Responsible for leading design and development activities related to cellular immunotherapy and gene therapy by providing strategic leadership and direction related to all aspects of clinical implementation guidance and support for BCBS Plans. This encompasses collaboration and coordination with all functions related to medical and pharmacy management resources and clinical pipeline tracking, care management resources, network strategies and value based payment models, and strategic engagement with external stakeholders. This position is responsible for leading strategic cross-functional projects and teams developing project scope and associated deliverables of significant complexity and/or impact to support Plans in their efforts to deliver quality, value and accessibility for members who may experience episodes of care related to cellular immunotherapy or gene therapy.
Responsibilities include but are not limited to:
Provides strategic leadership in the development and execution of all clinical and operational guidance and support related to cellular immunotherapy and gene therapy, including scanning business and healthcare environment, evaluating new technologies and making recommendations on implementation approaches for BCBS Plans to consider. Serves as a first level resource in addressing issues and solving problems involving strategic development before they are escalated.
Leads strategic cross-functional projects/teams working with staff from various divisions of BCBSA to manage development and delivery of guidance and support for cellular immunotherapy and gene therapy deliverables.
With guidance of Executive Director, engages with BCBS Plans and external stakeholders (e.g., external advisory panels, specialty societies, manufacturers, Center for Medicare and Medicaid Innovation (CMMI), and other academic and health policy thought leadership organizations) to support innovative models for BCBSA and Plans to consider related to clinical and business implementation approaches for cellular immunotherapy and gene therapy.
Required Basic Qualifications:
Master's degree or working towards a master's degree in business administration, public health, or allied health field.
Minimum 7 years related business experience or educational equivalent required, with 5 years' experience in health care industry and demonstrated progressive responsibility and accountability.
Experience creating new business models for national implementation across multiple market and customer segments.
Experience engaging with national peers that are skilled in healthcare innovation, evaluation and improvement of healthcare, and quality measures.
Preferred Basic Qualifications:
Demonstrated mastery of the application of dynamic problems as part of multi-dimensional theoretical frameworks.
Ability to build effective relationships with cross-functional teams, Plans and external stakeholders.
Leadership experience that demonstrates the ability to set priorities and meet objectives for complex projects involving multiple stakeholders, and execute according to plans.
Excellent knowledge of health care industry issues, with excellent knowledge of health care operations and strategies.
Possesses practical, tactical and in-depth knowledge of the health care industry.
Demonstrated ability to apply knowledge to key departmental and cross-functional initiatives.
Demonstrated ability to conduct presentations as well as represent Office of Clinical Affairs to external audiences, adjusting style and complexity of presentations to the audience to determine the best approach to convey the message.
Demonstrated ability to identify organizational processes and political nuances that influence the development of deliverables.
Ability to work across all levels of the organization, including work with BCBSA staff, Plan executive and management audiences, and vendors.
Ability to lead organization-wide initiatives.
Demonstrated ability to proactively solve issues and identify solutions/interventions to meet business needs.
Ability to gain various viewpoints and arrive at critical decisions.
Demonstrated ability to lead and organize multiple teams and simultaneous projects.
Ability to effectively delegate responsibilities to other team members.
Equal Opportunity Employer
Blue Cross Blue Shield Association is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, disability, veteran status, genetic information or any other legally protected characteristics
Blue Cross And Blue Shield Association