Please note, this role would require 35 40% travel. 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 P

The Sr Prog Mgr FEP Incentive Programs is responsible for business analytical support for the distribution of the Federal Employee Program (FEP) incentive programs and internal business performance reporting. This role calculates and validates performance and financial data; as well as develops and presents analyses, reports, and recommendations to enable strategic decisio

Reporting to the Chief Human Resources Officer, the VP of Diversity and Community Engagement is responsible for expanding and promoting BCBSA's community engagement. This role will foster diversity, equity, inclusion and belonging (DEIB), both within the Blue Cross Blue Shield Association (BCBSA) and the communities we serve. Through our engagement with outside stakeholder

Manages development, execution and maintenance of multiple national scale Network Solution programs focused on, but not limited to, the Blue Distinction Centers specialty care programs, Value Based Care programs and Blue High Performance Network. Develops analytic approaches and aligns with multiple project teams including BHI. Uses both clinical and administrative data so

This position provides Workplace Services (WPS) support for all divisions and is responsible for the scheduling and coordinating daily activities, providing building and vendor management; administrator of the controlled access and security system; as well as invoice processing and expense tracking. Scheduling and coordination of furniture and equipment installation and re

The Clinical Pharmacist Pharmacy Policy supports the Director Pharmacy Policy in all clinical functions including but not limited to Prior Approval policy creation and maintenance. Supports the direction for the Federal Employee Program's prescription drug benefit programs and Association initiatives to promote the cost effective use of pharmaceuticals. Provides support in

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

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

Job Description Summary Responsible for the design, development and implementation of advanced technology systems and data standards to meet the needs of business. Partners with customers to understand business requirements to create the technical functional specifications. Acts as an internal data consultant to advise and influence business and technical partners. This ro

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

Executes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue Cross Blue Shield (BCBS) Plans and Pharmacy Benefit Managers (PBMs) meet reporting requirements as mandated by the Carrier Letter and FEP Special Investigations Unit (FEP SIU) Standards Manual. Pro

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

Provides oversight and management of all drug utilization and spend across both the Pharmacy and Medical drug benefit. Provides operational oversight and management of the FEP Employer Group Waiver Plan program and Medicare Part D business. Works with contracted PBM's, executives, and operational staff on ongoing contract administration and maintenance. Leads the dire

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

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