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Director, InterPlan/Blue Strategy (Hybrid MD/DC/VA)

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Job ID: 19002

Job Function: Operations

Location: Owings Mills, MD, United States

Campus: MD-Owings Mills-Owings Mills I

Career Band: BDC

Status: Full-Time

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

#LI-CN1

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Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee’s identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents.

If you experience any technical difficulties during this process, please send an email detailing the specific problem you are having to [email protected] and we will respond as soon as possible.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) If you believe that you have experienced discrimination, contact OFCCP at 800-397-6251 (TTY 877-889-5627) or www.dol.gov/ofccp.

Director, InterPlan/Blue Strategy (Hybrid MD/DC/VA)

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