Blue Cross Blue Shield Association · 1 month ago
FEP Operations Program Manager
US DC 9th St NW
Full-time
Hybrid
Mid Level
$74K/yr - $102K/yr
4+ years expBlue Cross Blue Shield Association is seeking a FEP Operations Program Manager to support vendor relationships and ensure the delivery of member benefits. The role involves managing operational processes, compliance, and communication with stakeholders while implementing new programs to enhance service value and member experience.
CommunitiesInsurance
Responsibilities
Supports the vendor relationship, daily operations, and delivery of member benefits
Collects, maintains, and resolves issues, shares program operational and performance data, supports timely resolution of inquiries, communication development, process documentation, reporting, implementation, compliance, and audit activities in support of and in compliance with the applicable policies and regulations
Ensures timely resolution of member inquiries from various sources
Identifies and communicates performance and compliance risks to leadership, reviews regular reports to address issues, and manages communication requests and system updates in compliance with applicable standards
Supports and interacts with stakeholders to resolve inquiries and fosters collaborative relationships with vendor account teams
Supports development of operational standard operating procedures (SOP), policy, brochures, training materials and curriculum
Assists and supports contract proposals, negotiations, counter proposals, SLA development, contract modifications and amendments
Coordinates the development and maintenance of program reporting and continuous review for outcomes in alignment with goals
Supports audit and compliance activities
Increases program value by implementing new programs to increase the value of our services, including planning, implementation, data analysis, communications, and outcome management
Reviews trends and industry information to determine best practices, operational efficiencies, or process improvements to enhance program performance and the member experience
Qualification
Required
Bachelor's Degree in Pharmacy, Business, Accounting, Management, Health Services, Information Systems or equivalent work experience
4+ Years experience within a business environment services delivery setting, with experience in project management, and/or healthcare informatics
Project management skills for reporting multiple projects, involving multiple stakeholders, under tight deadlines
Advanced organizational skills with the ability to develop approaches that meet required objectives
Excellent communication (written and oral) and interpersonal skills with an ability to communicate to small and/or large audiences (both internal and external to BCBSA)
Technical proficiency with information technologies (e.g. Microsoft software applications)
Interpersonal skills with the ability to work with all levels of the Association, Plans, government and vendors
Ability to manage stakeholders and reconcile and integrate competing interests
Benefits
Paid time off
11 holidays
Medical/dental/vision insurance
Generous 401(k) matching
Lifestyle spending account
Many other benefits
Company
Blue Cross Blue Shield Association
Blue Cross Blue Shield Association is a national federation of 36 independent operated Blue Cross and Blue Shield companies.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kim Keck
President and CEO
Lynn Merritt
Chief People Experience Officer
Recent News
2025-11-01
2025-10-31
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