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

Job Description Summary 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 SI

Job Description Summary Are you passionate about cyber risk management? Are you someone who enjoys creating new and collaborative processes? Do you enjoy helping others succeed by leading in risk based decision making discussions? We have an opportunity for you at BCBSA Information Security. We are looking for a cyber risk management leader (Director level role) to lead th

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

The Network Security Engineer will design, develop, test, deploy and maintain services, features and functions that will enhance security posture and controls for enterprise networks. Ensure systems are up to date with latest security patches and implemented with operational resilience. This position will assist in performance improvement while ensuring security controls a

The Clinical Affairs Project Director will focus on planning and delivery of complex and strategic initiatives. This candidate will be responsible for leading the clinical affairs team through planning and delivery of various projects. The role is expected to proactively assess delivery feasibility, identify conflicts with other projects and is accountable for end to end d

Job Description Summary This position enacts, monitors, and operationalizes multiple components of the FEP Medicare Prescription Drug Program. Responsibilities include but are not limited to Act as liaison with third party compliance help line vendor; investigate potential compliance issues. Develop internal training programs to ensure compliance with regulatory requiremen

Responsible to BCBS Plan and other key stakeholders to provide clinical expertise and leadership for medical affairs strategy development and implementation. Serves as a thought and opinion leader to provide clinical leadership and support to internal and external strategic initiatives in support of BCBSA and BCBS Plans. Works collaboratively with other medical directors t

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

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

Senior leader to advance BCBSA's legislative and regulatory policy solutions and market positioning in Medicare, Medicaid, Duals, and Children's Health Insurance Program, impacting the tens of millions of Americans we cover, serve, and support in these programs. This role will be a critical policy voice on the most pressing policy issues, serving as a lead advocate for gov

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

The Strategy and Analytics Managing Director oversees the strategy execution within project work development, design and successful delivery to senior Plan and BCBSA executives and BCBSA governance committees. With specific focus on supporting Board level work, the Managing Director leads teams and conducts assessments in such areas as market segment positioning, key busin

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

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