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Job Description Summary The Consultant, GPO leads smaller projects and portions of larger projects to help develop strategic contracting opportunities to improve the competitive position of the Blue System and assists in the economic and financial analysis of these opportunities. Through market research, data collection and analysis, risk evaluation, team interaction and project management the consultant is responsible for assisting in structuring supplier relationships which provide strategic and tactical solutions for Blue Plans and the Blue System. The emphasis is placed on category/contract ownership, sourcing and negotiating with suppliers to maximize the value for Blue Plans.Responsibilities include but are not limited to:Grows the category assigned both through the addition of new national agreements, agreement expansion and Blue Plan adoption/utilization. Responsible for the day-to-day management of contracts assigned. Organizes and synthesizes financial data and other information to identify and communicate key findings. Maintains financial viability and takes ownership of category. Prepares reports, written materials, spreadsheets, promotional materials and presentations to support the work within categories assigned. Engages Plans and suppliers regularly through 1:1 communications, meetings, presentations, webinars, etc. Conducts market research to validate category performance, identifies trends/new opportunities and is a subject matter expert within the category. Interacts with key stakeholders and external suppliers to lead in collecting information, conducting surveys and exploring potential opportunities within assigned category. Conducts RFx for assigned categories.Required Education, Certifications and Experience<ul><li>Bachelor degree in related discipline (Supply Chain Management, Finance, Economics, Business Administration).</li><li>Minimum of three years related business experience.</li><li>Three years experience in sourcing or any related function.</li><li>Experience managing projects.</li><li>Experience creating reports/project management plans to track category progress and financial tracking.</li><li>Experience engaging key stakeholders and leadership.</li><li>Experience creating presentations, draft articles to further marketing initiatives.</li><li>Experience engaging various industry suppliers.</li><li>Experience serving as a category subject matter expert.</li><li>Demonstrate ability to work independently and take ownership of assigned categories.</li><li>Strong written and oral communication and presentation skills.</li></ul>Preferred Education, Certifications and Experience<ul><li>Strong project management skills.</li><li>Proficiency in Microsoft Office products (Word, Excel, PowerPoint).</li></ul> People Management No

Blue Cross Blue Shield Association

Consultant GPO - Sourcing Analyst

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 execution and scaling of innovative national partnerships on behalf of BCBS Plans. The Managing Director will partner closely with the VP of Strategic Partnerships &amp; Development, and the broader team, to lead all stages of identification, development, scaling, and management of pilots, programs, and partnerships that drive value to our members and Plans.<ul><li>Develop, negotiate, implement, and scale strategic partnerships with established and emerging entities to enable the success and market differentiation of the BCBS System</li><li>Identify pioneering community and public health partnerships that distinguish BCBS in a leadership position in emerging impactful areas. Oversee business plan development and scale programs with these national partners across multiple Plans.</li><li>Provide leadership and direction in monitoring and tracking of business results and impact of partnerships, including identification of key metrics, reporting and communications on an on-going basis</li><li>Interaction with other BCBSA divisions and senior management, Plan executives, and other full range of industry executives (within and outside healthcare)</li></ul>Education<ul><li>Required: Bachelor's degree in related discipline</li><li>Preferred: Masters Degree in related discipline or equivalent experience</li></ul> Experience<ul><li>A minimum of 8-10 years of related business experience</li><li>Experience in effectively directing project team(s) in achieving stated objectives, strategic development and innovation advancement, and with negotiations and contractual agreements</li></ul> Skills<ul><li>Record of incubating and leading broad healthcare initiatives</li><li>Strong business acumen and vision, with demonstrated ability to develop and maintain business relationships</li><li>Must be able to present oral and written collaboration opportunities, value proposition and business case in convincing, organized manner throughout the partnership development process</li><li>An effective consensus builder, with ability to partner with companies and BCBS Plans and work through strategic and complex issues to arrive at value added conclusions which address the business needs</li><li>Executive level communications skills; must be able to represent BCBSA to outside constituents and senior level Plan workgroups and be a thought leader</li><li>Excellent problem solving and decision making skills, strategic thinking and vision</li><li>Ability to lead and manage key partnerships that support system strategy and objectives</li><li>Business relationship management skills: able to effectively influence peers outside of the division and at the Plans, both domestically and internationally</li><li>Demonstrated negotiation skills in highly complex, multi-stakeholder environment</li><li>Talent acquisition skills; ability to elicit the right subject matter expert contributions to ensure the business opportunities leverage the full value of the BCBSA and BCBS Plan talent</li></ul> People Management<ul><li>Yes</li></ul>#LI_HYBRID

Managing Director, Strategic Partnerships and Development - Maternal Health

The Executive Director, Public Affairs and Administration is a highly visible leadership role that advances BCBSA organizational and policy priorities by directing impactful strategic initiatives and driving internal, cross-functional collaboration. Develops strategy for and manages execution of coalition, Beltway and in-district public affairs campaigns. Builds, strengthens and expands relationships with external partners. Leads policy communications to develop impactful educational and messaging resources for plan members, industry leadership, and positioning. Serves as a critical collaborator with executive leaders across the organization to support company-wide initiatives, including CEO- and Board-driven projects to align with BCBSA vision, mission and strategic priorities. Supports implementation of operational improvements and processes, to promote an integrated approach to monitoring, advancing and achieving team and organizational goals.Strategic leader of Beltway public affairs initiatives, directing the planning and implementation of a diverse portfolio of efforts to drive federal policy solutions that support Blue business objectives. Sets and executes strategic plans and manages consultant teams to implement and succeed. Directs BCBSA campaign programs, from opportunities, targeting and action plans to managing consultants, budgets and progress reporting. Directs campaign educational material, including messaging, advertising, op/eds, emails and sign-on letters to Members of Congress. Builds and maintains external relationships with influential leaders, external coalitions and allies. Works closely with Policy &amp; Advocacy leadership to surface opportunities, make strategic recommendations, and implement action plans. Close collaboration with policy, lobbyists and state affairs to drive advocacy goals. Integration with communications to drive and align Beltway advertising, media engagement, creative development with coalition, grassroots and grasstops programs. Collaborates with Chicago business, intelligence and strategic teams on relevant projects and priorities. Engages with BCBSA members on public affairs plans, progress and execution. Serves as Policy &amp; Advocacy liaison with internal partners to drive and coordinate team actions in support of corporate/team goals. Facilitates CEO/Board committee agenda planning and materials development in a highly collaborative environment, coordinating with business owners and cross-functional contributors. Manages cross-department alignment and joint performance metrics. Examples include goal setting, project management and progress reporting with national partnerships, clinical affairs, brand strength and marketing, communications, and Board governance. Supports SVP of Policy &amp; Advocacy as thought partner, providing insights and recommendations around urgent and evolving issues, optimal organizational structure, staffing, and team performance. Works closely with finance, procurement and Policy &amp; Advocacy leadership to manage budgets, contracts and reporting. Supervises the development and deployment of impactful communications resources for external audiences, including web content, blog posts, message guides, patient and plan stories, letters, and newsletters. Closely partners on public opinion/messaging surveys, consumer research, and all aspects of Beltway advertising. Partners with Policy &amp; Advocacy teams to monitor real-time political and policy developments.Education<ul><li>Bachelor's degreed required in political science, business, communications, marketing, or related field.</li><li>Masters Degree, Preferred</li></ul> Experience<ul><li>At least 12 years of work experience in politics, campaigns, coalitions, business, organizational leadership.</li></ul> Skills<ul><li>Collaborative team player an absolute must</li><li>Political and/or campaign experience preferred</li><li>Strong writing, editing, presentation and interpersonal skills essential</li><li>Understanding of leading health policy/regulatory issues</li><li>Strong experience in project and program management, including goal setting, strategic planning, implementation and tracking</li><li>Ability to effectively manage team members and multiple projects</li></ul> People Management<ul><li>Yes</li></ul>#LI_HYBRID

Executive Director, Public Affairs and Administraion

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 agreements. Develops project plans which ensure end-to-end integration of project phases, as well as establishes supporting operational procedures. Through data collection and analysis, interviews, application of expertise, literature reviews, supplier interaction and team interaction, the Dir supports the Managing Dir with the development of supplier relationships that provide strategic and tactical solutions for BCBS Plans. Specific emphasis will be placed on category/contract ownership, sourcing and negotiating with suppliers to maximize value and contract terms. The Dir. will be responsible for serving as the key relationship manager/contact for assigned vendors and Blue Plans. This role also assigns and monitors the status of deliverables and day to day responsibilities of direct reports and other matrixed project team members to ensure objectives and timelines are achieved. The role is dedicated to the Lab/Precision Medicine category with work in the other CareSourcing portfolios as needed.Engages with the Genetic CAG members and the Plans Lab contract decision makers. Will be responsible to execute contracts, market contracts including detailing features and benefits of agreements, identifies expanded opportunities to promote adoption of agreements. Answers questions and serves as SME within the category. Responsible for managing the financial aspects of the Lab/Precision Medicine portfolio of agreements including forecast/budget of Admin. Fee Revenue, achievement of budgeted Admin. Fee Revenue and ensures Admin. Fees are paid within contractual terms.Creates reports to track category progress and financial tracking.Engages with Plan primary contacts and leadershipEngages various industry suppliersServes as the category assigned SMENeeds to understand medically associated category medical policyResponsibilities include but are not limited to: Creating bid (RFP) structures for each category based on strategic direction for Genetic CAG and Plans. Administering RFPs. Ensuring participating Plans meet contractual requirements including utilization management and other medical management and contractual obligations. Analyzing contract offers, including interpreting requirements and caveats and forecasting yields and ROI. Supporting contract negotiations under the guidance of the Managing Dir. as appropriate and independently negotiates agreements assigned along with small amendments and large amendments. Able to effectively manage employees including their career development, compliance with BCSBA Policy and performance management. Interacts with Lab/Precision Medicine companies, participating Plans, internal BCBSA Stakeholders and team to coordinate maintenance and growth of BCBSA Lab/Precision Medicine category. Responsible for the coordination and management of Genetic CAG Workgroup responsibilities as assigned and in collaboration with OCA. Ensures stakeholder engagement (suppliers and Plans) via calls/webinars, supplier launches, supplier ongoing engagement business reviews and Plan engagement, annual conference. Responsible for operations, people/project management, technical strategic direction and delivery of division/department initiatives of one or more Practice areas. Maintains ownership of specific high-profile functions/set of services. &nbsp; Grows the category assigned both through the addition of new national agreements, agreement expansion and Plan adoption/utilization. Responsible for the day-to-day management of contracts assigned. Has the ability to acquire, organize and synthesize financial data and other information to identify and communicate key findings. Maintains financial viability and takes ownership of category. Leads by example showing commitment to BCBSA values creating an excellent work environment for employees and positive morale of the department division and company. Makes recommendations to the Managing Director and engages team in the development of long term pipeline of opportunities to explore within assigned categories.Required Education, Certifications and Experience<ul><li>​Bachelor's degree in any business discipline (e,g, Finance, Economics, Marketing, Business Administration), scientific areas (e.g. biology, chemistry, pre-med) or liberal studies.</li><li>A minimum of five years related business experience in complex contract negotiations. experience or technical discipline within the Lab/Precision Medicine or provider ancillary contracting and/or healthcare, hospital industry and interest in scientific categories.</li><li>Demonstrated project management and team leadership experience.</li><li>Demonstrated knowledge of lines of business (Commercial, Medicare Advantage, Medicaid) and pursuant to federal and state regulations, as applicable.</li><li>Demonstrated ability to work independently and take ownership of categories assigned.</li><li>Strong oral/written communication and presentation skills.</li><li>Strong relationship management skills.</li><li>Strong analytical skills.</li><li>Proficiency on Microsoft office products (Word, Excel, Power Point).</li></ul>Preferred Education, Certifications and Experience<ul><li>Master's Degree.</li><li>Eight years' experience in complex contract negotiations, experience or a technical disciple within the Lab/Precision Medicine or provider ancillary contracting and or healthcare or hospital industry and interest in scientific categories.</li></ul> People Management Yes

Dir Lab Precision Medicine

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, collect, and disseminate healthcare and Blue-specific strategic and tactical cyber threat intelligence information. As a senior security leader, you’ll bring your knowledge of mature cyber threat intelligence programs and operations to bear to create practical understanding of the cyber threat landscape to enhance prevention, detection, and response capabilities across the Blue system. You will work closely across a distributed security community to evolve and advance cyber threat information collection and analysis processes, develop technical solutions that empower threat intelligence analysts with actionable and relevant threat information, and serve as trusted advisor and partner in shaping cybersecurity operational practices and strategic initiatives based on cyber threat intelligence. You’ll effectively and concisely communication technical information to non-technical stakeholders, including executive audiences, to brief them on the business and technical aspects of the changing threat landscape to the healthcare industry and the collective Blue System. You’ll put your understanding of detailed technical systems and cyber threats to good use to shape the strategic direction, prioritize investments, and champion continuous improvement initiatives across BCBS cybersecurity programs. You’ll be empowered to serve as a thought leader within the BCBSA security leadership and strategic partner to over 30 CISOs and their teams to improve cybersecurity across the entire healthcare industry. You’ll also have the opportunity to work with industry associations, ISACs, and the broader cyber threat intelligence community in representing the BlueCross Blue Shield Association and Plans related to cyber threat intelligence expertise.Define and execute against short and long-term cyber threat intelligence strategic plan and roadmap. Deliver cyber threat intelligence capabilities that provide added value to Blue Plan security teams through adoption of advanced threat services throughout the BlueCross BlueShield system. Lead the development and execution of the cyber threat intelligence communications plan to brief the Board, executive leaders, CISOs, and technical teams on the state of threats facing the healthcare sector and the Blue system. Gain stakeholder buy-in and support for cyber threat intelligence initiatives and objectives through effective communications, influencing, and domain knowledge. Oversee the evolution and operation of an advanced technology platform and processes to enable cyber threat intelligence analysts and facilitate information sharing across Blue Plans. Advance the technical solutions used to deliver cyber threat intelligence at-scale through understanding of adversary motives and capabilities with deep technical knowledge of cyber threat detection and response to enable the application of threat intelligence. Establish and continuously improve a network of threat intelligence sources. Curate relationships with industry sources, third-party providers, external advisors, and subject matter experts to drive a coordinated approach to intelligence collection, analysis, and dissemination. Promote staff development through coaching, training, projects, job sharing, career development plans, and continual development opportunities. This includes leading performance discussions and taking disciplinary actions when as necessary.Education<ul><li>Required: Bachelors Degree</li><li>Masters Degree: Preferred in Computer Science, Information Technology or related field, MBA or MS degree</li></ul> Certifications<ul><li>Preferred: CISSP, CISM, GCTI, CTIA,GCIH and/or other relevant certifications are a plus</li></ul> Experience<ul><li>12 years IT/information security experience with a combined technical focus and minimum 5 years in a technical oriented leadership role.</li><li>Experience in leading technical teams of at least 4 persons; hiring, developing, building a collective team-oriented culture, and working across other teams to create community and drive team outcomes.· Track record of defining strategic direction, overseeing project / initiative execution, and articulating and achieving outcomes in a matrixed organization· Experience in implementing and managing cyber threat intelligence technologies and associated processes. · Demonstrated detailed technical knowledge of threat actor motives, targets, and tactics and how to investigate, mitigate and defend against them.· Experience in, or in managing a team delivering original research and custom intelligence collections and reporting</li><li>Experience in managing Information Security budgets.</li></ul> Skills<ul><li>Excellent communication and presentation skills with the ability to address both technical and non-technical audiences</li><li>Capable of documenting and explaining technical details/efforts in a concise, actionable manner</li><li>Strong problem solving, troubleshooting, and analysis skills</li><li>Ability to present to top management, corporate committees, and workgroups and to communicate on all aspects of cyber threat intelligence concepts.</li><li>Ability to work in a matrixed organization and cross-functionally across technical and non-technical teams. Achieves results through followership and ability to influence.</li><li>Demonstrated ability making operational decisions, monitoring progress and reporting results by effectively dealing with ambiguity</li></ul> People Management<ul><li>Yes</li></ul>#LI_HYBRID

Executive Director,  Cyber Threat Intelligence

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 to provide consultative leaders to the development of evidence-based reference medical policy information. Designs and implements innovative solutions that enable BCBS Plans to be proactive and that also enable industry leadership.<ul><li>Medical Affairs Leadership-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. Provides clinical guidance and support to initiatives that address public health issues. Implements deliverables in support of BCBSA Board strategies and OCA key initiatives</li><li>Reference Medical Consultation-Collaborates with other medical directors to provide consultative leader and direction to Medical Policy Service in the development of evidence-based reference medical policy information.</li><li>Communication Management-Publication: Manage and undertake process improvement for the internal communication on timelines, evidentiary review, and deliverables. BCBSA Board Strategies: deliver the identified content in support of the BCBSA Board Strategies, including precision medicine and medical policy management</li><li>Ensure strong Thought Leader (TL) relationships; develop and nurture relationships with Key Opinion Leaders (KOLs) and consultants in the clinical community in order to strengthen BCBSA’s leadership position; serve as a professional representative of OCA in the healthcare community. Share responsibility with Clinical Operations for decisions regarding the recruitment and retention of pharmaceutical, medical device, as well as new business opportunities and strategies for product/platform development.</li></ul>Education<ul><li>M.D. or D.O.</li></ul> Certifications<ul><li>Medical license</li><li>Board certification</li></ul> Experience<ul><li>A minimum of 5 years health plan experience, as Medical Director or Medical Consultant with responsibility</li><li>Experience in representing Medical Affairs and Clinical Operations to consumers, businesses, providers and media</li></ul> Skills<ul><li>Demonstrated knowledge and experience of interaction of clinical operations with other Plan functions including but not limited to medical management, medical policy, legal, marketing, media, government relations, provider contracting etc.</li><li>Knowledge of medical policy implementation, claims operations and provider and account relations</li><li>Works effectively in cross functional teams</li><li>Works effectively with Plan Medical Directors</li><li>M.P.H. or other advanced degree is desired</li><li>Written communication and presentation skills</li></ul> People Management<ul><li>No</li></ul>

36 Blue Cross Blue Shield Association Jobs