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This role will be responsible for operations management of the Federal Employee Program (FEP) Medicare Advantage (MA) EGWP line of business. Responsible for overseeing day-to-day operational work streams that support…
Lead BCBSA's FedRAMP compliance strategy and cyber risk management program, building an AI-enabled compliance operating model with continuous monitoring and audit readiness. Core focus on NIST frameworks, regulatory compliance, and risk governance across the enterprise.
Senior Policy Program Manager leading legislative and regulatory health policy development for BCBSA on commercial market, ERISA, pharmacy benefit, and affordability issues—engaging federal/state policymakers and coordinating with BCBS Plans.
Job Description Summary: This role is responsible for leading the development and directing the delivery of the financial / operational portion of the annual internal audit plan. The role directs multiple concurrent…
Lead HEDIS data quality strategy for Blue Cross Blue Shield, ensuring accurate reporting to NCQA by analyzing healthcare data, improving processes, and coordinating cross-functional teams using tools like SAS and SQL.
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…
The role is a liaison for building strategic relationships and increasing brand visibility among Federal Employees and Uniformed Service members. Responsibilities include managing Advisory Boards, leading national…
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