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The role ensure Plans' operations handle customer interactions accurately and promptly, leaving a positive brand impression. Execute audit programs and validate reported results. Present updates and recommendations at various events. Contribute to strategic planning by developing materials, presentations, and documentation. Create and improve standard operating procedures for departmental functions. Interact extensively with Plan staff at all levels, requiring diplomacy in difficult conversations. Influence local and national Plan operations.<li>Responsible for overall Plan execution of the Operational Audit Programs. This includes auditing Plans’ local and inter-Plan claim processing, local customer service processing, and enrollment processing in accordance with applicable program.</li><li>Analyze performance results and lead cross-functional meetings with Plan stakeholders in order to facilitate the development and completion of action plans for each performance program.</li><li>Lead in the development and administration of various audit initiatives/programs that impact internal and external stakeholders.</li><li>Provide Plans education and support by helping them to understand and properly execute operational and audit requirements in both formal and informal settings on a scheduled or ad-hoc basis. This includes providing face-to-face training, webinars, handling the Help Desk, one-on-one meetings, and collaborating with other BCBSA staff.</li>The posting range for this position is:$92,788.00-$105,000.00 Qualifications Education <ul><li>Required Bachelor's Degree in a business-related discipline or equivalent work experience</li></ul>Experience <ul><li>5+ Years related work experience Required</li></ul> Knowledge Skills and Abilities <ul><li>Ability to manage and adapt to multiple, changing priorities.</li><li>Demonstrated proficiency in the Microsoft Office suite and Internet technologies.</li><li>Demonstrated research and analytical skills (quantitative and qualitative).</li><li>Demonstrated presentation and communication skills both oral and written.</li><li>Knowledge of BlueCross Blue Shield and Inter-Plan Programs.&nbsp;</li></ul>#LI-Remote The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Blue Cross Blue Shield Association

Performance Audit Senior Consultant (Remote)

Use statistics, financial theory, mathematics, and basic financial and actuarial principles to assess the impact of internal and/or external proposals, activities, or initiatives for the Federal Employee Program (FEP), the Federal Employee Dental and Vision Insurance Program (FEDVIP), and other departments within BCBSA and the Plans as needed. Operate with a high level of autonomy for purposes of pricing, underwriting, reserving, forecasting and other actuarial functions. Manage small projects and communicate complicated concepts, information, and recommendations, and present technical information to non-technical audiences. Work product affects management decisions as well as financial soundness of Blue Plans, FEP, and FEDVIP.<li>Provides the evaluation, implementation, and maintenance of models and studies, which use actuarial principles for the purposes of pricing, underwriting, reserving, trend analyses, rating support, forecasting, and other actuarial functions, including peer review, as needed. Summarizes results, provides observations and recommendations to assist with management decisions.</li><li>Develops, analyzes, and quantifies the effects of new initiatives, proposals, environmental changes such as: laws/regulation, tax policy; trend; competitor, member, and provider behavior impacting FEP, FEDVIP, BCBSA, or Blue Plans, as appropriate. Analyzes the financial effect and determines the estimated actuarial impact and recommends appropriate solutions. </li><li>Responds to a variety of technical inquiries or requests and provides technical actuarial assistance to internal customers or external customers (OPM, Congress, etc.), and Blue Plans upon request. Supports and evaluates the Plan Trend Surveys and other BCBSA publications as requested. </li><li>Maintains actuarial credentials which may include continued progression through the actuarial examination process. </li><li>Supports actuarial presentations at meetings, conferences, and training sessions as requested.</li>The posting range for this position is: $103,677.00-$149,129.62 Qualifications Education <ul><li>Required Bachelor's Degree Actuarial Science, Mathematics, Statistics, or related field; or equivalent work experience</li></ul>Experience <ul><li>5+ Years actuarial experience, with multiple years in medical, dental, vision insurance, or other health related experience Required</li></ul> Knowledge Skills and Abilities <ul><li>Moderate health actuarial and related technical expertise in rating, underwriting, valuation, product development, trend analysis, forecasting, rate filings, financial statements, legislative analysis, policy development, and R&amp;D projects is required.</li><li>General understanding of data support systems and data requirements.</li><li>Ability to work effectively in multi-disciplinary team environment .</li><li>Excellent oral and written communication skills and the ability to present technical information to non-technical audiences</li><li>Ability to work in unfamiliar and potentially politically driven situations with limited data.</li><li>Demonstrated technical skills with the Microsoft Office Suite are required, including Microsoft Excel</li><li>Skilled in basic accounting and financial analysis.</li><li>Certifications &amp; Licenses </li><li>Required: Associate of the Society of Actuaries (ASA) - SOA</li></ul><ul><li>Extra Posting Information:Five years of actuarial experience, with multiple years in medical, dental, vision insurance, or other health related experience Experience in Access, SAS, SQL, Visual Basic, R, or other programming skills.</li></ul>#LI-Hybrid The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Associate Actuary

Job Description Summary: This role identifies and proactively develops policy recommendations that further the BCBS mission and drive solutions. Identifies and analyzes proposed regulatory and legislative initiatives at the federal and state level which present significant implications to BCBS Plans' members and clients. Identifies policy questions, advances meaningful policy solutions, and builds consensus with BCBS Plans and stakeholder allies on high-profile issues. Prepares formal comments regarding recommended policies and communicates key updates from BCBSA and federal/state policymakers to BCBS Plans. Leads BCBS Plan workgroups to advance corporate goals for assigned programs and/or issues. Works closely with BCBSA leadership to develop strategy around regulatory and legislative priorities for engagement with the White House, Administration, Congress and other key stakeholders in Washington. A strong knowledge of the Medicare Advantage program and Medicare payment systems required with the ability to demonstrate expertise in these areas and apply this knowledge to policy analysis and development.Responsibilities include but are not limited to:<ul><li>Leads the development of effective, consensus-based policy recommendations to promote BCBSA and BCBS Plan objectives at both state and federal levels. Manages the review of legislation and regulations to identify and provide feedback to policymakers and staff on strategic and business considerations. Develops advocacy documents to support these activities, including key messaging, one-pagers, and briefing materials. Provides policy support for coalitions, third-party inquiries and internal business partners on select focus areas. Brings forward new ideas and strategic thinking to promote BCBSA priorities and objectives.</li><li>Leads projects within assigned regulatory and legislative focus areas, including the identification of key business issues, legislative or regulatory analysis. Develops comment letters and resources for policymakers and educational materials for BCBS Plans. Produces bill summaries, policy analysis and memos on key issues and BCBSA positions for use by Plans. Leads BCBSA and Plan meetings to inform staff of key issues and actions taken by P&amp;A staff. Responsible for researching and developing responses to Plan inquiries.</li><li>Leads workgroup and related calls on focus areas. Identifies and communicates key regulatory and legislative activities to internal audiences, BCBS Plans and other external audiences. Collaborates with peers and others on BCBSA's business/operations team to support synchronized efforts to assess current landscape, identify opportunities for engagement for BCBSA leadership, and assist with implementing a forward-thinking, comprehensive, coordinated, strategy for assigned programs and/or issues.</li><li>Keeps up to date on legislative and regulatory positions and priorities, strategies, federal policymaking activities, external stakeholder positioning, and health care issues generally in order to maintain an understanding of key issues and strategies. May provide policy support to State Affairs team and work with state-based organizations (SBOs). Takes on various health policy projects as assigned.</li><li>Collaborates with BCBS Plan representatives, Policy and Advocacy staff and broader BCBSA staff. Engages with external stakeholders including federal policymakers and third-party representatives as appropriate.</li><li>Ensures senior management, senior leadership team and BCBS Plan representatives are informed as to pertinent legislative and regulatory developments.</li></ul>The posting range for this position is: $111,878.00-$160,925.77Required Education, Certifications and Experience:Education: <ul><li>Required Bachelor's Degree in Political Science, Public or Health Policy, Business or Public Administration; or equivalent work experience</li><li>Preferred Master's Degree in Health Policy, Public Policy, Health Administration, Public Heath or relevant subject</li></ul>Experience:<ul><li>7+ Years equivalent work experience Required</li></ul> Knowledge Skills and Abilities:<ul><li>Advanced knowledge of health care systems and understanding of legislative and policymaking process.</li><li>Strong communications skills; the ability to communicate effectively and persuasively, both orally and in writing</li><li>Strong planning and organizational skills</li><li>Strong human relations skills; and the ability to work with others in obtaining feedback/input, accomplishing goals, and meeting deadlines</li><li>Sophisticated/strategic thinking to determine how best to influence decision/policy makers</li><li>Comprehensive understanding of health policy issues and the legislative process, as well as experience with policy writing</li><li>Excellent interpersonal skills; demonstrated ability to develop and maintain relationships and influence outcomes</li><li>Excellent verbal and written communication skills, with the ability to identify issues and develop appropriate advocacy recommendations</li><li>Demonstrated ability to manage time and competing priorities</li></ul>Additional Preferred Experience:<ul><li>Experience working on one or more of the following Medicare Advantage policy areas: Stars program, Quality Bonus Payments, Medicare Advantage prescription drug plans, fraud, waste and abuse in Medicare, prior authorization processes and utilization management in Medicare, and telehealth policies.</li><li>Additional experience with Health insurance contracts and payment structures specific to Medicare Value-based care models and affordability initiatives in MedicarePolicy and legislative analysis related to Medicare regulations and legislation</li><li>Prior experience working for a health insurer, Congress, the Administration, or third-party stakeholders focused on Medicare programs is highly desirable. Experience working with public officials or in government is also valued.</li></ul>#LI_HYBRIDThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Legislative and Regulatory Senior Policy Program Manager (Medicare Advantage)

This role leads and executes strategic data initiatives to enhance reporting capabilities and deliver actionable insights for internal stakeholders and BCBS Plans. The incumbent designs and manages data-driven solutions that align with organizational goals, improve operational efficiency, and support decision-making across departments.<li>Leads projects to develop and enhance reporting tools and the underlying data that supports them. Develops service design concepts and policy and technical operational components. Develops process documents and executes implementation plans.</li><li>Designs analytic approaches and analyzes data from various sources, both internal and external, to contribute to design and enhancement of reporting needs. Analyzes business issues to develop methodologies, solutions and communication materials to improve reporting services.</li><li>Facilitates Plan and internal workgroups to develop consensus on goals and processes. Obtains Plan input for business requirements and development issues. Interacts with internal and Plan staff, building productive relationships</li><li>Summarizes the results of analyses in reports, notes, manuals, spreadsheets and charts and develops presentation slides. Contributes significantly to process documentation and summary white papers.</li><li>Facilitates and conducts communications of new initiatives, requirements, and opportunities. Presents findings to internal and Plan staff; participates in/leads project team discussions of the conclusions and direction of analytical work</li>The posting range for this position is: $112,443.00-$161,738.53 Qualifications Education <ul><li>Required Bachelor's Degree or equivalent work experience</li></ul>Experience <ul><li>7+ Years experience in data analysis and business operations Required</li></ul> Knowledge Skills and Abilities <ul><li>Ability to prepare project work plans and work product assignments in mid-sized projects (budget and resources) and portions of projects Strong analytical and reporting skills Excellent written and verbal communications skills Strong relationship-building skills Demonstrated ability to lead portions of client presentations and make presentations to internal staff members.</li><li>Experience in data analysis and business operations. Experience in identifying data/information needs; acquiring and organizing data, delivering analysis and identifying major findings. Experience in leading data gathering activities, framing problems and guiding construction of survey instruments.</li></ul>#LI-Hybrid The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Data Intelligence Specialist

Job Description Summary: This role is responsible for developing and executing BCBSA's policy research agenda and supporting the deep development and rich analysis of policy solutions. This role bridges data-centered insights and advocacy, ensuring that policy research and strategy support lobbying, communications and public affairs efforts – all with the ultimate goal of driving adoption of our solutions with policymakers.Responsibilities include but are not limited to: ​<ul><li>Strategic Policy Leadership<ul><li>Directs short- and long-term strategic planning aligned with BCBSA’s mission and advocacy goals, including environmental scanning, forecasting, and impact analysis.</li><li>Collaborates with senior leadership and cross-functional policy and advocacy teams to identify emerging issues, assess risks and opportunities, and develop actionable solutions.</li><li>Leads the creation and execution of advocacy action plans, ensuring alignment with legislative, regulatory, and health policy priorities.</li><li>Facilitates engagement and consensus-building with Plans, executives, committees, and cross-organizational teams to unify BCBSA’s policy positions.</li></ul></li></ul><ul><li>Policy Research, Data, and Evaluation<ul><li>Oversees the design and execution of high-impact research initiatives, including micro-simulation modeling, internal and external data analysis, and publication of white papers, blogs, and policy briefs.</li><li>Leverages BCBSA’s proprietary data assets to generate insights that inform policy development and advocacy strategies.</li><li>Leads the Blue Cross Blue Shield Center for Policy Research, translating complex data into actionable insights for policymakers, partners, and media on key issues such as affordability, coverage, public programs, drug pricing, and market dynamics.</li></ul></li></ul><ul><li>Policy and Research Promotion<ul><li>Engages with congressional offices, federal agencies, and state-based organizations to advance advocacy goals through evidence-based research.</li><li>Partners with communications and public affairs to represent BCBSA in media interviews, op-eds, and public forums, amplifying policy solutions and research findings.</li><li>Builds strategic alliances with research institutions to enhance BCBSA’s credibility and influence in the policy research community.</li></ul></li></ul><ul><li>Team and Operational Leadership<ul><li>Manages a multidisciplinary team of researchers and policy analysts, fostering collaboration and professional development.</li><li>Coordinates with finance, procurement, and executive leadership to oversee budgets, contracts, external consultants, and project reporting.</li></ul></li></ul>The posting range for this position is: $196,194.00-$300,296.36Required Education, Certifications and Experience: Education:<ul><li>Required Bachelor's Degree in Political Science, Public Administration, Public Policy or a related field; or equivalent experience</li><li>Preferred Master's Degree in Political Science, Public Administration, Public Policy or a related field.</li></ul>Experience:<ul><li>12+ Years in a related government relations environment, preferably in a healthcare organization, reflecting progressively responsible roles and demonstrating knowledge and understanding of the federal marketplace and the political and legislative environment and processes. Required</li></ul> Knowledge Skills and Abilities:<ul><li>Innovative thinker with ability to leverage data assets to advance strategy and policy initiatives.</li><li>An understanding of the healthcare marketplace and industry is essential, as is an understanding of how the related federal regulatory and legislative issues could impact BCBS business strategies.</li><li>Requires excellent oral and written communications skills with the capabilities to negotiate, persuade, and make effective presentations to varying audiences internal and external to BCBSA.</li><li>A high level of executive presence for interacting with and influencing key leadership.</li><li>Excellent interpersonal skills for building and fostering key relationships.</li><li>Must be able to effectively represent BCBS in various forums and with various audiences.</li><li>The ability to establish credibility and drive decisions and results while balancing considerations/priorities is critical.</li><li>Applies judgment and critical thinking skills to problem analysis/resolution at both the strategic and functional levels.</li><li>Must have demonstrated leadership skills relative to staff management and achieving results through others.</li><li>Ability to confidently and credibly interact with Plan senior management, Members of Congress (including House and Senate Leadership, Committee Chairs), external consultants, industry experts, and other health policy resources/audiences.</li></ul>#LI_HYBRIDThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Senior Director, Policy Strategy and Research

The hiring range for this role is: &nbsp;173,188.05 - 283,639.61This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Job Description Summary: The Compliance and Privacy Official is responsible for providing strategic direction and oversight for the organization's corporate compliance and privacy programs, ensuring alignment with evolving healthcare regulations, industry standards, and internal policies. As a key advisor to executive leadership, the Board of Directors, and governance committees, the role fosters a culture of ethics, accountability, and transparency across the enterprise. The Compliance and Privacy Official leads a team of compliance and privacy professionals, driving continuous improvement and operational excellence. This role is critical for risk mitigation, regulatory readiness, and the development of policies and practices that safeguard patient and organizational data.Responsibilities include but are not limited to:<ul><li>Privacy Program Leadership<ul><li>Oversee the organization’s Privacy Program, including HIPAA and GDPR compliance.</li><li>Lead cross-functional efforts to investigate and resolve privacy incidents.</li></ul></li></ul><ul><li>Corporate Compliance Oversight<ul><li>Manage the Compliance and Ethics Program, including the Code of Business Conduct and annual reporting to leadership and the Board.</li><li>Address compliance issues in collaboration with internal stakeholders.</li></ul></li></ul><ul><li>Government Programs Compliance<ul><li>Serve as the subject matter expert for Medicare Part D and other government program compliance.</li><li>Chair the MPDP Compliance Committee and report findings to senior leadership.</li></ul></li></ul><ul><li>Team Leadership<ul><li>Lead and develop a high-performing compliance and privacy team, fostering professional growth and a positive, inclusive work environment.</li></ul></li></ul><ul><li>Systemwide Engagement<ul><li>Promote best practices and coordinate incident response efforts across the system.</li></ul></li></ul><ul><li>Training &amp; Education<ul><li>Oversee compliance and ethics training programs for Blue Plan Compliance leaders.</li></ul></li></ul>Required Education, Certifications and Experience: Education:<ul><li>Required Bachelor's Degree or equivalent work experience</li><li>Preferred Master's Degree in Law; Business Administration; or equivalents</li></ul>Experience:<ul><li>12+ Years Experience in the healthcare industry with demonstrated knowledge of regulatory, privacy (HIPAA), and compliance and ethics issues Required</li></ul> Knowledge Skills and Abilities:<ul><li>Proven ability to lead teams, drive organizational change, and influence cross-functional initiatives in complex environments.</li><li>Deep understanding of healthcare compliance, privacy program administration, and data security technologies, including HIPAA and GDPR.</li><li>Strong capability to assess regulatory and operational risks and develop effective mitigation strategies.</li><li>Excellent analytical skills with sound business judgment, creativity, and initiative to solve complex problems.</li><li>Advanced interpersonal and communication skills, including experience facilitating training and presenting to executive leadership and governance bodies.</li><li>Ability to build and maintain credible relationships with internal and external stakeholders, including senior executives and board members.</li><li>Skilled in strategic project planning and execution, with the ability to remain composed and tactful under pressure.</li><li>Competent in Microsoft Office applications and other relevant compliance and privacy tools. Understanding of data security technologies and privacy program administration</li></ul>Certifications &amp; Licenses:<ul><li>Preferred: Licensed Attorney (varies by state) - Various</li><li>Preferred: Professional, Academy for Health Care Management (PAHM) - AHIP</li><li>Preferred: Certified Information Privacy Professional (CIPP) - IAPP</li></ul>Additional Information:<ul><li>Minimum twelve years' experience in the healthcare business arena with demonstrated knowledge of current regulatory and compliance and ethics issues, including knowledge of and experience working with Centers for Medicare and Medicaid Services/Medicare compliance requirements.</li><li>Experience managing privacy programs subject to healthcare laws and regulations, including HIPAA</li><li>Must have at least one year of experience managing privacy programs subject to healthcare laws and regulations, and a proven track record of leading and implementing regulatory compliance initiatives.</li><li>Direct experience with CMS/Medicare compliance requirements is required.</li><li>Proven record in leading and implementing regulatory compliance programs</li></ul>#LI_HYBRID

Senior Director, Compliance and Privacy Official

The hiring range for this role is: &nbsp;131,908.44 - 203,262.90This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Job Description Summary: This role is responsible for the overall delivery of technical solutions initiatives. Serves as the primary point of contact for the delivery, operations, and support of complex technology solutions. Work cross-departmentally and cross-organizationally to ensure the successful delivery of technology solutions initiatives. Interface with all levels of management, business owners, technical owners, team members, information security, and vendors/partners to define project priorities and outcomes. Oversee the build and deployment of complex solutions for customers using innovative automation tools, modern technologies and effective use of managed staff assigned to various IT efforts, to ensure successful delivery of initiatives.Responsibilities include but are not limited to: ​<ul><li>Serve as the primary point of contact within the organization for business, information security, and IT leadership, ensuring the successful delivery of assigned technical solutions. Coordinate cross-functional efforts to meet delivery objectives.</li><li>Establish and maintain effective controls for technical solution delivery initiatives. Define overall solution scope with business and project management office, estimate requested scope, and identify team resource capacity. Balance scope estimates and capacity to ensure successful delivery, address gaps, and document technical delivery roadmap.</li><li>Provide cross-team leadership to drive technical solution delivery to a successful conclusion. Proactively identify and address issues, maintain momentum, and implement solutions.</li><li>Collaborate effectively across all teams, navigate solutions to issues with a win-win approach, and maintain positive working relationships with all stakeholders.</li><li>Apply technical skills in the development and delivery of technical solutions as needed, following established methodology processes and practices.</li><li>Lead and manage a team with the aim of driving effective performance management, fostering professional growth, and creating a positive and inclusive work environment. This role is dedicated to utilizing strong leadership and communication skills to motivate and inspire team members, ensuring they are aligned with and committed to achieving the organization’s goals.</li></ul>Required Education, Certifications and Experience: Education:<ul><li>Required Bachelor's Degree in computer science, Information Systems, Business Administration, or equivalent work experience.</li><li>Preferred Master's Degree in Computer Science, Information Systems, Business Management, or equivalent work experience.</li></ul>Experience:<ul><li>7+ Years IT work experience, including application system architecture, design, development, and implementation Required</li></ul> Knowledge Skills and Abilities:<ul><li>Effective communication, presentation, and leadership skills</li><li>Advanced technology project management skills</li><li>Extensive knowledge of modern data processing platforms, cloud computing, object-oriented analysis/design, data lakes, data warehouses, data sharing, security, analytics, AI/ML, and Gen AI</li><li>Ability to resolve conflicts between timeline, budget, and scope independently, with escalation of complex issues as needed</li><li>Deep understanding of cloud security, including techniques for protecting sensitive data (PHI/PII) such as encryption, masking, and tokenization</li><li>Knowledge of healthcare legal and regulatory requirements (HITRUST, SOC-2, HIPAA Privacy &amp; Security, CMS regulations)</li><li>Excellent interpersonal, presentation, and communication skills</li><li>Ability to research and apply emerging technologies to the business</li><li>Advanced analytical, information security, and conceptual skills</li><li>High attention to detail, well-organized, and a self-starter</li></ul>Certifications &amp; Licenses:<ul><li>Required: AWS Certified Developer - Amazon Web Services (AWS)</li></ul>Additional information:In addition to ensuring the effective delivery of technical initiatives, this position provides strategic leadership and expert guidance for a team of Systems Analysts overseeing a large clinical data warehouse and ecosystem. The role emphasizes technical excellence in data analysis, modeling, and the design of advanced data environments, while cultivating continuous professional growth within the team. Additional experience with the following will be needed:<ul><li>Stewarding data quality and governance practices</li><li>Developing key technical documentation and systems requirements</li><li>Aligning evolving data management strategies with organizational objectives.</li></ul>Additional Knowledge, Skills, Abilities<ul><li>Demonstrated leadership in guiding, coaching, and empowering team members to achieve collective and individual goals, fostering a culture of collaboration, continuous learning, and professional growth.</li><li>In-depth knowledge of system analysis, design, and implementation, as well as staying updated with industry standards and technologies.</li><li>Ability to identify and resolve complex system issues and make informed decisions.</li><li>Proficiency in developing logical and physical data models, establishing data relationships, and ensuring data integrity across diverse platforms.</li><li>Skilled in leveraging data profiling techniques to assess the quality, consistency, and completeness of datasets, identifying anomalies, and recommending strategies for continuous improvement.</li><li>Strong analytical skills to evaluate system performance and identify areas for improvement.</li><li>Strong familiarity with specialized tools and methodologies.</li></ul>#LI_HYBRID

17 Blue Cross Blue Shield Association Jobs