Senior Director jobs at Blue Shield of California - 20 jobs

The Vice President, Medical Economics is a strategic leader responsible for driving medical cost management and healthcare value initiatives across the organization. This role oversees three critical areas: Cost of Care Analytics, Healthcare Value Strategy, and Healthcare Value Operations. The VP will partner with executive and health plan leadership, clinical operations and innovations, and segment finance teams to ensure sustainable cost containment and improved healthcare outcomes. Key Responsibilities Medical Expense Analytics The VP will partner with executive and health plan leadership, clinical operations and innovations, and segment finance teams to ensure sustainable cost containment and improved healthcare outcomes. Key Responsibilities Medical Expense Analytics - Lead analytics to support Health Plan clinical operations and care management programs. - Oversee provider and value-based contracting analytics, including performance measurement and incentive modeling. - Direct pharmacy economics analysis to optimize drug spend and formulary strategies. - Oversee evaluation of program ROI for Cost of Care initiatives and recommend enhancements. - Lead medical expense cost and trend target setting for health plan business segments to drive action and accountability to meet health plan financial goals. - Maintain oversight of medical expense benchmarking and analytical tools to ensure accurate forecasting and reporting. Healthcare Value Strategy - Develop enterprise-wide strategies to reduce medical costs and achieve health plan financial targets. - Collaborate with cross-functional teams to identify opportunities for cost savings and value creation. - Build business cases for new initiatives, including financial modeling and impact analysis. - Facilitate ideation sessions and prioritize initiatives based on ROI, feasibility, and alignment with organizational goals. Healthcare Value Operations - Oversee prioritization of proposed medical cost initiatives. - Ensure timely implementation and monitoring of programs designed to improve healthcare value. - Establish governance processes for initiative tracking, reporting, and performance evaluation. - Partner with clinical, network, and finance leaders to ensure alignment and accountability. Qualifications - Master's Degree in Health Economics, Finance, Business Administration, Public Health, or related field or Fellow of the Society of Actuaries (FSA) 10+ years of experience in healthcare economics, medical cost management, or health plan analytics. Proven leadership experience managing large teams and complex initiatives. - Strong knowledge of health plan operations, provider contracting, pharmacy economics, and value-based care models. Exceptional analytical, strategic thinking, and communication skills. Core Competencies - Strategic Leadership Financial Acumen - Healthcare Industry Expertise Data-Driven Decision Making Collaboration and Influence

The Senior Director of Finance Operations for Cigna Pharmacy will lead a team of approximately 20 professionals plus a dedicated technology team. This role is responsible for driving operational excellence across client performance guarantee (PG) operations, guarantee and ASO agreement automation, data management, and implementation of new initiatives and technology. The position requires strong leadership, attention to detail, and collaboration with cross-functional teams including sales, underwriting, product, and technology. Key Responsibilities: Team Leadership Manage and develop a staff of ~20 and a dedicated technology team, fostering a culture of accountability and continuous improvement. Client PG Operations Validate rebate invoice data for Cigna Pharmacy in partnership with ESI Oversee client pharmacy rebate sharing for over 1,200 clients. Ensure accurate discount guarantee reporting and reconciliation. Support sales training and client resolution activities. Manage audit processes for client guarantees in partnership with the enterprise rebate audit team. ASO Agreement and RFP Support Drive automation of guarantees and ASO agreements, including broker templates, new language, and market events Approve client communications and RFP language to ensure compliance and accuracy with capabilities Project Management Lead implementation of new underwriting and pricing guarantees, exclusions, and related initiatives. Coordinate cross-functional efforts to deliver projects on time and within scope. Data Operations Develop and maintain Cigna Pharmacy finance data, consolidating data from ESI, Accredo, ESHD, and CHC Medical. Advance data visualization and automation initiatives to improve reporting efficiency. Serve as subject matter expert for compliance reporting Active engagement with Technology to ensure data accuracy and availability Qualifications: Extensive experience in finance operations within healthcare or pharmacy benefit management. Proven leadership skills managing large teams and technology-driven initiatives. Excellent communication and stakeholder management skills. Strong problem solving skills involving complex systems and a matrix environment Knowledge of compliance, audit processes, and client contract management. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 169,500 - 282,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Pay Range: $160,000.00 - $266,500.00 Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We're dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. Why this job matters: Bridge operational activities and financial processes, to enable accurate forecasting, financial reporting, and strategic decision-making. Partner closely with finance, contracting, and other business areas to ensure provider agreements and alternative payment models drive financial stability and support strategic and financial goals and mission. Lead actuarial support for risk adjustment and pharmacy rebate activities. What you will do: Lead actuarial support for provider contracting, including feasibility analysis of proposed alternative payment models and contract structures. Model financial impacts to inform contract negotiations, network shifts, and proposed changes. Forecast and monitor shared savings/losses, settlement outcomes, and downstream impacts of contracting decisions. Support risk adjustment projections and financial modeling across submission cycles to inform revenue forecasting and planning. Analyze and forecast quality incentive payments and rebate revenue based on utilization trends and contract terms. Collaborate with finance to ensure actuarial outputs are integrated into financial planning models and ledger entries. Identify and explain variance drivers from new membership and provider performance throughout the year. Serve as a translation layer between operational functions, business areas, and finance, strengthening financial forecasting and alignment. Perform other duties as assigned. What you need to succeed: Bachelor's degree in Mathematics, Statistics, Economics or related field; or a combination of education and related work experience ASA or FSA designation from the Society of Actuaries Seven to ten years actuarial experience within the health insurance or related industry Prior experience pricing and evaluating alternative funding arrangements in healthcare. Medicare Advantage background Proven track record of partnering with finance and contracting functions to drive business results. Strong analytical, communication, and collaboration skills. Ability to present and translate complex data into digestible information. The extras: Experience with provider contracting, risk adjustment, and financial modeling preferred. Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.

The Senior Director, Affordability Strategy will serve as a leader responsible for shaping the affordability roadmap across the national ancillary and payment integrity teams at Cigna Healthcare. This role seeks an experienced strategist with deep healthcare expertise, capable of influencing executive decision-making and driving the ideation, design, and oversight of new affordability initiatives and solutions that align with enterprise and Cigna Healthcare organizational goals. The ideal candidate will bring a consulting-grade toolkit, strong analytical and financial acumen, and a proven ability to operate at the intersection of innovation, business strategy, financial and operational execution. The role will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches to address medical and admin cost trends, provider behavior, billing behavior, and improve health plan operations. Responsibilities Strategic Leadership & Execution * Drive annual strategic refresh cycles, including 3-year outlook planning and initiative prioritization * Defines reimbursement policies and tactical goals and objectives; directs strategy execution * Assists affordability leadership in defining short and long-term strategic needs, and work through multi management levels to track plan progress and execution * Identify emerging trends impacting medical costs to inform new program and product development * Serve as a strategic advisor to Cigna Healthcare senior affordability, clinical and operational leadership, translating enterprise and organizational priorities into actionable initiatives * Act as a catalyst for change, positioning the Cigna Healthcare affordability and payment integrity team as a leading program help with value creation within the organization Affordability programs * Support the design and refinement of affordability programs tailored to address specific trends and populations * Partner with analytics, operations, product, and clinical teams to validate business cases and define success metrics * Identify new and scalability of affordability programs and initiatives * Support go-to-market strategies, communication and enablement efforts for new solutions * Accountable for enabling the strategy set by leadership Cross-Functional Collaboration & Communication * Collaborate with matrix partners across contracting, operations, clinical, finance, product, sales, transformation and innovation teams within Cigna Healthcare and across the enterprise to ensure alignment and execution. * Develop executive-level communications, including strategy memos, presentations, reports, stakeholder updates and create comprehensive narratives Market & Competitive Intelligence * Conduct external scans of the healthcare landscape to identify innovation and affordability opportunities and competitive threats, using data and qualitative performance to advise management relative to the national network and payment integrity strategy * Analyze internal capabilities and gaps to inform strategic priorities and decisions * Synthesize internal and external insights into actionable recommendations that shape enterprise and organizational growth initiatives Execution & Performance Management * Track and report on initiative performance, ensuring alignment with financial, operational clinical impact and experience goals * Synthesize annual and multi-year plans to demonstrate tie back to affordability and enterprise strategies and goals Qualifications * Bachelor's degree required; MBA, MPH, MHA or relevant advanced degree preferred. * 8+ years with progressive experience in healthcare strategy or finance, ideally with exposure to top-tier consulting or payer/provider/integrated delivery system strategy roles * Demonstrated expertise in innovation, product development, and emerging technologies in healthcare * Exceptional strategic thinking, problem-solving, and executive communication skills. * Proven ability to deliver creative solutions to complex challenges * Skilled in managing action items, tracking progress, and ensuring timely follow-ups is preferred * Financial acumen and experience with business case development * Experience working in a matrixed organization with strong internal relationship-building skills * Excellent communication skills with the ability to translate complex topics into clear, actionable insights Preferred Qualifications * Experience in a top-tier strategy consulting firm or in a corporate strategy function within a leading healthcare organization * Experience in payer or integrated delivery system environments * Familiarity with emerging technologies and AI/ML applications in claims settings If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 193,300 - 322,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

**Resp & Qualifications** **Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings.** **PURPOSE:** Are you ready to lead a dynamic team and drive strategic growth in the commercial market segment? As the Director of Commercial Accounts, you will provide visionary leadership to the 51-99 commercial Account Consultants, ensuring maximum customer retention and ancillary growth. This pivotal role involves overseeing, managing, and directing the team to boost sales volume for our commercial employers, while also contributing to the achievement of our corporate goals. **ESSENTIAL FUNCTIONS:** + **Team Leadership:** Inspire and manage a talented team of Account Consultants, ensuring top-notch performance and professional development. + **Retention & Growth:** Achieve retention, renewal, and financial goals for medical and specialty products within the 51-99 commercial segment. + **Relationship Building** : Foster positive relationships with key market constituents, brokers/consultants, government officials, and vendor partners across the service area. + **Collaboration** : Partner effectively with internal teams and subject matter experts to meet client needs and maintain a positive organizational reputation. **QUALIFICATIONS:** **Education:** Bachelor's Degree in Business, Marketing, Sales, or a related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications:** + Current health and life license for Maryland, DC, and Virginia. **Experience:** + 11 years of sales experience with a focus on strategic, consultative selling. + 3 years of management experience. + Proficiency in Salesforce **Preferred Qualifications:** + Industry Knowledge: Expertise in fully insured and self-funded accounts. **Knowledge, Skills and Abilities (KSAs):** + Strong leadership and training capabilities for professional sales personnel. + Extensive knowledge of underwriting principles, group health/life insurance financial mechanisms, healthcare delivery systems, and health insurance products. + Exceptional facilitation and leadership skills, with the ability to communicate complex issues effectively to both executive and peer audiences. + Ability to build productive relationships with internal and external stakeholders. + Adaptability to work in a fast-paced environment with changing priorities and deadlines. **Salary Range:** $136,000 - $229,500 (Salaries are based on education, experience & internal equity) Sales Incentive Targets are separate. **Travel Requirements:** Frequent travel required (approximately 50%). **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Renewal 100-999 MD **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21373

As a strategic leader in Specialty Pharmacy, you will shape high-performing Specialty Pharmacy Management Services programs by driving operational excellence, strengthening financial outcomes, and elevating clinical quality for partners nationwide. This role blends deep specialty pharmacy expertise, collaborative leadership, and a passion for transforming patient access and experience in a rapidly evolving healthcare environment. Responsibilities Serve as the organization's expert on specialty pharmacy, accreditation standards, and compliance best practices. Strengthen internal and client-facing teams through education on workflows including benefits verification, prior authorization, patient counseling, and clinical support. Drive financial performance by optimizing revenue cycle processes, reducing leakage, and improving reimbursement outcomes. Provide strategic guidance on 340B capture models, payer engagement, and manufacturer collaboration. Support development of innovative service offerings and go-to-market strategies in partnership with product and commercial teams. Participate in client presentations and solution design efforts, ensuring offerings align with clinical, operational, and financial goals. Required Qualifications Minimum 8+ years of progressive leadership experience in infusion operations. Expertise in accreditation standards, patient access workflows, and revenue cycle management. Strong understanding of 340B program requirements and optimization strategies. Exceptional communication skills with proven ability to influence leaders and clients. Preferred Qualifications Bachelor's degree. Advanced degree (MBA, MHA, PharmD) preferred. Experience supporting payer or provider-based specialty pharmacy programs and scaling operational models. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 117,800 - 196,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

**Resp & Qualifications** **Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings.** **PURPOSE:** Are you ready to lead a dynamic team and drive strategic growth in the commercial market segment? As the Director of Commercial Accounts, you will provide visionary leadership to the 51-99 commercial Account Consultants, ensuring maximum customer retention and ancillary growth. This pivotal role involves overseeing, managing, and directing the team to boost sales volume for our commercial employers, while also contributing to the achievement of our corporate goals. **ESSENTIAL FUNCTIONS:** + **Team Leadership:** Inspire and manage a talented team of Account Consultants, ensuring top-notch performance and professional development. + **Retention & Growth:** Achieve retention, renewal, and financial goals for medical and specialty products within the 51-99 commercial segment. + **Relationship Building** : Foster positive relationships with key market constituents, brokers/consultants, government officials, and vendor partners across the service area. + **Collaboration** : Partner effectively with internal teams and subject matter experts to meet client needs and maintain a positive organizational reputation. **QUALIFICATIONS:** **Education:** Bachelor's Degree in Business, Marketing, Sales, or a related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications:** + Current health and life license for Maryland, DC, and Virginia. **Experience:** + 11 years of sales experience with a focus on strategic, consultative selling. + 3 years of management experience. + Proficiency in Salesforce **Preferred Qualifications:** + Industry Knowledge: Expertise in fully insured and self-funded accounts. **Knowledge, Skills and Abilities (KSAs):** + Strong leadership and training capabilities for professional sales personnel. + Extensive knowledge of underwriting principles, group health/life insurance financial mechanisms, healthcare delivery systems, and health insurance products. + Exceptional facilitation and leadership skills, with the ability to communicate complex issues effectively to both executive and peer audiences. + Ability to build productive relationships with internal and external stakeholders. + Adaptability to work in a fast-paced environment with changing priorities and deadlines. **Salary Range:** $136,000 - $229,500 (Salaries are based on education, experience & internal equity) Sales Incentive Targets are separate. **Travel Requirements:** Frequent travel required (approximately 50%). **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Renewal 100-999 MD **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-KL1 REQNUMBER: 21373

Role Title: Director, Product Management - Customer Data Platform As a Product Director in Evernorth's Digital team, you will be responsible for helping to build the strategy, define requirements, and drive execution for the platform capabilities that power Evernorth's Customer Data Platform (CDP). This is a running platform with active customers. Your mandate is to increase reliability, adoption, and ROI; simplify the landscape by assessing overlapping and legacy assets; and make clear build/buy/retire decisions that reduce cost-to-serve and enable personalization at scale. This role will report into the Product Strategy Senior Director and includes managing all aspects of product management including strategy & roadmap development, research & analysis, and platform execution, enabling internal teams to safely ship compliant, data-driven interactions faster. The right person for this role can solve complex problems, communicate solutions concisely and articulate clear vision to technical and non-technical groups. This individual will work closely with Product & Technology leadership, Research, Analytics, Clinical, and Development/Delivery teams, as well as key stakeholders in senior leadership to develop and deliver solutions that will differentiate Evernorth as a market leader. In support of strategic efforts, this individual will understand the strategy of all stakeholders and will partner with business leads and functional owners to accomplish core responsibilities. Ultimately, this individual will not only help translate business objectives into a clear product roadmap and requirements, but also help define them and identify opportunities for Evernorth Digital. How You'll Make a Difference As Director, Product Management - Customer Data Platform, you will set the pace for our future by defining and evolving the CDP vision and roadmap, ensuring alignment with enterprise digital strategy. You'll lead the development and delivery of reusable, enterprise-wide capabilities that power personalization and omnichannel engagement across Email, SMS, IVR, Bot, and more. Your role spans strategy and execution: • Drive Product Vision & Roadmap: Manage roadmap development, prioritize initiatives, and communicate product strategy to key stakeholders. • Translate Strategy into Action: Define business requirements and convert them into measurable product requirements, epics, and user stories with clear acceptance criteria. • Enable Capability Development: Oversee design and delivery of platform-level features and enablers (e.g., LLMs, Content Management Systems, Enterprise Design Systems and 3rd Party Vendors) in partnership with engineering and architecture teams. • Champion Governance & Compliance: Establish governance for data layers (AIE, Claims, PHI, Registration) and enforce secure, compliant activation and access controls. • Collaborate Across the Enterprise: Engage executive stakeholders and cross-functional teams-marketing, analytics, operations-to ensure CDP capabilities meet business needs and drive adoption. • Measure & Optimize: Define KPIs for capability utilization and business impact, monitor performance, and identify opportunities for enhancement. • Evangelize & Enable: Support adoption through training, documentation, and close collaboration with customer-facing teams to articulate product positioning and benefits. What We Expect From You • Proven track record in conceiving and delivering digital products, ideally with experience in platforms and data products. • Ability to oversee new product development from ideation through launch and ongoing optimization. • Strategic thinker who anticipates trends and incorporates them into short- and long-term plans. • Exceptional communication skills with experience engaging executive stakeholders. • Data-driven mindset with experience in A/B testing and analytics implementation. • Entrepreneurial spirit and ability to thrive in a fast-paced, dynamic environment. • Comfortable working across multiple business units, including Product, Engineering, and Analytics. • Strong leadership skills with emphasis on coaching and developing product talent. Qualifications (Minimum) • Minimum of a Bachelor's degree and 7+ years in digital product management, including 5+ years managing other product managers. • 5+ years leading platform products(data/MarTech/CDP/decisioning) with enterprise adoption at scale. • Technical fluency across data and event architectures (cloud warehouse/lake, streaming/CDC, identity/consent) and observability (metrics, tracing, logs). • Familiarity with CDP/engagement technologies (e.g., Redpoint, Adobe RTCDP/Journey Optimizer, Salesforce Marketing Cloud) and Snowflake/Databricks plus streaming frameworks. Preferred Qualifications • Ownership of APIs/SDKs with versioning/deprecation and compatibility management. • Experience evaluating vendor/legacy stacks and driving consolidate/modernize/retire decisions with ROI and migration execution. • Proven record improving developer experience and driving adoption (docs, samples, enablement) with measurable platform KPIs. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 158,300 - 263,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Role Title: Director, Product Management - Customer Data Platform As a Product Director in Evernorth's Digital team, you will be responsible for helping to build the strategy, define requirements, and drive execution for the platform capabilities that power Evernorth's Customer Data Platform (CDP). This is a running platform with active customers. Your mandate is to increase reliability, adoption, and ROI; simplify the landscape by assessing overlapping and legacy assets; and make clear build/buy/retire decisions that reduce cost-to-serve and enable personalization at scale. This role will report into the Product Strategy Senior Director and includes managing all aspects of product management including strategy & roadmap development, research & analysis, and platform execution, enabling internal teams to safely ship compliant, data-driven interactions faster. The right person for this role can solve complex problems, communicate solutions concisely and articulate clear vision to technical and non-technical groups. This individual will work closely with Product & Technology leadership, Research, Analytics, Clinical, and Development/Delivery teams, as well as key stakeholders in senior leadership to develop and deliver solutions that will differentiate Evernorth as a market leader. In support of strategic efforts, this individual will understand the strategy of all stakeholders and will partner with business leads and functional owners to accomplish core responsibilities. Ultimately, this individual will not only help translate business objectives into a clear product roadmap and requirements, but also help define them and identify opportunities for Evernorth Digital. How You'll Make a Difference As Director, Product Management - Customer Data Platform, you will set the pace for our future by defining and evolving the CDP vision and roadmap, ensuring alignment with enterprise digital strategy. You'll lead the development and delivery of reusable, enterprise-wide capabilities that power personalization and omnichannel engagement across Email, SMS, IVR, Bot, and more. Your role spans strategy and execution: - Drive Product Vision & Roadmap: Manage roadmap development, prioritize initiatives, and communicate product strategy to key stakeholders. - Translate Strategy into Action: Define business requirements and convert them into measurable product requirements, epics, and user stories with clear acceptance criteria. - Enable Capability Development: Oversee design and delivery of platform-level features and enablers (e.g., LLMs, Content Management Systems, Enterprise Design Systems and 3rd Party Vendors) in partnership with engineering and architecture teams. - Champion Governance & Compliance: Establish governance for data layers (AIE, Claims, PHI, Registration) and enforce secure, compliant activation and access controls. - Collaborate Across the Enterprise: Engage executive stakeholders and cross-functional teams-marketing, analytics, operations-to ensure CDP capabilities meet business needs and drive adoption. - Measure & Optimize: Define KPIs for capability utilization and business impact, monitor performance, and identify opportunities for enhancement. - Evangelize & Enable: Support adoption through training, documentation, and close collaboration with customer-facing teams to articulate product positioning and benefits. What We Expect From You - Proven track record in conceiving and delivering digital products, ideally with experience in platforms and data products. - Ability to oversee new product development from ideation through launch and ongoing optimization. - Strategic thinker who anticipates trends and incorporates them into short- and long-term plans. - Exceptional communication skills with experience engaging executive stakeholders. - Data-driven mindset with experience in A/B testing and analytics implementation. - Entrepreneurial spirit and ability to thrive in a fast-paced, dynamic environment. - Comfortable working across multiple business units, including Product, Engineering, and Analytics. - Strong leadership skills with emphasis on coaching and developing product talent. Qualifications (Minimum) - Minimum of a Bachelor's degree and 7+ years in digital product management, including 5+ years managing other product managers. - 5+ years leading platform products(data/MarTech/CDP/decisioning) with enterprise adoption at scale. - Technical fluency across data and event architectures (cloud warehouse/lake, streaming/CDC, identity/consent) and observability (metrics, tracing, logs). - Familiarity with CDP/engagement technologies (e.g., Redpoint, Adobe RTCDP/Journey Optimizer, Salesforce Marketing Cloud) and Snowflake/Databricks plus streaming frameworks. Preferred Qualifications - Ownership of APIs/SDKs with versioning/deprecation and compatibility management. - Experience evaluating vendor/legacy stacks and driving consolidate/modernize/retire decisions with ROI and migration execution. - Proven record improving developer experience and driving adoption (docs, samples, enablement) with measurable platform KPIs. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 158,300 - 263,900 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

The Senior Director, Pharma Contracting, Business Development & Account Management provides enterprise leadership in strategy, client management, and innovation across pharma partnerships. This role leads a team responsible for developing and executing strategies that strengthen client renewal and retention, create innovative solutions, and drive sustainable growth. The position collaborates with internal and external stakeholders to ensure expectations are consistently exceeded, while guiding multiple departments to identify new opportunities and support organizational change. This leader will shape and execute pharma client management and innovation strategies, overseeing business development and account management services across the portfolio. The position drives interdepartmental alignment, leads teams toward achieving client satisfaction and strategic growth targets, and supports contracting initiatives and long‑term client retention. The Senior Director also manages new business development within their existing book of business and guides the team in identifying and implementing innovative solutions. ESSENTIAL FUNCTIONS Guide and advise on strategic product opportunities to ensure growth across Accredo and CuraScript SD portfolios as subject matter expert driving towards value creation Spends a significant amount of time negotiating internally and externally leveraging an enterprise mindset to address key client & market opportunities to innovate Identifies and creates a pathway to year over year value for key strategic clients Spends time developing talent across the team with a goal of developing future leaders Helps team prioritize and focus on key market dynamics and opportunities that drive value Builds and maintains executive level relationships with pharma partners and internal stakeholders Establishes long-term strategies for manufacturers & key therapeutic focus areas to drive value Partners across Evernorth to support strategic complex initiatives Has a passion for the specialty pharmacy business and views challenges as opportunities to enhance the process and challenge the status quo Partner with leadership on strategic goals and emerging trends Analyze and recommend potential opportunities, leveraging detailed financial analysis, and emerging specialty trends Communicate complex material succinctly and effectively to multiple audiences Build and develop key relationships across the enterprise to help build internal enthusiasm and momentum for innovation Represent Accredo/CuraScript SD at industry events and conferences as required. Support and promote the company values through positive interactions with both internal and external stakeholders on a regular basis Work collaboratively with management team to provide career development opportunities, evaluate performance and provide feedback to promote employee growth and retention Assists Managing Director in managing profit, revenue, and margin for assigned clients Assists Managing Director in developing strategic work plan goals to include, but not limited to, gross margin, client retention, renewal, and novel growth opportunities Work cross functionally and at multiple levels both internally and externally with key stakeholders QUALIFICATIONS PharmD or 10+ years of professional experience & bachelor's degree in related field (pharma contracting, analytics, formulary development, product development, business development, pharma strategy). Experience leading or managing people preferred, including leading cross-functional groups. Pharma negotiation experience. Pharma contracting experience. Thorough understanding of industry financials and market dynamics. Proven experience mentoring and coaching others, both cross-functionally or directly. Strong problem-solving and business analysis skills. Naturally inquisitive with a desire to solve problems and dig into detailed analysis. Experience working cross-functionally and promoting collaborative partnerships to drive results. Proven ability to communicate effectively to various audiences/levels including leadership through various mediums. Ability to take a complex product/financial/pricing issue(s)/problem(s) and deconstruct it into a concise, impactful message(s). Ability to present and convey material both formally and informally to all levels of the organization. High-level of confidence, integrity, enthusiasm, and executive presence. Comfortable working with complex data sets and queries. Demonstrated ability to prioritize and manage workload and meet project deadlines. Interest and ability in mentoring other team members as applicable. Strong MS Office, web conferencing, AI, and internal communication software experience. Detail oriented and organized. Travel is anticipated up to 30% of the time for business meetings and industry events. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

We are seeking a visionary and experienced leader to serve as Managing Director, Enterprise Organizational Enablement. This role will lead the enterprise organizational development (OD) and change function, an internal consulting group positioned to drive organizational effectiveness, high performance, and change adoption across The Cigna Group. The successful candidate will partner with senior leaders to address complex organizational challenges, build internal capability in organizational design, systems thinking, team effectiveness, and change management, and foster a culture of agility, resilience, and innovation. Key Responsibilities Enterprise Enablement Strategic Leadership * Serve as a strategic advisor on organizational effectiveness, organizational design, culture, change readiness, and stakeholder engagement to senior HR Business Partners and executive leaders. * Develop and execute integrated organizational development and change management strategies aligned with enterprise goals to drive business outcomes. * Lead the design and implementation of complex OD interventions (e.g., organizational design, culture transformation, team effectiveness). * Develop and execute comprehensive change strategies aligned with enterprise talent strategy priorities and critical business initiatives, working with key partners to manage decision-making, risk mitigation, and project delivery accordingly. * Assess and manage change saturation and readiness across the enterprise portfolio, elevating critical risks and mitigation strategies to senior leadership. Team Leadership & Development * Bolster and lead a high-performing internal consulting practice that partners with business and HR leaders to diagnose organizational needs, design tailored OD and change interventions and deliver measurable business outcomes. * Coach and mentor team members to build expertise in needs assessment, systems thinking, consulting, and strategic thinking while supporting career growth and development. * Define clear goals and performance metrics for the team, ensuring alignment with enterprise priorities and client needs. * Establish a consulting center of excellence, promoting best practices, knowledge sharing, and continuous improvement across the team and with key matrix partners. Capability Building & Methodology Development * Continue to refine existing OD methodologies and resources, aligning to current best practices and business needs. * Establish and scale enterprise-wide change management methodologies and resources, in partnership with Leadership Development and Learning teams. * Build internal OD and change capability across HR and business units through training, coaching, and knowledge-sharing. Stakeholder Engagement & Communication * Facilitate executive team interventions and design sessions to address organizational health, engagement, and performance. * Partner with executive sponsors, business leaders, and project teams to assess change impacts, drive alignment and readiness, and develop tailored change plans. * Design and execute communication strategies that foster transparency, engagement, and alignment across all levels of the organization. * Facilitate leadership alignment sessions, employee forums, and feedback loops to ensure inclusive and responsive change efforts. Measurement & Continuous Improvement * Partner with talent analytics to define KPIs and leverage advanced analytics, dashboards, and digital tools to monitor organizational health and change adoption. * Use data-driven insights to refine OD and change strategies and ensure sustained outcomes. * Conduct post-implementation reviews and lessons-learned sessions to inform future initiatives. Qualifications * Advanced degree in Organizational Development, Industrial/Organizational Psychology, or related field strongly preferred. * 10+ years of progressive Human Resources leadership experience, including significant experience in OD, change management and transformation. * Demonstrated ability to build and lead high-performing consulting teams. * Experience in both change management and OD within large, complex, matrixed organizations. * Deep expertise in OD theory and practice (e.g., systems thinking, group dynamics, culture transformation, leadership assessment) and leading OD interventions at-scale. * Proven success in leading enterprise-wide, large-scale, complex change initiatives in a global, matrixed organization is required. * Certification in OD (e.g., organizational design, team effectiveness tools), change management methodologies (e.g., PROSCI, ADKAR, Kotter) highly desirable. * Strong business acumen, strategic thinking, and stakeholder management skills. * Exceptional communication, facilitation, and relationship-building abilities. * Experience with HR technology such as ServiceNow, Workday, or SAP SuccessFactors preferred. * Demonstrated ability to manage multiple projects and priorities in a fast-paced, dynamic environment. * Strong analytical and problem-solving skills, with a data-driven approach to decision-making. * Ability to work collaboratively and build strong relationships across diverse functions and geographies in a highly matrixed organization. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

In this role you will be responsible for leading the planning and portfolio management activities. This includes multi-year strategic planning, annual division planning, business segment specific plans, goal setting and planning coordination with other divisions. We're seeking a builder of enterprise EPMOs who can design and operationalize governance, operating models, and portfolio processes that scale across business units and multi‑portfolio environments ($100M+). The ideal leader strengthens portfolio management and multi‑year investment planning, enables clear trade‑offs and executive decision‑making, and drives workforce planning to ensure the right capacity, skills, and sourcing models for predictable delivery. They bring hands‑on wins in automation and AI (intake design, business cases, value tracking), coach teams through hybrid/agile/product‑centric transitions, establish vendor‑management strategies (spend visibility and performance), define enterprise prioritization and intake frameworks, and build executive‑ready dashboards, KPIs/OKRs, and benefits‑realization metrics-standardizing core practices while preserving smart flexibility. What You Will Do Facilitate and coordinate with stakeholders across the organization to optimize relationships and ensure understanding of strategy, planning and sequencing components, and performance monitoring components and results Oversee the strategic planning process and organizational reviews, communicating results to top management, and developing strategies based on organizational reviews Oversee and coordinate divisional and annual/enterprise planning and resource needs (e.g., prioritization and sequencing people/shared resources, investments/funding, and/or acquisition of key assets/capabilities) to support divisional goals. Ensure program portfolio composition and sequencing to accurately reflect and enable Market strategy Collaborate with internal teams and other key partners to develop and manage the investment portfolio, including sizing and prioritizing of investments to enable effective execution of the strategic plan and delivering on stated goals. What You Bring Bachelor's Degree and 10 years of experience with strategic planning, annual planning, and/or performance tracking. If no degree, a minimum of 12 years of experience as listed above. Proven experience building or transforming an enterprise PMO/EPMO, including governance, operating models, and portfolio processes that scale across multiple business units. Demonstrated ability to create enterprise frameworks that strengthen portfolio management, multi-year investment planning, trade-off decisions and executive decision making. Experience designing frameworks that operate effectively across multi‑portfolio environments exceeding $100M. Experience leading enterprise workforce planning to ensure the right capacity, skills, and sourcing models are in place to meet portfolio demand, support strategic priorities, and enable predictable delivery. Hands‑on experience leading automation and AI initiatives, including intake design, business case development, and value tracking. Experience coaching teams through delivery model transitions, such as hybrid, agile, or product‑centric structures. Experience establishing an EPMO vendor management strategy, including spend visibility, performance tracking, and practices that support portfolio delivery. Expertise defining and operationalizing enterprise prioritization and intake frameworks, including scoring models, criteria, thresholds, and cross‑functional facilitation. Strong capability in developing enterprise dashboards, KPIs, OKRs, benefits‑realization metrics, and executive‑ready portfolio insights that drive decision‑making. Demonstrated success driving operating model and process alignment across multiple portfolios, standardizing core practices while enabling flexibility where needed. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $173,776.00 - $278,041.00 Skills

Your Role The Sr. Director, Product Strategy, Lines of Business is critical to the success of Blue Shield of California and the Product and Customer Strategy department in realizing its goals and objectives. In this role, you will be responsible for leading, delivering, and collaborating on all aspects of health plan and benefit design and portfolio management across the Commercial, Medicare, Medi-Cal, Pharmacy and Specialty lines of business. This role will articulate Product strategies to support Line of Business performance goals from both a membership and financial perspective. The Sr. Director, Product Strategy, Lines of Business will report to the Vice President, Product and Customer Strategy. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience; master's degree preferred Requires at least 12 years of prior relevant experience, including 6 years of management experience with direct reports Requires at least 5 years of experience in healthcare consulting and/or strategic planning within the healthcare sector or managed care Proven track record of developing product vision, strategy, and roadmaps across multiple lines of business Demonstrated success in leading cross-functional teams such as product design, program delivery, marketing, and analytics strongly preferred Experienced in product lifecycle management, portfolio prioritization, and performance measurement strongly preferred Proficiency in leveraging customer research, data analytics, and competitive intelligence to inform strategy strongly preferred Skilled in developing go-to-market strategies, collateral, and sales enablement tools strongly preferred Ability to manage budgets, timelines, and resource allocation to ensure successful product launches strongly preferred #LI-AD3 Your Work In this role, you will: Work closely with VPs, SVPs and line of business leaders (GMs) on generating a winning Product Vision, Strategy and prioritized roadmap of health plan and benefit investments for the Commercial, Medicare, Medi-Cal, Pharmacy and Specialty lines of business Work with customer research, data analytics, and competitive intelligence teams to develop strong outside-in perspective and identify the biggest areas of individual and employer need and business opportunity across each lines of business Lead and mentor a highly specialized team of Product Directors and Managers that own the lifecycle of assigned health plan and benefit products for their lines of business. This includes developing product vision and strategy, as well as defining and measuring success and performance metrics for each portfolio of health plan and benefit products. Partner with the New Product team to influence development of new product solutions and capabilities and ensure all new capabilities are ready across each line of business Ensure all launches are delivered on time and on budget, which includes collaborating with the Health Plan Operations Product Cycle team managing the implementation of the portfolio lifecycle Work closely with the Product Marketing team to develop go-to-market plans, baseline collateral and sales training for new plans and benefits Build and manage a high performing team, including developing individual goals and objectives tied to business goals and executing on a people strategy that will maximize results and continue Blue Shield of California's priority to be a Great Place to Work

Your Role The Sr. Director of Product Management for Core Health Plan is responsible for owning the strategy, outcomes, and technology enablement for core health plan offerings. This includes claims processing, network management, product benefit design, and eligibility and enrollment. The role ensures competitive, compliant, and customer-focused products that deliver measurable business results. This leader will own product outcomes end-to-end, working closely with internal teams, technology partners, and external stakeholders to define, deliver, and optimize solutions that meet market needs and regulatory requirements. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a bachelor's degree in Business, Finance, Economics, Public Health, or Information Technology Requires a minimum of 12 years of experience in Product Management, Management Consulting, Technology Strategy or Entrepreneurship, including 6 years of management experience gained as a team leader, supervisor or project/program manager Requires deep domain expertise in the U.S. core health plan ecosystem is required, with an understanding of the complexities of areas like claims, benefits, enrollment, or provider networks and are passionate about creating change Requires direct experience developing or managing products with a significant AI/ML component Requires direct experience with technology and engineers teams and working closely on squads to deliver the product Requires experience with the commercial aspects of product management, including pricing, packaging, and go-to-market strategy Requires demonstrated ability to translate complex user needs and ambiguous market problems into a clear, prioritized product backlog and a compelling strategic roadmap Requires an analytical mindset with a history of using both qualitative and quantitative data to build business cases and guide product strategy Requires experience creating and developing communications that tell a compelling story to inspire and align stakeholders from the engineering team to the executive suite Your Work In this role, you will: Drive AI forward vision and strategy by developing and championing a bold product vision, driving solutions that leverage AI across all stages of the product lifecycle, and partner closely with AI-forward engineering and operations teams to create transformative products for the health plan ecosystem Define commercial and strategic value and take full accountability for the commercial success of your product portfolio by collaborating with internal and external partners to determine strategic product value, and own the pricing and packaging of product offerings to align with the overall portfolio and go-to-market strategy Own the full product lifecycle and roadmap and lead the management of your product offerings across the entire development lifecycle; this includes owning the strategic product roadmap, leading customer discovery and validation, guiding teams through successful launches, and driving continuous enhancement post-launch; establishing direction for strategic initiatives for multiple product lines within offering portfolio; define and develop a comprehensive product roadmap that aligns with the company's strategic goals and market demands; ensures product development product launch and marketing align with business, market and technology strategies Establish product roadmap with a three-five-year horizon with operational plan for year 1, representing cross functional team integration; oversee cross functional product squads to ensure the teams are advancing product capabilities required to meet market, business and user need; oversee the design and development of the products, technology and services, ensuring they meet customer needs and regulatory requirements; document as needed functional requirements to enable product and service development within product squads; collaborate with technology and engineering leaders to support a AI forward agile development process Perform a deep into market research, competitive analysis, and direct customer discovery to become the company's leading expert on the pain points and unmet needs of our health plan customers Collaborate seamlessly with Engineering, Design, Data Science, go to market to rally the organization around a unified vision and own the "what" and the "why," empowering your cross-functional partners to own the "how" Collaborate with engineering, technology, marketing, sales, partnerships and other departments to ensure cohesive product and service development, integration and successful launches; communicate with parties within and outside of own job function; work to influence others to accept view/ practices and agree or accept new concepts and approaches Foster a culture of rapid execution in a fast-paced, agile environment, guiding your product portfolio from initial concept through design, development, launch, and iteration Define and analyze the metrics that inform product success; drive a culture of rapid experimentation, learning, and data-driven decision-making within your team and the broader organization Lead, coach, and grow a high-performing team of product managers, fostering their skills and career development Establish and monitor key performance indicators (KPIs) to measure product success and guide future development efforts and foster a culture of continuous improvement, identifying and implementing best practices in product management Manages a small team of product managers responsible for advancing product requirements and creating product prototypes for user feedback and iterative agile development. Responsible for creating workforce and staffing plans aligned with product offering roadmap

Your Role The Healthcare Quality & Affordability (HQA) Operations team is responsible for ensuring compliance and audit readiness across healthcare quality programs by managing regulatory and accreditation processes, governance, and vendor oversight. We believe that by improving the quality of care provided to our members we also drive down cost of healthcare, an essential mission for our organization. The Strategic Planning and Performance, Principal will report to the Senior Manager, Program and Project Management. In this role, you will drive strategy, planning and performance for the Healthcare Quality and Affordability (HQA) Operations team, partnering closely with key stakeholders that support implementation. You will guide teams to create business cases and epics that align with Objectives and Key Results (OKRs) and Key Performance Indicators (KPIs), ensuring collaboration and alignment across the organization. You will keep documentation organized and involve the right stakeholders at key moments in the planning process. Monitoring available funding and team capacity. This person will develop creative solutions to present leadership for prioritization. Consistent communication across teams will be a priority, keeping everyone informed of critical initiatives including preparing presentation materials and addressing issue resolutions as needed. Your Knowledge and Experience Bachelor's or master's degree preferred. 10 years of relevant experience in program management, strategic planning, or business operations. Critical thinker, with ability to connect dots on complex matters and act independently. Experience influencing senior leadership and driving alignment across teams in a matrix environment. Experienced in project portfolio management, resource planning and budgeting. Skilled in evaluating business cases for clarity, completeness, and accuracy. Strong analytical skills, business acumen and experience managing OKRs and KPIs leveraging data. Ability to create clear, compelling presentations and executive-level materials. System thinker that continues to refine processes for better planning (and ultimately delivery) performance. Excellent interpersonal and communication skills and proven ability to work effectively with various organizational levels. Great team player with a can-do mentality and sense of accountability to ensure the desired results are obtained. Excellent at self-organization to prioritize deliverables and manage stakeholder expectations. Operates well in a fast-paced environment. Your Work In this role, you will: Track all initiatives and projects that (may) affect the HQA Operations business unit ensuring cohesion and effective prioritization. Ensure alignment and monitoring of initiatives and changes in accordance with OKRs and KPIs. Gain support from all relevant stakeholders on measurements and benchmarks. (People, Process, Technology) Educate on and facilitate the business case process to achieve Planning prioritization. Review business cases for clarity and completeness. Facilitate initiative scoping with execution teams and requesters to deliver accurate assessments and recommendations. Track, manage and communicate available funding and capacity to prioritize and support new initiatives Create high-caliber presentation materials for senior leadership and stakeholders. Create and maintain roadmaps, prioritization lists and organize documentation. Escalate identified issues and drive to resolution. Responsible for ensuring effective operating models are in place for the Planning process. Influence stakeholders to deliver improvements when needed. Other duties as assigned.

Your Role The Advanced Analytics team who is responsible for managing AI at Stellarus. The Senior Manager will report to the Director of Advanced Analytics. In this role you will lead strategic initiatives to enhance enterprise analytics capabilities through automation, AI-driven solutions, and advanced data platforms. This role ensures scalable, secure, and innovative solutions that support organizational goals.. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building, and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a college degree or equivalent experience and minimum 10-year prior relevant experience, including 4 years of management experience. Requires practical knowledge in leading and managing the execution of processes, projects, and tactics within an area. Requires advanced knowledge and skills including technical or functional expertise, business acumen, financial analysis skills, risk management, delegation skills, critical thinking, and decision-making skills. Requires In-depth knowledge of Blue Shield of California's mission, vision and strategy and healthcare industry environment. Advanced knowledge of cloud architecture, automation frameworks, and integration of cognitive APIs Strong programming/scripting experience (e.g., Python, PowerShell) and familiarity with infrastructure-as-code and CI/CD concepts Significant experience managing and optimizing Databricks environments for data engineering, analytics, and machine learning workloads Your Work In this role, you will: Provides day-to-day oversight of a team of Automation and Tools managers and Engineers. Works with other Automation and Tools Managers to help build the Automation strategies across the organization. Works with other Sr Managers in IT and Business on common goals. Partners with IT and Business leaders to define future Tools needs based upon IT and Business initiatives. Creates and coordinates training for the IT organization on Tools. Lead the design and implementation of automation strategies across the organization, leveraging Azure Cognitive Services for AI-powered workflows and Databricks. Partner with IT and business leaders to define future tools needs based on organizational initiatives, including integration of cognitive APIs and predictive modeling platforms Create and coordinate training for the IT organization on new tools and platforms, including Azure Cognitive Services and Databricks. Foster a culture of innovation, continuous learning, and collaboration within the team.

Your Role The End-to-End Business Technology & AI Transformation team is responsible for enabling, delivering and scaling operational enterprise technology automation and advanced AI tooling for critical programs and processes. The Strategic Planning and Performance, Principal will report to the Vice President of End-to-End Business Technology and AI Transformation. In this role you will be responsible for coordinating and conducting key activities for senior executives on major technology and operational programs and strategic initiatives that focus on process and operational advance technology enablement. Tasks include managing multiple aspects of financial planning, ROI tracking adherence as well as organizing and preparing program management KPI and deliverables for transformation priorities and initiatives. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 10 years of prior relevant experience Must be highly skilled in Power Point, Excel and Executive level storytelling including proficiency with video composition creation tools and social media communication channels Must be skilled in CoPilot for AI agent creation and task query and must be JIRA reporting proficient Health Plan and Healthcare Operations related experience preferred Must be highly proficient in managing multiple complex, critical and timely activities with shifting priorities and timebound criteria Must be located in Bay Area with the ability to work in Oakland, San Francisco, Marin County and other Bay Area locations Your Work In this role, you will: Be responsible for planning and tracking complex programs and projects that span across different business areas across the enterprise and encompass multiple initiatives Assist and track financial metrics, ROI program direction to ensure budgets are on target with programmatic deliverables, goals and objectives Be responsible for facilitating and coordinating key components of annual strategic planning process, human capital planning, and ongoing critical financial planning initiatives Work in conjunction and in partnership with financial partners, human resource teams and enterprise stakeholders to complete business planning and applicable forecasting Lead the preparation and delivery of Board or Executive level meeting materials while successfully supporting multiple projects and guiding and tracking operational transformation initiatives and communications resulting in improved processes and workflows Partner with health plan leaders for business planning and execution to track and ensure value for the health plan, health plan line of business markets and healthcare quality and affordability teams across the enterprise for business planning, forecasting and delivery Drive optimization of operating models and business process flows by providing internal consultancy and leadership support and updates to stakeholders, executive steering committees, and lean agile center of excellence and other areas withing the Enterprise Enable and deliver critical JIRA reporting and project updates for timely and insightful operational implementation tracking and deliverables Build and scale productivity agents leveraging CoPilot and advance agent AI capabilities Partner closely with the VP, End to End Business Technology and AI Transformation to ensure business unit communications, key highlights, critical news and updates are shared through Blue Shield standards to maintain exposure and provide updates on achievements including leader inhouse and external communication channels

Your Role The MediCal and Medicare Pricing and Finance team is responsible and accountable to the General Managers of both lines and oversees a team that drives pricing, rate filings, strategic planning, compliance, and performance optimization. The combined lines represent approximately $6B in annual revenue and 985,000 members. The Sr. Director, Financial Analytics, Medi-Cal and Medicare leads the actuarial and financial analytics team responsible for managing the financial performance of Blue Shield of California's Medi-Cal and Medicare lines of business. Your Knowledge and Experience Requires a college degree or equivalent experience Requires at least 12 years of prior experience in health plan financial or actuarial analytics Requires at least 8 years of management experience with direct reports Requires at least 7 years of experience working business process improvement, analyzing data, and implementing projects supporting financial operations Requires deep understanding of CMS and DHCS regulatory environment, including rules and drivers for Medicare and Medi-Cal revenue rate developments Requires working knowledge of Medicaid or Medicare Advantage product financial management either through actuarial rate filings, bids or pricings, or financial planning and analysis for revenue and cost of healthcare Requires strong cross-functional collaboration, influence and communication skills Your Work In this role, you will: Be a strategic finance thought partner to the Medicare General Manager and Promise CEO. Lead financial planning and forecasting activities such as the annual and long-range plans, including membership, revenue and healthcare costs, and support the review of administrative expenses for these business lines Lead actuarial pricing and financial management strategy for Medicare Products which include Medicare Advantage, Prescription Drugs Plans and Medicare Supplemental plans Align with the organization's long term operating income and growth targets, as well as driving cross-functional executions as appropriate Lead the teams to complete Rate Development Process for Medi-Cal, regulatory filings, CalAIM program implementation and compliance Develop financial management strategies for this business line Communicate and influence across the organization (Healthcare Quality & Affordability, Claims Operations, Mandates, Pharmacy and other functions) to ensure strategic alignment for Medicare and Medi-Cal LOB goals Provide financial opinions for regulatory advocacy and Medi-Cal plan partner negotiations

Your Role Reporting to the Sr. Director, the Planning, Performance, and Enablement Customer Service plays a pivotal role in advancing the goals of Blue Shield of California and the Customer Experience department. As a key member of the Customer Service leadership team, this individual will lead and collaborate across our Share Markets operations - including subset of operational work for Government and Commercial areas that includes Provider, offshore back office, social media, and Behavioral Health operations, as well as Blue Card and our Hawaii Blues operations teams. Specifically the Director of Shared Markets Customer Service role will be accountable for: Your Knowledge and Experience • Bachelor's degree required or equivalent • Master's degree preferred • Requires at least 10 years of experience, including at least 6 years of management experience • Call center fundamentals and experience required, including experience with managing and leading a Provider contact center as a requirement • Experience in reengineering call centers to achieve goals • Experience with regulatory agencies • Knowledge of Health Plan programs required • Bilingual (Spanish) a plus Key Job Competencies • Executive leadership, communication, and influence, change management • Critical thinking and decision making • Problem solving & adaptability • Emotional intelligence and team leadership Your Work In this role, you will: • Strategic and Tactical Planning for Provider, offshore back office, social media, and Behavioral Health operations, as well as Blue Card and our Hawaii Blues operations and service delivery • Develops business strategies for those service teams • Manages service, regulatory, contractual performance guarantees and financial performance of those lines of business • Defines and implements organizational structure to facilitate business performance. Ensure optimization of resources by resolving any duplicative improvement efforts and organization structures. • Provides executive oversight and leadership to Managers responsible for creating and driving the implementation of operating plans, which are required to support immediate and long-term business strategies. • Ensure customer-driven Key Performance Indicators (KPIs) and goals are in place, reflecting and measuring our strategic, competitive, and regulatory position through ongoing measurement, reporting, and root cause analysis. • Guides and develops near-term operating plans for designated area of responsibility.