Develops, implements and administers Federal Employee Program (FEP) financial policies to ensure FEP compliance with the requirements of the Federal Acquisition Regulation, the Federal Employee Health Benefit Acquisition Regulation, the applicable Cost Accounting Standards, the Financial Accounting Standards, and the terms of the FEP contract, C.S. 1039, as well as to ensu

The Executive Director, Cyber Threat Intelligence combines deep technical expertise with an ability to lead across the BlueCross BlueShield system to deliver an advanced cyber threat intelligence service. You will lead a team of highly proficient technical resources within Blue Cross Blue Shield Association (BCBSA) to work across 30+ individual BCBS Plans to curate, collec

Job Description Summary The Data Product Manager will be a key resource at Synergie, a technical role supporting the business needs for IT infrastructure, information transmission, reporting and analytics. This role will develop creative and innovative solutions to support complex and large scale information exchanges, working with internal and external stakeholders. Key r

Job Description Summary Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans. Synergie is focused on improving affordability and access to costly medical benefit drugs ones that are injected or infused by a health care profess

The Managing Director of Strategic Partnerships and Development is in a key position to drive the advancement of BCBS Plans' competitive position. This role has the responsibility for establishing and leading pioneering community partnerships, driving the development of new programs and services at BCBSA in partnership with external affairs and other BCBSA teams, and the e

The Network Security Engineer will design, develop, test, deploy and maintain services, features and functions that will enhance security posture and controls for enterprise networks. Ensure systems are up to date with latest security patches and implemented with operational resilience. This position will assist in performance improvement while ensuring security controls a

Responsible for leading multiple projects, services and associated deliverables related to HEDIS, Care Management Programs and the activities for the Federal Employee Program (FEP) in support of the integrated care model. Functions as the Plan liaison clinical subject matter expert, assimilating information and developing strategic recommendations to proactively address Pl

Job Description Summary This position enacts, monitors, and operationalizes multiple components of the FEP Medicare Prescription Drug Program. Responsibilities include but are not limited to Act as liaison with third party compliance help line vendor; investigate potential compliance issues. Develop internal training programs to ensure compliance with regulatory requiremen

Job Description Summary Executes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue Cross Blue Shield (BCBS) Plans and Pharmacy Benefit Managers (PBMs) meet reporting requirements as mandated by the Carrier Letter and FEP Special Investigations Unit (FEP SI

Job Description Summary Responsible for the design, development and implementation of advanced technology systems and data standards to meet the needs of business. Partners with customers to understand business requirements to create the technical functional specifications. Acts as an internal data consultant to advise and influence business and technical partners. This ro