Company · 41 open roles
Careers at Bcbsa
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41 positions at Bcbsa
HEDIS Data Quality Lead Program Manager
Bcbsa·Chicago or Washington, D.C.
Job Description Summary: This position supports and executes the Healthcare Effectiveness Data and Information Set (HEDIS) data quality strategy for optimal HEDIS submission to National Committee for Quality Assurance (NCQA). Responsibilities include oversight of the HEDIS porta…
Federal Affairs Director
Bcbsa·US DC 9th St NW
The Federal Affairs Director is responsible for developing and executing strategies that advance BCBSA's legislative and regulatory priorities. This role leads advocacy efforts by cultivating and sustaining effective relationships with Members of Congress, congressional staff, Ad…
Head of Medicare Performance Hub
Bcbsa·Chicago or Washington, D.C.
The Senior Director, Medicare Performance Hub (MPH) is a leadership role within the Blue Cross Blue Shield Association (BCBSA) Medicare business operations team. This individual will serve as the primary programmatic owner and operational lead for the MPH — a core enabling functi…
Medicare Product Development Lead
Bcbsa·US IL Chicago E. Randolph
Job Description Summary: This role operates as a strategic resource across the Medicare Advantage (MA) function, bringing analytical depth, competitive intelligence, and cross-functional coordination to advance enterprise Medicare product objectives. This position will address t…
Marketing Lead
Bcbsa·US IL Chicago E. Randolph
Job Description Summary: Leads the development and execution of marketing assets and programs that enable BCBS Plans to effectively position and promote national initiatives. Oversees integrated, multi-channel content and campaign delivery, aligning strategies to complex busines…
Marketing Senior Consultant
Bcbsa·US IL Chicago E. Randolph
Job Description Summary: The role is responsible for managing the development and execution of marketing assets and programs to support Blue Cross and Blue Shield Plans (BCBS) in positioning and selling various national programs and initiatives. The role leads or supports planni…
Medicare Plan Management Principal
Bcbsa·Chicago or Washington, D.C.
The role leads the design and execution of plan-facing strategy for the Medicare Advantage program. This leadership role serves as the primary architect of how BCBSA engages, educates, and activates BCBS Plans participating in the national MA program — translating national progra…
Associate General Counsel, Healthcare Solutions
Bcbsa·DC
Job Description Summary: The Healthcare Solutions Counsel provides legal and strategic guidance to the FEP (Federal Employee Program) team and the broader BCBSA Business Operations division on high profile matters related to healthcare delivery, with an emphasis on managing the …
Lead Enterprise Architect (FEP Medicare Advantage)
Bcbsa·US IL Chicago E. Randolph
This role is responsible for providing technical leadership, analysis and design facilitation across business, information, technical and solution viewpoints and enterprise architecture. In conjunction with the Director, Enterprise Architecture, this role is responsible for leadi…
Accreditation Program Specialist
Bcbsa·US DC 9th St NW
This role is responsible for leading multiple cross-functional projects, services and associated deliverables related to Federal Employee Program (FEP) and local Blue Plans Heath Plan Accreditation, the Accreditation Town Hall call, as well as other initiatives. Functions as a su…
Senior Manager, Accreditation and Quality
Bcbsa·US DC 9th St NW
The role is responsible for management of the Quality and Accreditation Operations department, its products, and deliverables. Responsible for organization strategy for improving the Quality of Care, Customer Service and Resource Use (QCR) measures, incorporating FEP capacity and…
Director, Data and AI Platform Strategy
Bcbsa·US IL Chicago E. Randolph
Job Description Summary The Director, Data and AI/ML platform strategy is a strategic leadership who will lead the development and execution of data and AI/ML platform strategy and will share the vision for platform as a product. This position will own end-to-end platform produc…
Financial Audit Senior Consultant
Bcbsa·US DC 9th St NW
This role is responsible for monitoring, analyzing, and auditing financial transactions of high complexity, and providing a leadership role. The role also evaluates compliance with regulations, develops corrective action plans, and delivers training to BCBSA and Plans. Additiona…
Director, Trade Client Relations
Bcbsa·Chicago or Washington, D.C.
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 b…
Brand Paralegal (must have branding, trademark etc experience)
Bcbsa·US IL Chicago E. Randolph
The role is responsible for providing support to attorneys with various brand-related legal tasks. Assigned support areas may include brand, trademark, federal programs, litigation, legal operations, health care/regulatory law. This position will provide support for the clearance…
Strategy Lead Consultant
Bcbsa·US IL Chicago E. Randolph
Job Description Summary This role will focus on managing corporate strategy projects to support BCBSA Board-directed needs. Responsibilities include scoping out projects, developing and managing teams, building relationships with key stakeholders, facilitating / delivering key f…
Government Programs Compliance Lead
Bcbsa·US IL Chicago E. Randolph
Job Description Summary: The Compliance Lead for Government Programs serves as a senior subject matter expert supporting the Medicare Compliance Officer in executing and continuously enhancing the compliance program in alignment with CMS requirements and the seven elements of a…
Sr. Brand Strategy and CX Consultant
Bcbsa·Chicago or Washington, D.C.
This position supports the development and execution of brand and experience strategies that advance, protect, and strengthen the BCBS Brand across the System and in partnership with Plans. Working primarily in Brand Strategy with a secondary contribution to Customer Experience, …
Legal Counsel
Bcbsa·US Minnesota Remote
Job Description Summary The Legal Counsel serves as a trusted legal advisor to the company's business and operational teams, providing advice on commercial contracting, healthcare regulatory compliance, privacy matters, and legal risk management. This position is responsible for…
Internal Audit Consultant
Bcbsa·US IL Chicago E. Randolph
Job Description Summary: The role plans and leads audits of internal operational, financial, governance, risk management and compliance processes. The role carries out project level risk assessments, develops and carries out effective and efficient audit programs, develops sound…
Pharmacy Compliance Lead Consultant
Bcbsa·US DC 9th St NW
The role is responsible for managing the day-to-day pharmacy financial and audit operations. This role serves as the primary contact with the for-accounting issues and works closely with internal and external auditors. It is also the internal subject matter expert on pharmacy fin…
Legislative & Regulatory Policy Specialist
Bcbsa·DC
Job Description Summary: The role performs policy research and analysis, synthesizes information, and creates communication documents that advance the objectives of Policy and Advocacy. Provides information and reports related to Association legislative and regulatory activities…
FEP Operations Program Specialist
Bcbsa·US DC 9th St NW
This position supports the vendor relationship, daily operations, and delivery of member benefits. This position collects, maintains, and resolves issues, shares program operational and performance data, supports timely resolution of inquiries, communication development, process …
Senior Manager, Data Engineering
Bcbsa·US IL Chicago E. Randolph
Job Description Summary The Senior Manager, Data Product Engineering is a hands-on technical leader who leads the design, development, and delivery of data products, pipelines, and analytics solutions that support BCBSA's analytics, reporting, and AI/ML workloads. This role lead…