CareFirst Careers

Director, InterPlan/Blue Strategy (Hybrid) - must live in MD/DC/VA

Resp & Qualifications

Candidates MUST live in the MD, DC, VA area in order to travel into the offices several times/week.

PURPOSE: 
The Interplan & Blue Strategy Director will be responsible for the BlueCard Program, liaising with other Blue Plans and Consortium Health Plans across the country, and will provide strategic support on the future of Inter-Plan (Plan-to-Plan) engagement and  Programs across a matrixed organization of stakeholders within the company. 

ESSENTIAL FUNCTIONS:

  • Responsible for the BlueCard Program on a day-to-day basis and provides direction on the future of Inter-Plan Programs.  Has the authority to: activate decision-makers in all these areas, escalate issues for action and access subject matter expertise within their own Plans.
  • Lead individuals through a matrixed organization responsible for Inter-Plan policy, governance & integration, Inter-Plan data and sales enablement including Consortium Health Plans (CHP) pricing workgroups, BlueCard pricing & negotiations, and alignment of key strategic decisions across a number of critical functions.
  • Acts as the primary contact for BlueCard Program and related issues.  Liaise and build relationships with other Blue Plans and Consortium Health Plans across the country.
  • Accountable for enabling national accounts sales growth.  Supports strategic and data-driven decisions. Drive Blue Strategy for growth including ensuring that CareFirst is maximizing the value of the BlueCard Program for all constituents: internal Plan staff, other BCBS Plans, members, accounts and providers.
  • Accountable for communications and decisions related to the BlueCard Program and other Inter-Plan functions & programs.
  • Ensures that the Plan is maximizing the value of the BlueCard Program for all constituents: internal Plan staff, other BCBS Plans, members, accounts and providers.
     

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Administration, Health Administration or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 10 years Blue Plan or Health Plan Strategy experience.

Preferred Qualifications:

  • Sales Experience.

Knowledge, Skills and Abilities (KSAs)

  • Must have a strong understanding of inter-Plan programs and a broad understanding of commercial group, senior market, Federal, Medicaid and other initiatives.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

     

Salary Range: $120,800 - $224,235 (salaries are based on education, experience & internal equity)

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Dir, Inter-Plan Blue Market St

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

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