Talent Management, or Organizational effectiveness</li></ul>People Management No#LI-HYBRID

Director, Talent Development

The hiring range for this role is: &nbsp;$176,500.00 - $203,000.00This 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 holiday 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 Director, Systemwide Cybersecurity and Compliance will manage key aspects of implementing our Systemwide Cyber Strategy and governance across 33 Plans and several Non Plan Entities that represent the Blue Cross Blue Shield System. The Director will also provide thought leadership and support to Management in their work with Systemwide CISOs and key internal stakeholders. The goal of this role is to collaborate with stakeholders to design, build, implement, and operate a strategy that meets the needs of the System as well as support the governance, risk and compliance process that is in place to ensure we are aligned, collaborative and providing value. The Director will also be responsible for ensuring that Systemwide strategy, as applicable, is communicated and implemented within the Association. This role offers a great opportunity to interact with CISOs and multi-disciplinary teams from across the Blue Cross Blue Shield System.Cybersecurity Strategy Development and ImplementationThe Director is responsible for creating and managing the processes by which Systemwide Strategy initiatives, examples include measuring cybersecurity maturity and the operational effectiveness of key security controls, are agreed to, defined, and achieved. The Director will lead those initiatives across the System to their intended outcomes on time and within budget and provide analytical and programmatic support as needed. The Director will also support the process of refreshing the cyber strategy every three years to ensure it is current, adding value and reducing systemwide risk.The Director shall be highly skilled at the following:<ul><li>Engaging with leadership in setting strategy and providing insights</li><li>Contributing to thought leadership in tackling a problem(s)%%Presenting findings to CISOs, Board subcommittees and cross functional teams</li><li>Ability to effectively distill and communicate ideas%%Project Management and reporting</li><li>Managing budget and associated contract engagements with vendors</li><li>Risk identification and classification</li><li>Delivering intended outcomes</li><li>Marketing, preparing and socializing communications</li><li>Providing training, education and awareness regarding information security requirements and expectations</li><li>Creating and managing metric programs as well as communicating related insights</li><li>Managing meetings and driving content to keep the focus on intended outcomes</li></ul> Program Governance, Risk and ComplianceThe Director will support governance of two workgroups, who meet quarterly, and are tasked with the following:<ul><li>Advising the Association and System on pertinent data security issues.</li><li>Fostering and supporting increased alignment among Blue System CISOs.</li><li>Increasing value through inter-Plan collaboration on security practices and cyber threat intelligence sharing.</li><li>Leverage expertise within the BCBS System on security issues.</li></ul> The Director shall be highly skilled at the following:<ul><li>Preparing and translating policies and standards and monitoring compliance</li><li>Preparing and socializing communications (quarterly newsletter etc.)</li><li>Creating and managing annual communication plans</li><li>Preparing and running surveys followed by distilling and presenting insights</li><li>Risk planning, mitigation, and remediation to address information security deficiencies</li><li>Creating and proofreading materials and findings to ensure clarity and resonance</li><li>Running complex meetings and preparing associated collateral (agenda, minutes, materials)</li><li>Collaborating with procurement, vendors and cross functional teams in planning and executing on program deliverables</li><li>Creating and managing calendars that detail key meetings throughout the year</li><li>Working effectively with others to meet a cyber program objective</li><li>Being an initiative-taker with minimum oversight needed</li><li>Being a collaborator who does not mind getting their hands dirty in some of the tactical aspects of meeting support (creating and distributing name tents, general meeting support etc.)</li></ul>Education<ul><li>Bachelors Degree; Computer science, information systems or related</li></ul> Certifications<ul><li>Certified information Systems Security Professional (CISSP) or like credential (required)</li><li>Certified information Systems Security Professional (CISSP) (preferred)</li><li>Certified Information Privacy Professional (CIPP) (preferred)</li><li>Certified Information Security Manager (CISM) (preferred)</li><li>Certified Information Security Auditor (CISA) (preferred)</li></ul> Experience<ul><li>A minimum of eight (8) years of experience in information security and program oversight</li></ul> Skills Critical competencies for success:<ul><li>Leadership skills: Must have the proven ability to lead the development, planning, coordination, and monitoring of information security risk management-related process, technology, and operations, and be a key part of the team’s leadership for governance aspects of information security. Must be able to communicate effectively regarding security, privacy, risk, and compliance to senior business leaders and fellow team members. As trusted counsel to senior management, the role requires a highly resourceful individual with emotional intelligence, self-motivation, and strong analytical and communication skills who is also willing to roll up their sleeves to support where needed.</li></ul><ul><li>Security knowledge: Able to draw upon proven experience to recommend and gain buy-in to numerous information security initiatives. Ability to lead a team by demonstrating subject matter expertise. This individual is able to represent the interests of the organization, gain support from stakeholders and formalize acceptance through the creation and adoption of policies, standards, and guidance.</li></ul><ul><li>Ability to deliver: This individual will have the proven ability to lead complex projects across various business and functional departments as they pertain to risk and security matters. Ability to create a project management mindset with clear objectives, goals, processes, and measurable outcomes.</li></ul><ul><li>Risk-based methodology: Must demonstrate acute application of risk-based decision-making. This person should enable business decisions and strategy yet strike a balance between the desires of the business and the risk-profile required to protect information assets.</li></ul> People Management No#LI_HYBRID

27 Blue Cross Blue Shield Association Jobs