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Synergie Medication Collective - Sr Applied Analytics Analyst
Blue Cross Blue Shield Association
-
Chicago, IL / Washington, DC
Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs ones that are injected or infused by a health care professional in a clinical sett
Email Job
Posted Today
Cons FEP SIU
Blue Cross Blue Shield Association
-
Washington, DC
Executes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue Cross Blue Shield (BCBS) Plans and Pharmacy Benefit Managers (PBMs) meet reporting requirements as mandated by the Carrier Letter and FEP Special Investigations Unit (FEP SIU) Standards Manual. Pro
Email Job
Posted Today
Executive Medical Director, Medical Affairs
Blue Cross Blue Shield Association
-
Chicago, IL / Washington, DC
The Executive Director supports strategic and operational leadership of the BCBSA Clinical Team, including support of the creation of the clinical operations strategy and delivery of value added resources and tools. This role provides clinical expertise and population health thought leadership in support of delivering more affordable and quality care for all members. In ad
Email Job
Posted 2 days ago
ED Pharmacy Programs
Blue Cross Blue Shield Association
-
Washington, DC
Provides oversight and management of all drug utilization and spend across both the Pharmacy and Medical drug benefit. Provides operational oversight and management of the FEP Employer Group Waiver Plan program and Medicare Part D business. Works with contracted PBM's, executives, and operational staff on ongoing contract administration and maintenance. Leads the dire
Email Job
Posted 2 days ago
Synergie Medication Collective - Data IT Product Mgr
Blue Cross Blue Shield Association
-
Chicago, IL / Washington, DC
The Senior Data Product Manager will be a key resource at Synergie, a technical role supporting the business needs for IT infrastructure, information transmission, reporting and analytics. This role will develop creative and innovative solutions to support complex and large scale information exchanges, working with internal and external stakeholders. Key responsibilities i
Email Job
Posted 2 days ago
Director, Systemwide Security
Blue Cross Blue Shield Association
-
Washington, DC / Chicago, IL
Job Description Summary The Director, Systemwide Cybersecurity and Compliance will manage key aspects of implementing our Systemwide Cyber Strategy and governance across 33 Plans and several Non Plan Entities that represent the Blue Cross Blue Shield System. The Director will also provide thought leadership and support to Management in their work with Systemwide CISOs and
Email Job
Posted 4 days ago
Sr. Consultant Internal Audit
Blue Cross Blue Shield Association
-
Chicago, IL / Washington, DC
The Senior Consultant Internal Audit plans and leads audits of BCBSA operational, financial, governance, risk management and compliance processes. Audits are performed across all business units to identify risks and evaluate internal controls according to BCBSA and professional standards. Specific areas of focus include control design, operation and efficiency, policy comp
Email Job
Posted 4 days ago
VP, FEP Product Marketing and Engagement
Blue Cross Blue Shield Association
-
Washington, DC / Chicago, IL
Provides strategic leadership for all current FEP member facing products (Medical, Dental and Vision, Postal and Overseas) as well as future portfolio expansion to meet enrollment goals and profitability targets. Works collaboratively with Actuarial team to develop the strategy for product pricing, and competitive scenarios to manage portfolio stability. Responsible for wo
Email Job
Posted 7 days ago
Sr Financial Policy Advisor
Blue Cross Blue Shield Association
-
Washington, DC
Develops, implements and administers Federal Employee Program (FEP) financial policies to ensure FEP compliance with the requirements of the Federal Acquisition Regulation, the Federal Employee Health Benefit Acquisition Regulation, the applicable Cost Accounting Standards, the Financial Accounting Standards, and the terms of the FEP contract, C.S. 1039, as well as to ensu
Email Job
Posted 7 days ago
Dir Cybersecurity Risk
Blue Cross Blue Shield Association
-
Chicago, IL / Washington, DC
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
Email Job
Posted 9 days ago
Managing Director, Health Information Technology
Blue Cross Blue Shield Association
-
Washington, DC
Lead federal and regulatory national health information technology and interoperability strategy for BCBSA by developing federal policy positions and federal outreach activities to ensure BCBSA is able to effectively influence the development and implementation of a nationwide, interoperable health care system. Position will be highly visible within BCBSA and externally to
Email Job
Posted 9 days ago
Director, OPL Federal Health Program Reimbursement
Blue Cross Blue Shield Association
-
Washington, DC / Portland, OR / Atlanta, GA / 34 more...
Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership
Email Job
Posted 17 days ago
Executive Director, Legislative and Regulatory Policy
Blue Cross Blue Shield Association
-
Chicago, IL / Washington, DC / Indianapolis, IN / 22 more...
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
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Posted 22 days ago
Medical Director, Medical Affairs
Blue Cross Blue Shield Association
-
Washington, DC
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
Email Job
Posted 23 days ago
Project Director, Clinical Affairs
Blue Cross Blue Shield Association
-
Washington, DC
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
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Posted 23 days ago
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