Blue Cross Blue Shield Association · 6 days ago
FEP Operations Program Manager
District of Columbia, United States
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 the daily operations of member benefits. The role involves managing inquiries, ensuring compliance, and developing operational procedures while fostering relationships with stakeholders.
CommunitiesInsurance
Responsibilities
Support the vendor relationship, daily operations, and delivery of member benefits
Collect, maintain, and resolve issues, share program operational and performance data, support 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
Ensure timely resolution of member inquiries from various sources
Identify and communicate performance and compliance risks to leadership, review regular reports to address issues, and manage communication requests and system updates in compliance with applicable standards
Support and interact with stakeholders to resolve inquiries and foster collaborative relationships with vendor account teams
Support development of operational standard operating procedures (SOP), policy, brochures, training materials and curriculum
Assist and support contract proposals, negotiations, counter proposals, SLA development, contract modifications and amendments
Coordinate the development and maintenance of program reporting and continuous review for outcomes in alignment with goals
Support audit and compliance activities
Increase program value by implementing new programs to increase the value of our services
Review 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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