Senior Director, Care Delivery

Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. Overview Apply locations: US DC G St NW | Full time | Posted 3 Days Ago | Job Requisition ID: JR5399

The hiring range for this role is: $172,326.41 - $282,228.46

This range reflects the current estimate of pay for this role at the time of posting. Actual compensation may vary based on factors such as experience, education, and organizational needs. The role is also eligible for an annual bonus incentive .

We offer a comprehensive benefits package including paid time off, 11 holidays, medical/dental/vision insurance, a generous 401(k) match, a lifestyle spending account, and other benefits.

Note: Compensation amounts are considered wages only when earned, vested, and determinable. Bonuses, commissions, and other incentives remain at the company's discretion.

Job Description Summary This role provides strategic leadership for the Federal Employee Program, focusing on reducing care delivery costs and improving quality metrics. Responsibilities include overseeing benefit management, promoting health equity, developing clinical programs, analyzing health outcomes, and fostering a culture of excellence and continuous learning. Mentoring staff and building a collaborative environment are also key components.

Responsibilities

Develop and implement strategies for case and disease management, mental health programs, utilization management, and coding to enhance engagement and outcomes. Ensure nationwide program delivery, cost containment, and health equity. (30%)

Collaborate on equity initiatives, develop programs, recommend system changes, and create performance metrics. Oversee compliance and stakeholder readiness. (25%)

Lead clinical and quality initiatives, ensure consistent service delivery across vendors, and represent clinical interests in negotiations. (25%)

Manage and motivate a team, fostering professional growth and a positive work environment. (20%)

Qualifications Education: Bachelor's Degree in allied Health, Pharmacy, Business, or equivalent; clinical degrees a plus.

Experience: 12+ years in health plan or clinical experience.

Skills: Proficiency in IT, understanding of healthcare industry trends, excellent communication, leadership, and strategic decision-making abilities.

Additional Information #LI_HYBRID

For Current Employees If you are a current employee, please apply directly through Workday.

About Us Join Blue Cross Blue Shield Association, a national network supporting nearly one in three Americans, committed to affordable healthcare, innovation, health equity, and community engagement. We value inclusivity, accountability, courage, teamwork, and respect.

#J-18808-Ljbffr