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Identifies and proactively develops policy recommendations that further the BCBS mission and drive solutions to better support the over 115 million Americans BCBS Plans cover. Identifies and analyzes proposed regulatory and legislative initiatives at the federal and state level which present significant implications to BCBS Plans' members and clients. Identifies policy que
Posted Today
Job Description Summary The Dir Lab Precision Medicine within the GPO will lead mid and large projects/contracts to help develop strategic contracting opportunities to improve the economic and financial competitive positions of the Blue System. Provides senior management of business operations and project implementation of multiple national scale Lab/Precision medicine agr
Posted Today
Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs ones that are injected or infused by a health care professional in a clinical sett
Posted 5 days ago
The Sr Policy Analyst performs policy research and analysis, synthesizes information and creates communication documents that advance the objectives of the Office of Policy and Advocacy (OPA) provides information and reports related to Association legislative and regulatory activities to member Blue Cross Blue Shield Plans, legislators and other interested parties. Complet
Posted 6 days ago
The Executive Director supports strategic and operational leadership of the BCBSA Clinical Team, including support of the creation of the clinical operations strategy and delivery of value added resources and tools. This role provides clinical expertise and population health thought leadership in support of delivering more affordable and quality care for all members. In ad
Posted 7 days ago
The Managing Director of Strategic Partnerships and Development is in a key position to drive the advancement of BCBS Plans' competitive position. This role has the responsibility for establishing and leading pioneering community partnerships, driving the development of new programs and services at BCBSA in partnership with external affairs and other BCBSA teams, and the e
Posted 8 days ago
The Senior Consultant Internal Audit plans and leads audits of BCBSA operational, financial, governance, risk management and compliance processes. Audits are performed across all business units to identify risks and evaluate internal controls according to BCBSA and professional standards. Specific areas of focus include control design, operation and efficiency, policy comp
Posted 9 days ago
Job Description Summary 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
Posted 9 days ago
Provides strategic leadership for all current FEP member facing products (Medical, Dental and Vision, Postal and Overseas) as well as future portfolio expansion to meet enrollment goals and profitability targets. Works collaboratively with Actuarial team to develop the strategy for product pricing, and competitive scenarios to manage portfolio stability. Responsible for wo
Posted 12 days ago
Develops, implements and administers Federal Employee Program (FEP) financial policies to ensure FEP compliance with the requirements of the Federal Acquisition Regulation, the Federal Employee Health Benefit Acquisition Regulation, the applicable Cost Accounting Standards, the Financial Accounting Standards, and the terms of the FEP contract, C.S. 1039, as well as to ensu
Posted 12 days ago
The Executive Director, Cyber Threat Intelligence combines deep technical expertise with an ability to lead across the BlueCross BlueShield system to deliver an advanced cyber threat intelligence service. You will lead a team of highly proficient technical resources within Blue Cross Blue Shield Association (BCBSA) to work across 30+ individual BCBS Plans to curate, collec
Posted 14 days ago
Job Description Summary The Data Product Manager will be a key resource at Synergie, a technical role supporting the business needs for IT infrastructure, information transmission, reporting and analytics. This role will develop creative and innovative solutions to support complex and large scale information exchanges, working with internal and external stakeholders. Key r
Posted 14 days ago
Job Description Summary Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs ones that are injected or infused by a health care profess
Posted 14 days ago
The Managing Director of Strategic Partnerships and Development is in a key position to drive the advancement of BCBS Plans' competitive position. This role has the responsibility for establishing and leading pioneering community partnerships, driving the development of new programs and services at BCBSA in partnership with external affairs and other BCBSA teams, and the e
Posted 19 days ago
Responsible for leading multiple projects, services and associated deliverables related to HEDIS, Care Management Programs and the activities for the Federal Employee Program (FEP) in support of the integrated care model. Functions as the Plan liaison clinical subject matter expert, assimilating information and developing strategic recommendations to proactively address Pl
Posted 20 days ago
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