Remote Director Commercial Operations Strategy and InterPlan Relationship at BlueCross BlueShield of Tennessee, Inc.

We’re hiring a Director of Commercial Operations Strategy and InterPlan Relationships at BlueCross BlueShield of Tennessee. This is a strategic leadership role where you’ll be the primary point of contact for our BlueCard Program and help guide how we implement InterPlan policies across the organization. We’re looking for someone who brings strong healthcare leadership experience, a sharp strategic mindset, and the ability to communicate and influence effectively—both internally and with external partners.

While this is a fully remote position, it does require travel at least twice a year to represent BCBST at BlueCross BlueShield Association events like meetings, onsite sessions, and Customer Forums. It’s a great chance to connect with peers across the Blues system and help shape the future of our collaborative work.

Job Responsibilities:

• Leads evaluation of processes for efficiencies and possible automation, working with teams through any related implementations
• Engage and actively participate in calls, workgroups, and webinars as the BlueCard program representative gathering necessary information and feedback.
• Acts as the primary contact for BlueCard Program and related issues and is accountable for communications and decisions related to the BlueCard Program and other inter-Plan functions.
• Acts as BCBSA Blue Card Program Director representing BCBST on committees and leading the development and implementation of InterPlan policies for Commercial Operations
• 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.
• Fulfill tasks in Inter-Plan Programs Policy requirements assigned to the Inter-Plan role, including but not limited to:
  • Manage intra-Plan communications of decisions and facilitate responses to System-wide requests and Plan-to-Plan level 3 three-day disputes.
  • Submit official policy exception requests (if an alternate designee submits the request, the Inter-Plan Executive must be copied on the email).
  • Attend all Inter-Plan Executive meetings, commercial market briefings, governance previews and any adhoc meetings

Job Qualifications

Education

• Bachelor degree in Business, Economics, Finance or healthcare or relevant field or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

Experience

• 8 – 10 years – leadership/managerial experience in healthcare, strategy setting or related field
• Experience in communicating concepts and influencing at both executive level and external audiences

Skills / Certifications

• Ability to work independently with minimal supervision
• Ability to translate abstract concepts and ideas into quantitative analysis
• Must be a team player, be organized and have the ability to handle multiple projects
• Strong interpersonal and organization skills

Number of Openings Available:

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Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine  and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.