Jobs at Blue Cross Blue Shield Association

Leads enterprise data strategy execution, portfolio investment prioritization, data operations, quality, governance, service management, adoption, and value realization. Establishes roadmaps, operating standards, governance practices, metrics, and executive reporting for critical data assets. Partners with engineering, product, finance, commercial, legal, compliance, and Blue Plan stakeholders while leading teams across data strategy, operations, quality, governance, and product management.

Leads sales enablement for national health insurance accounts, overseeing RFP/RFI support, sales tools, strategic communications, stakeholder relationships, training, and cross-functional collaboration. Manages a team, develops proposal messaging and collateral, establishes service-level agreements, supports Plans and brokers, and drives continuous improvement of sales resources and processes.

Leads business analysis, product-owner activities, and operational coordination for national healthcare network services. Responsibilities include requirements gathering, business-case development, service governance, vendor and contract support, billing and financial operations, onboarding and offboarding, stakeholder engagement, process improvement, and large-scale implementation leadership. The role translates business needs into network-service and engineering requirements, supports product managers, develops training and communication materials, and coordinates cross-functional teams across Blue Plans and business partners.

Provides administrative and project management support to executives and assigned teams. Coordinates cross-functional projects, planning sessions, roadmaps, objectives and key results, status reporting, stakeholder communications, meetings, travel, expenses, vendor payables, presentations, and executive materials. Analyzes data and prepares reports, charts, and summaries while maintaining confidentiality and managing multiple priorities in a high-visibility environment.

Leads architecture, engineering, security, governance, automation, and strategic direction for enterprise Microsoft 365 and hybrid cloud platforms. Designs scalable cloud-native solutions, automates provisioning and security remediation, manages infrastructure as code, oversees migrations and modernization, defines standards and roadmaps, and serves as the highest technical escalation point. Partners with vendors and internal teams, mentors engineers, and ensures platform reliability, compliance, monitoring, and operational support.

Leads strategic consulting projects, conducts primary and secondary research, analyzes data, develops actionable recommendations, and presents executive deliverables to senior leadership. Supports strategic planning and BCBS Plan engagement, manages project work plans, collaborates with business partners, and coaches junior staff. Requires strong analytical problem-solving, communication, facilitation, relationship-building, and project leadership skills, with familiarity with the health insurance industry. AI literacy and generative AI experience are preferred.

Partners with product, engineering, design, and business teams to translate requirements into user stories, analyze customer and product data, build dashboards, track KPIs, and inform roadmap priorities. Conducts market and competitive research, defines acceptance criteria, identifies product opportunities, and recommends evidence-based improvements. The role also supports client-facing activities, product governance, documentation, audit readiness, and compliance with SOC 2, HIPAA, and secure data-handling standards.

Leads cybersecurity risk and compliance programs, including FedRAMP strategy, continuous monitoring, audit readiness, control implementation, risk registers, and third-party risk assessments. Builds AI-enabled compliance processes, guides multiple projects, manages budgets and resources, advises senior leadership, translates technical risks for business stakeholders, and drives governance, process improvement, and regulatory compliance across the organization.

Provides executive leadership for Federal Employee Program products across medical, dental, vision, postal, and overseas offerings. Owns portfolio strategy, pricing collaboration, product development, marketing, brand positioning, member engagement, and growth initiatives. Leads product launches, market analysis, benefit changes, partnerships, and member experience improvements. Manages and develops a high-performing team while coordinating with actuarial, clinical operations, plans, and strategic partners to achieve enrollment, profitability, quality, and retention goals.

Leads enterprise AI strategy, portfolio management, governance, lifecycle oversight, financial management, and value measurement. Advises teams on AI technology selection, including foundation models, agents, RAG architectures, orchestration platforms, and evaluation tools. Establishes responsible AI processes, approval workflows, model governance frameworks, executive dashboards, and investment prioritization methods. Partners with FinOps, Procurement, Enterprise Architecture, Technology, and business leaders to optimize AI spending, manage risk, drive responsible adoption, and realize measurable business value through influence and cross-functional leadership.

Lead federal advocacy strategy to advance BCBSA legislative and regulatory priorities. Build and sustain relationships with Members of Congress, staff, Administration officials, and stakeholders; monitor congressional activity; provide strategic guidance and executive presentations; coordinate cross-functional and Blue Plan advocacy efforts; leverage political resources and partnerships to influence federal policy affecting the insurance industry.

Leads the financial and operational internal audit plan, directing concurrent audits, supervising audit staff, reviewing audit quality and findings, and advising senior management. Oversees risk assessments, internal controls, audit reporting, strategic improvement initiatives, and quality programs. Evaluates and deploys AI-enabled audit tools, prepares executive and committee presentations, manages audit issues, and coordinates with enterprise risk, compliance, and information security functions.

Lead product strategy and roadmap for healthcare analytics and AI/agentic products. Own end-to-end product lifecycle, translate market and customer needs into actionable features, ensure compliance (HIPAA, SOC 2), mentor product teams, and partner with engineering, data science, and commercial teams to deliver scalable, AI-enabled solutions for payers, providers, and healthcare stakeholders.