Director, Federal Employee Dental and Vision Insurance Program, Operations

Company: Blue Cross Blue Shield Association
Location: Chicago
Posted on: February 12, 2025

Job Description:

The hiring range for this role is: 125,870.00 - 176,525.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range 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.This job is also eligible for annual bonus incentive pay.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.We are seeking a dynamic and experienced professional to manage supplemental benefits, particularly Dental and Vision health insurance carriers, for the FEP program. The ideal candidate will have a deep understanding of BCBS FEP Dental and Vision benefits, the Federal Employee Dental and Vision Insurance Program marketplace, and coverage carriers. This role involves approving product design, implementation, and overseeing program administration for these product lines. Some key responsibilities include:
*Leading a team of FEDVIP experts to oversee end to end vendor contracting, product design and implementation, and vendor oversight.
*Managing vendor administration, including contract development and ensuring vendors meet SLAs.
*Demonstrating proficiency in handling requests for proposals, conducting competitive analysis, and strategic planning.
*Driving vendors to resolve operational challenges as needed.Direct all operational phases of the FEP BlueVision vendor relationship and coordinate all activities related to the vendor and FEPDO. Provide expert advice and tactical support to ensure profitability of program, and customer satisfaction. Successfully leads annual negotiations with OPM staff; oversees development of business plan to include goals, objectives and tactics for growing the product.

Direct all operational phases of the FEP BlueDental vendor relationship and coordinate all activities related to the vendor and FEPDO. Provide expert advice and tactical support to ensure profitability of program, and customer satisfaction. Successfully leads annual negotiations with OPM staff; oversees development of business plan to include goals, objectives and tactics for growing the product.

Develop business cases for additional products or markets for FEPDO. Work with FEP research group, and SCS to track trends, investigate new opportunities. Specific areas to include senior market products, gen x and y products, VA market, and Medicare

Direct management and supervision of program managers. Responsible for achieving all required benefits design and administration accountabilities and objectives that support the strategic goals of the Affinity and Ancillary products. Responsible for vendor management, request for proposals, contract administration and budget to assure contractual compliance and financial discipline.EducationBachelor's Degree in Business Administration or other business discipline or equivalent work experience.Master's degree in Business Administration or related field preferred.CertificationsN/AExperienceMinimum of ten years of health care experience with progressive responsibilities in a management or leadership role.* Minimum of five to seven years of health care benefits design and administration experience.* Minimum 5 years of supervisory experience.SkillsPrevious experience with vendor management, including operational develop, implementation, and maintenance activities.Demonstrated comprehensive knowledge of healthcare product designs, utilization strategies, actuarial analysis, industry trendsDemonstrated comprehensive knowledge of FEHBP and FEDVIP and their various functions/disciplinesDemonstrated ability to conceptualize long term, innovative strategies as well as conceive tactical, issue-driven solutions including the ability to identify data/information needs, acquire and organize data, deliver analyses, and identify major findingsDemonstrated project management experience including leading project teams, guiding workgroups and teams to develop consensus on objectives and problem resolution for a broad range of topics and scope, and managing work plans and budget and resourcesAbility to develop and lead Plan and BCBSA presentations to a variety of audience members, and represent and promote achievement of identified project goals independently to external and internal stakeholders.Strong project management skills, including experience collaborating with internal business partners to ensure alignment and integration of key messagesDemonstrated analytical and problem solving skillsPresentation and relationship management skills interfaces with BCBSA, Vendors and Plan staff at various levelsPeople Management-Yes#LI-Hybrid

Keywords: Blue Cross Blue Shield Association, Chicago , Director, Federal Employee Dental and Vision Insurance Program, Operations, Executive , Chicago, Illinois