Posted:
8/14/2024, 5:00:00 PM
Location(s):
Chicago, Illinois, United States ⋅ Washington, District of Columbia, United States ⋅ District of Columbia, United States ⋅ Illinois, United States ⋅ Bogota Capital District - Municipality, RAP (Especial) Central, Colombia ⋅ RAP (Especial) Central, Colombia
Experience Level(s):
Expert or higher ⋅ Mid Level ⋅ Senior
Field(s):
Business & Strategy ⋅ Sales & Account Management
The hiring range for this role is:
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. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Directs initiatives designed to advance operational excellence in relation to provider networks in support of the FEP program and the Blue Brand overall.
Exemplifies leadership and provides strategic direction for and on behalf of the FEP Network Innovations team to promote effective relationships with Plans, members, and internal and external stakeholders.
Key contributor in the development and adaptation of new Association-wide provider network initiatives to enhance FEP product offerings and promote BCBSA FEP's long-term strategy in relation to product innovation.
Evaluates health care legislation, business trends, and Plan commercial group activities to keep current on recent developments impacting provider network operations. Utilizes information to recommend business strategy for potential innovations.
Advances BCBSA's Mission and Culture by serving as a subject matter expert on behalf of the provider network team; serves a representative on multiple internal work groups and Plan advisory groups.
Responsible for the management of the network team, Plan and OPM issue resolution, and operations of implemented network solutions.
Education, Experience, and Certification
Bachelors Degree in health care, Business Administration or related field OR equivalent work experience (Preferred)
Preferred Certifications
PAHM / FAHM
Required Experience
Minimum of 10 years of health care experience (with specific provider relations/provider network and contracting experience) with progressive responsibility in a management or leadership role.
Knowledge, Skills, and Abilities
Familiarity with provider network models including tiered networks, value-based programs, patient-centered medical homes, and Centers of Excellence.
Experience managing staff
Experience developing effective partnerships with internal and external stakeholders
Experience leading teams and workgroups on developing consensus and resolving challenges
Experience with the Federal Employees Health Benefits Program (preferred)
Proficient in Microsoft Office – Word, Excel and Power Point
Outstanding oral and written communication skills
Excellent organizational skills with ability to handle multiple priorities at once
Readily able to adapt to changing priorities
Revenue Responsibility: No
Budget Responsibility: Minimal input - primary responsibility goes to the MD, FEP Member Benefits
People Management: Yes
Role designation: Hybrid
#LI_HYBRID
Website: https://bcbs.com/
Headquarter Location: Chicago, Illinois, United States
Employee Count: 501-1000
Year Founded: 1929
IPO Status: Private
Industries: Communities ⋅ Insurance