field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

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

Blue Cross Blue Shield Association

Managing Director,  Secuity Operations

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.Develop product strategies and solutions to address emerging regulatory and market requirements for national healthcare delivery using agile development methodologies. Provides project leadership and interfaces with Blue Plans across the System and various technology and analytical teams/applications. Supports the analysis and design of business processes that address national market requirements and/or supports new technical implementations. Responsible for defining business requirements and enhancements obtaining appropriate approvals from governing committees as needed as well as supporting through implementation including training and documentation.Conducts detailed research on emerging business opportunities, including impacts to business models for various operational functions across healthcare. Leads the development and presentation of materials to various audiences across Blue Plans to obtain direction to meet market and business needs. Conducts requirements gathering and analysis to support business needs, and develops strategy, policy, and operational recommendations for leadership. Develops the required business case and vision based on input from Sr. Management, Plan executives, user groups, workgroups or governance representatives. Works with business and technical teams to assure effective development, testing and implementation of new capabilities using agile methodologies. Presents project scope, status and coordinates trainings to various levels of staff. Lead pilot and all Plan implementation efforts. Develops manuals and educational materials in support of Plan training on new technical opportunities including SOPs, user guides, training presentations, all-Plan calls and demos, best practice sharing forums and others. Partners with Plans in training internal staff. Create, Manage and present project roadmap, scope, status and other various project updates for Plans and internal leadership. Partners with Plans and BCBSA staff to ensure clear understanding of timeframes, deliverables, business expectations, and anticipated outcomes. Coaches and mentors business and scrum team membersEducation Bachelors and or Masters Degree. Experience Seven years’ experience in a combination of both product/business development and operations within the healthcare industry Minimum of five years’ experience in business process design analysis as well as business system design. Blue Cross Blue Shield experience Demonstrated experience managing a full product development cycle using agile methodologies Conceptual experience in systems development, designs and methodologies Skills Understanding of agile development methodologies. Strong background of Health Care industry and Health insurance processes. Project management/leadership Relationship development across various levels of staff. Strong communication, writing and presentation skills Strong organizational and multi-tasking skills Ability to motivate others to work together as part of a team is key Ability to negotiate solutions to problems independently People Management No#LI-Hybrid

Business Operations Design Manager

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 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 are in place protecting the network and data. This position requires collaboration with governance and architecture groups to design solutions that meet business and security requirements. Responsible for creating and maintaining a network security fabric that articulates the architectural vision, conceptualizing and experimenting with alternative technical approaches, creating models, components and interface specification documents and validating the architecture against requirements and assumptions. Accountable for developing a consistent framework for future BCBSA technology decisions. Provide senior level expertise related to decision-making and priorities for the enterprise network security. Responsible for ensuring necessary controls are part of technical designs to address the confidentiality, integrity, and availability (CIA) of IT systems and applications.Responsibilities include but are not limited to:Develops and maintains internal and external professional networks to track strategy, governance and organizational effectiveness trends and issues. Establish strategic relations with key technology vendors in order to influence changes in future product releases. Interacts with a wide range of technical and healthcare industry contacts. Researches and benchmarks best practices and/or products in the area of security technology. Routinely gathers and assesses changing BCBSA business needs. Analyzes and modifies enterprise network security technology strategy. Analyzes how business processes interact with technology to create value for the business. Studies core technologies and infrastructure. Maintains knowledge of security technology, trends, and standards. Provides input to the content of Requests for Information / Proposal (RFI/P) around the BCBSA technology requirements and guiding principles. Conducts trend analyses to track emerging industry trends and technologies. Creates network security engineering designs (BCBSA accepted technology products, configurations, standards, processes, policies, etc.) for utilizing technology assets in the company. Works with internal teams to set direction around network security for the organization. Assure that a workable, understandable and agreed upon approach for acquiring and utilizing technology is available and utilized. Seeks approval for designs from appropriate approval bodies. Evaluate/factor in the cost-benefit for each proposed design or changes to design. Design and lead the implementation of an enterprise-wide technical solutions based on architecture and enterprise business requirement needs. Facilitate the development of standardized procedures to provide a common process to integrate the deployment of new tools, techniques and technologies to existing IT processes. Influence the prioritization of initiatives outlined in the migration plan (what components to tackle first or trade-offs to make to progress toward the end state). Analyze current technology environment to detect critical deficiencies and recommends solutions for improvement. Develop and document the principles and frameworks that guide the adoption and implementation of enterprise architecture decisions. Develop mechanisms to maintain and support the architecture process. Facilitate the development of enterprise governance in collaboration with business and technical leadership. Present technical designs to appropriate architectural approval bodies. Obtain sign-off for designs. Develop, maintain and educate the corporation and facilitate adherence to enterprise architecture and standards. Accountable for increasing the company understanding of network security design, standards and associated procedures. Provide engineering consultation to the organization and influences the architecture process, its outcome and ongoing results. Gain alignment and buy-in of architecture. Clarify understanding of standards. Build credibility with clients and technical staff through the delivery of sound business technical solutions. Consults with business and technology project staff to fit systems to architecture and identify when it is necessary to modify technical designs to accommodate project needs. Provide leadership for the development, maintenance, corporate education and adherence to enterprise technology architecture and standards on an enterprise-wide basis. Guide decision-making for selection, deployment, maintenance and retirement of technologies at BCBSA. Perform agreed upon compliance activities such as quarterly firewall policy audits, remediation of audit findings, management and tracking of vulnerability finding, etc. Complete routine maintenance on security appliances and tools including firewall policy changes as requested by internal customers. Work with service provider to manage and monitor DDoS policy. Participates in troubleshooting activities as required and provides security reports as needed. Lead/oversee the construction, implementation and maintenance during the life cycle of the solutions. Provide the technical leadership to developers, systems analysts and other IT technicians to ensure the successful delivery of the solution. Oversees technical implementation and modification activities. Serve in a compliance review for project designs and deliverables. Oversee the evaluation and selection of hardware and software product standards, and the design of standard configurations. Provide technical governance and support over the architectural design stages of projects. Provide recommendations of the enterprise strategy and architecture governance process. Evaluate the success of architecture designs as they are implemented. Evaluate strengths and flaws in architecture designs for continuous improvement.Required Education, Certifications and Experience:Education<ul><li>Bachelor’s Degree in a technical or business discipline or equivalent work experience in similar environment.</li></ul> Certifications<ul><li>Professional certification in Network Security Administration and/or Network Engineering (CISSP, CCNA, CCDA, CCIE,) is preferred.</li></ul> Experience<ul><li>Minimum 10 years of progressive, broad applied technical work experience doing technology configuration, deployment and systems integration.</li><li>Experience with Palo Alto and Cisco firewalls, IDS/IPS, DLP, IP Filtering, DDoS, services, AlgoSec or other security policy management solution, VPN, Remote Access and other perimeter security technologies.</li><li>Experience with designing and implementing layered network security defenses.</li><li>Experience in creating, documenting and communicating architectural designs for a system comprised of many sub-components.</li><li>Experience in creating, documenting and communicating architectural designs for a system comprised of many sub-components; experienced in consulting / negotiating formally and informally with others.</li></ul> Skills<ul><li>Familiarity with Routers, Switches as well as experience with the following protocols (TCP/IP (v4 and v6), RIP, OSPF, EIGRP, BGP and HSRP) would be preferred.</li><li>Proficiency in producing realistic and achievable deployment plans.</li><li>Solid understanding of current and emerging technologies with advanced knowledge of one specific technology; solid understanding of operational business practices.</li><li>Solid understanding of what health care companies are doing with respect to technology and practices is preferred.</li><li>Good understanding of BCBSA business strategies is preferred.</li></ul> People Management No

Network Security Engineer

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;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 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 Operations Consultant (Part-D)

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.This role is responsible for developing and managing community partnerships with federal employee community support associations on behalf of FEP to deliver the community relations strategic goals and initiatives that raise awareness of the Federal Employees Health Benefit (FEHB) Federal Dental and Vision Insurance Program (FEDVIP) programs and Blue Cross Blue Shield medical, dental, and vision insurance products while positioning the Association as an authentic partner and supporter of the federal employee community. Manages a budget and manages all related activities that maximize engagement opportunities with eligibles and members that supports FEDVIP enrollment and retention goals.<ul><li>Develop, implement, and manage the uniformed services relations community outreach strategy and associated outreach plan. Manage all aspects of partner organizations relationships and event execution including selection and payment of partnerships/sponsorships, staffing of events, give away and product education material selection, digital and print advertisement placements, exhibit selection and furnishing, on-site oversight of team engagements, speaking engagements, and attendance at social events.</li><li>Progressively and thoughtfully grow the number of uniformed services partnerships and investment in each partnership. Review sponsorship prospectus’ and meet with organization staff to assess, categorize, and prioritize partnerships according to their membership and in-person/digital reach Build and maintain collaborative business relationships, acting as the primary contact for over 25 uniformed services community supporting organizations associations and their leadership teams. Collaborate and participate on partner organizations boards or committees when invited. Maintain spreadsheets of partnerships and create tailored strategic plans for each partnership.</li><li>Develop and manage the annual uniformed services community outreach budget and examine and determine the level of sponsorship investment for each partnership to ensure the best return on investment and maximum exposure for contributions. Maintain budget spreadsheets and keep the Director of FEP Community Relations informed on budgetary accuracy.</li><li>Attend meetings, review draft materials, and coordinate with product education team members to identify and develop digital (social media, videos, webinars etc.) and print advertisement/product education materials based on member/attendee demographics to effectively promote FEDVIP products and initiatives. Develop and sustain communication channels that reach both active and retired uniformed service members and military spouses. Coordinate with appropriate product education staff to identify, plan, and track give away and product education materials inventory based on historical use and the planned events schedule.&nbsp;</li><li>Act as uniformed service community subject matter expert for Association, Plan, marketing partner, and vendor staff. Work with Senior Plan Managers and Director of FEDVIP Plan Relations to ensure local Plans connect with local chapters of uniformed services community partners to maximize engagement and visibility nationally and locally. Develop and utilize landing pages on the company intranet (Blue Web) to publish/share information on resources to help Plans with their local engagement. Prepare and offer in-person or virtual briefings to Plan Field Representatives on how to best engage with and support local uniformed services communities and supporting partners. Attend meetings with ECOB staff, marketing partners, and vendors to conduct stakeholder analysis and provide advice on benefit, advertising, and product education development related to the uniformed service audiences.</li><li>Provide regular, detailed reports on uniformed service relations activities and outcomes. Conduct pre- and post-event briefings to identify areas of improvement. Plan follow up meetings or send written feedback to partner organization leadership to provide feedback and discuss support and engagement for future sponsorships. Help develop social media messages that highlight the scope and impact of engagements and sponsorships.</li><li>Manage all aspects of the Association’s Uniformed Services Advisory Board including budget management, contract development, member selection and onboarding, member communication and contact lists, and assignments at outreach events. Use associated board management software and email to keep members informed of uniformed service relations events and outcomes.</li></ul>Education, Experience, and CertificationsEducation Required: Bachelors Degree in a business field or related equivalent work experience.Experience Required: Minimum of 6 years related experience within health care, specifically the health insurance industry with progressive responsibilities. Required: Minimum of years 5 years related experience with relationship management responsibility for large associations and a minimum of 5 yrs experience with benefit plans incl medical, dental and vision as well as the ability to explain how to use these benefits. Required: Minimum of 3 years’ experience in public speaking. Preferred: Minimum of 6 years of experience within FEP and demonstrated knowledge of FEP business accountabilities. Minimum of 5 years of experience in public speaking, with a demonstrated ability to present to small and large groups.Minimum 4 years of experience with developing and executing customized communication strategies for large or small groups. Preferred: Minimum of seven years related business experience which demonstrates knowledge of general business practices and processes. Knowledge, Skills, and Abilities Skills<ul><li><h4>Demonstrated ability to foster and manage strong working relationships with customers, business contacts and stakeholders.</h4></li><li><h4>Demonstrated presentations skills including the ability to plan, facilitate and present at meetings, conferences and to management, i.e. large and small groups.</h4></li><li><h4>Excellent time management skills.</h4></li><li><h4>Advance technical proficiency with computer software applications, including Excel and Project Manager and other Microsoft Office applications.</h4></li><li><h4>Project management skills.</h4></li><li><h4>Demonstrated ability to handle multiple projects, prioritizing critical aspects/tasks, working under pressure and meeting deadlines.</h4></li><li><h4>Demonstrated organization skills, including the ability to prioritize and identify critical issues.</h4></li><li><h4>Advanced analytical skills with the ability to analyze and interpret data and conduct complex analysis.</h4></li><li><h4>Demonstrated ability to manage competing interests and navigate difficult situations, including the ability to negotiate meaningful outcomes.</h4></li><li><h4>Ability to interact effectively with senior management, both internal/external to BCBSA.</h4></li><li><h4>Excellent communication skills, both written and oral.</h4></li></ul><h4> People Management No</h4>#LI_HYBRID

Manager, Uniformed Services Community Relations

The hiring range for this role is: &nbsp;$70,000.00 - $80,000.00This 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.Data Contract Analyst will perform specialized rebate contract interpretation to ingest rebate and invoicing requirements into the rebate financial payment system. This position is also responsible for assisting the trade contract manager, contract negotiators, client engagement, and analytics teams to assess and manage the financial analyses and strategies related to rebates and value-based contracts with client pharmaceutical manufacturers.<ul><li>Manage core source information for invoicers including NMBA and CERT files. Work with IT and analytics team on source information and validation of data quality of products.</li><li>Work with trade team to intake rebate contract information into the rebate management system include rates and term/conditions</li><li>Assist in the development and implementation of additional reporting support tools, and the proactive investigation of various manufacturer contract issues and identify opportunities for process improvement</li><li>In collaboration with other internal teams, implement non-financial tools, including proactive marketplace assessments, exploration of internal support requirements to implement contractual agreements, and the tracking of client elections</li><li>Assist in invoicing process, financial analysis, rebate audit, client elections, and responding to inquiries</li><li>Assess, implement and communicate critical information to rebate invoicing vendors for maintenance of client elections, pricing bid grid, manufacturer contract updates, and other changes that impact the rebate invoicing process</li><li>Supports client implementation and audit requests</li><li>Other duties as assigned</li></ul>EducationBachelor’s degree CertificationsWork Experience3-6 years of work experience in a health care analyst, including health plan, health system, pharmacy and medical experience in managed care or specialty pharmacy with 2 years minimum at a health plan or PBM experience in medical and/or pharmacy drug management.Skills<ul><li>Strong data management and analytics skills with the ability to manage large data effectively</li></ul><ul><li>Ability to facilitate changes, capture detailed information, and client support while maintaining Synergie’s best interests</li><li>Ability to develop relationships and influence with internal and external stakeholders</li><li>Critical thinking skills and ability to anticipate issues and develop solutions</li></ul>#LI_REMOTE

Synergie Medication Collective - Data Contract Analyst

The hiring range for this role is: &nbsp;$90,000.00 - $100,000.00This 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.The Finance Rebate and Reporting Analyst performs complex, specialized financial analysis for rebate and value-based contract invoicing as part of Trade Relations. This position is also responsible for assisting contract negotiators, client engagement, and analytics teams to assess and manage the financial analyses and strategies related to rebates and value-based contracts with client pharmaceutical manufacturers. In addition, this position will be owner for reporting creation and management for the invoicing team.<ul><li>Assist in the development and implementation of additional reporting support tools, and the proactive investigation of various manufacturer contract issues and identify opportunities for process improvement</li><li>Owner of Alteryx reporting requirements, build and maintenance for the medical rebate invoicing team</li><li>In collaboration with other internal teams, implement non-financial tools, including proactive marketplace assessments, exploration of internal support requirements to implement contractual agreements, and the tracking of client elections</li><li>Represent Trade Relations on corporate projects, including interaction with leadership; includes but limited to, IT projects, client ad hoc reporting, and Finance/Treasury projects</li><li>Assist in invoicing process, financial analysis, rebate audit, client elections, and responding to inquiries; may facilitate client questions related to invoiced products/process and corresponding rates and qualification</li><li>Assess, implement and communicate critical information to rebate invoicing vendors for maintenance of client elections, pricing bid grid, manufacturer contract updates, and other changes that impact the rebate invoicing process</li><li>Analyze and resolve contract disputes working with invoicing vendors to ensure timely payment of rebates from manufacturers</li><li>Reconcile manufacturer payments as compared to invoiced amounts to prepare for allocation of payments to clients</li><li>Supports client implementation and audit requests</li><li>Supervise and train rebate analyst</li><li>Other duties as assigned</li></ul>#LI_RemoteEducationBachelor’s degree CertificationsWork Experience5-8 years of work experience in a health care analyst, including health plan, health system, pharmacy and medical experience in managed care or specialty pharmacy with 3 years minimum at a health plan or PBM experience in medical and/or pharmacy drug managementSkills<ul><li>Strong data management and analytics skills with the ability to manage large data effectively</li><li>Alteryx experience in development of reports and maintenance</li><li>Ability to facilitate changes, capture detailed information, and client support while maintaining Synergie’s best interests</li><li>Ability to develop relationships and influence with internal and external stakeholders</li><li>Critical thinking skills and ability to anticipate issues and develop solutions</li></ul>#LI_Remote)

Synergie Medication Collective - Finance Rebate and Reporting Analyst

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.(Hybrid) The Senior Program Manager is the business lead responsible for managing and administering designated projects/programs or strategic initiatives. In this role, they work with various data and information sources to achieve program outcomes through conducting analysis, performance calculations, report preparation, and/or strategic recommendations. Additionally, they manage program operations, analyze Plan, program or initiative performance, and provide business support for cross departmental projects. The Senior Program Manger leads and implements initiatives to achieve identified objectives.Expertise and Strategy • Administer and manage designated projects/programs. • Create solutions to address complex issues by leveraging available resources and expertise in support of strategic initiatives and mission-critical projects. • Conduct complex analyses, interpret findings, and provide recommendations to achieve objectives. • Coordinate and lead the alignment of system enhancements with business strategy. • Coordinate project team members and tasks so that deliverables can be completed within the designated timeframe and within budget. • Lead the calculation or validation of performance measurement assessments. • Contributes to the assessment of business systems and/or applications against business/ customer needs. • Conduct analysis and research to inform recommendations that support business objectives.Quality and Compliance • Implement and monitor quality assurance/continuous improvement practices. • Ensure adherence to BCBSA and industry standards. Liaison and Relationships • Connect business units with key stakeholders. • Foster strong relationships with internal and external partners. Special Projects/Communication • Work on special projects and collaborative efforts with BCBSA, Plans and vendors. • Develop Plan facing and internal stakeholder publications and presentations.Education Bachelor degree in Business Administration, information systems, information analytics, health care, OR equivalent discipline or work experience. Certifications PMP (Preferred) Experience Minimum 7 years' experience related data analysis and business operations experience with demonstrated project management, team leadership, and group facilitation skills. Minimum 5 years’ experience working on projects with a IT/digital component Preferred: 3 years experience in the following areas:• Data analysis and business operations. • Identifying data/information needs; acquiring and organizing data, delivering analysis and identifying major findings. • Independently leading data gathering activities, framing problems and guiding construction of survey instruments. Skills • Proficiency in Microsoft Office applications, including Word, Excel and PowerPoint.• Project Lead skills • Data Analytics skills in related discipline • Organizational and time management skills • Relationship/customer management skills • Strong communication skills, both oral and written Preferred Qualifications: • Demonstrated ability to research, compile, and master bodies of relevant knowledge • Ability to prepare project work plans and work product assignments in mid-sized projects (budget and resources) and portions of projects • Proficiency in using Microsoft Access and SharePoint. • Excellent written and verbal communications skills • Strong relationship-building skills, with ability to work in a highly matrixed environment. • Demonstrated ability to lead portions of client presentations and make presentations to internal staff members • Strong analytical skills with demonstrated ability to execute on work plans to manage projects. • Familiarity with Agile style requirements documentation, including User Stories, Epics, and Use Cases. • Ability to create and communicate innovative conceptual models and synthesize diverse types of information. • Extensive knowledge of health care industry and health insurance systems and processes.#LI_HYBRID

37 Blue Cross Blue Shield Association Jobs