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  • Director Commercial Operations Strategy…

    BlueCross BlueShield of Tennessee (Chattanooga, TN)



    Apply Now

    We’re hiring a **Director of Commercial Operations Strategy and InterPlan Relationships** at BlueCross BlueShield of Tennessee\. This is a strategic leadership role where you’ll be the primary point of contact for our BlueCard Program and help guide how we implement InterPlan policies across the organization\. We’re looking for someone who brings strong healthcare leadership experience, a sharp strategic mindset, and the ability to communicate and influence effectively—both internally and with external partners\.

     

    While this is a fully remote position, it does require travel at least twice a year to represent BCBST at BlueCross BlueShield Association events like meetings, onsite sessions, and Customer Forums\. It’s a great chance to connect with peers across the Blues system and help shape the future of our collaborative work\.

    Job** **Responsibilities:

    + Leads evaluation of processes for efficiencies and possible automation, working with teams through any related implementations

    + Engage and actively participate in calls, workgroups, and webinars as the BlueCard program representative gathering necessary information and feedback\.

    + Acts as the primary contact for BlueCard Program and related issues and is accountable for communications and decisions related to the BlueCard Program and other inter\-Plan functions\.

    + Acts as BCBSA Blue Card Program Director representing BCBST on committees and leading the development and implementation of InterPlan policies for Commercial Operations

    + Ensures that the Plan is maximizing the value of the BlueCard Program for all constituents: internal Plan staff, other BCBS Plans, members, accounts and providers\.

    + Fulfill tasks in Inter\-Plan Programs Policy requirements assigned to the Inter\-Plan role, including but not limited to:

     

    - Manage intra\-Plan communications of decisions and facilitate responses to System\-wide requests and Plan\-to\-Plan level 3 three\-day disputes\.

    - Submit official policy exception requests \(if an alternate designee submits the request, the Inter\-Plan Executive must be copied on the email\)\.

    - Attend all Inter\-Plan Executive meetings, commercial market briefings, governance previews and any adhoc meetings

    Job Qualifications

    Education

    + Bachelor degree in Business, Economics, Finance or healthcare or relevant field or equivalent work experience required\. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

    Experience

    + 8 – 10 years – leadership/managerial experience in healthcare, strategy setting or related field

    + Experience in communicating concepts and influencing at both executive level and external audiences

    Skills / Certifications

    + Ability to work independently with minimal supervision

    + Ability to translate abstract concepts and ideas into quantitative analysis

    + Must be a team player, be organized and have the ability to handle multiple projects

    + Strong interpersonal and organization skills

    Number of Openings Available:

    1

    Worker Type:

    Employee

    Company:

    BCBST BlueCross BlueShield of Tennessee, Inc\.

    Applying for this job indicates your acknowledgement and understanding of the following statements:

    BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\.

    Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

    BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\)

     

    BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.

    About Us

    As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.

     

    At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\.

     

    We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\.

     

    BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\.

     

    BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits\.

     


    Apply Now



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    BlueCross BlueShield of Tennessee (Chattanooga, TN)
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