Jobs at Blue Cross Blue Shield Association

The Privacy Lead Consultant ensures BCBSA's compliance with privacy regulations, builds privacy programs, conducts assessments, and supports incident response across the enterprise.

Design, build, and optimize scalable data pipelines for large-scale structured and unstructured healthcare data to support ML and GenAI workloads. Implement ingestion, transformation, validation, orchestration, monitoring, and data foundations (feature pipelines, embeddings/vector stores). Collaborate with architects, data scientists, and DevOps to deploy and secure cloud-based pipelines while ensuring compliance with SOC 2, HIPAA, and GDPR. Mentor junior engineers and drive best practices in version control, metadata, reproducibility, performance tuning, and cost optimization.

The Director of Audit leads client and pharma rebate audits, ensures compliance, manages audit programs, strengthens internal controls, and collaborates with finance and legal teams.

Lead GTM and enterprise sales efforts targeting Blue Cross Blue Shield plans. Build and manage pipeline, close full-cycle deals, and translate payer needs into product positioning. Align cross-functional teams, influence product roadmap with customer feedback, and ensure compliance with regulatory and security standards.

Plan and lead operational, financial, governance, risk management and compliance audits. Perform project-level risk assessments, develop audit programs, execute procedures, document findings, draft reports, and contribute to the annual risk-based audit plan and quality improvement initiatives including automated audit techniques.

Lead writer and content driver for BCBS System newsletters; produces daily Plan Communications content, manages editorial production, sources and integrates content, applies Smart Brevity, uses engagement metrics and AI tools to optimize communications, supports leadership newsletters and workgroups, coaches contributors, and implements continuous improvements to increase reach and relevance.

Lead end-to-end delivery and business oversight of IT and business products for value-based contracting. Drive strategic planning, backlog prioritization, stakeholder relationships, QA, KPI measurement, process improvement, budget forecasting, and large-scale project execution to meet business objectives within the Blue Cross Blue Shield system.

Perform complex financial analysis for rebate and value‑based contract invoicing. Support contract negotiators, client engagement, audits, invoicing reconciliation, vendor coordination, dispute resolution, and client implementations. Develop reporting tools, participate in IT/finance projects, supervise and train rebate analysts, and identify process improvements related to manufacturer contracts and rebate payments.

The Internal Communications Strategist develops and implements communication strategies to engage employees, enhance understanding of company goals, and manage internal events. They craft clear, accessible content and work with various departments to promote an inclusive culture.

The role leads the Portfolio Execution function, ensuring strategic initiatives are effectively operationalized and aligned with business outcomes, including performance management and risk mitigation.

The Director of Payment Integrity leads payment integrity strategy for BCBSA, ensuring competitive capabilities across commercial and government markets, advising on program requirements, and managing complex initiatives with a focus on performance monitoring and continuous improvement.

The Senior Director of Data Science & GenAI leads the integration of AI across analytic assets, establishing standards and overseeing large-scale initiatives, while mentoring teams and driving strategic R&D projects.