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Director/VP of Federal Employee Program

Company: Cambia Health Solutions, Inc.
Location: Tacoma
Posted on: February 25, 2021

Job Description:

Director or VP of Federal Employee Program (depending on experience) Washington, Oregon, Idaho, Utah or Remote The Director or VP of Federal Employee Program directs and leads the Cambia Federal Employee Program (FEP), including customer service, claims processing, member education and issue resolution, general correspondence, business technical support, PIP outcomes and provider services. Also responsible for FEP sales and marketing activities and development of annual business plans. The position works closely with internal and external departments and stakeholders to ensure FEP activities are supported and objectives achieved.--The selected FEP leader will have the opportunity to spearhead strategy on modernizing the FEP business and lead a $1B revenue business. General Functions and Outcomes:

  • Plans and directs all operational activities for Federal Employee Program Personnel.--
  • Responsible for the activities performed by FEP management to assure performance goals are met, including productivity, accuracy, timeliness and quality of service to our members, business partners and Director's office.--
  • Works collaboratively with leaders and teams across the organization, including marketing, medical management, sales, pharmacy, quality, provider services and IT.--
  • Directs the establishment, maintenance, improvement and monitoring of the performance of FEP operational functions.--
  • Provides strong leadership to employees by facilitating and making timely decisions, providing effective communication and helping motivate leadership throughout FEP.--
  • Provides input to major corporate operating decisions and policies, concentrating on their impact upon the effectiveness of the FEP program.--
  • Develops, reviews and recommends objectives and develops policies to meet current and future needs of the division. This includes maintaining performance within the approved budget and continually striving for distinction in our markets based on quality of our customer interactions, and developing the yearly strategic plan.--
  • Assists in the strategic planning and development of the FEP function throughout Cambia, working jointly with executives and local management teams at Affiliates to coordinate local issues.--
  • Directs the development, implementation and reporting for FEP claims, customer service and system technical support (Cambia wide) for dedicated FEP Shared Systems.--
  • Acts as the corporations primary liaison on the FEP contract with the FEP Director's Office, FEP Operations Center, government agencies, providers and customers.--
  • Oversees employee selection criteria and implementation of tools necessary to exceed the expectation of our customers.--
  • Conducts business with high regard for Cambia's corporate values and in compliance with its Code of Business Conduct.--
  • Directs FEP Marketing activities and forecasts membership to ensure accurate staff and resources forecasting activities.
  • Responsible for the creating and management of Federal Employee Program operating budget, ensuring achievement of budgetary targets.
  • Proven ability to analyze and evaluate operational trends and interpret customer feedback to develop and implement improvements to business processes.--
  • Demonstrated ability to establish and maintain effective relationships with key internal and external stakeholders.--
  • Solid knowledge of the health insurance industry including demonstrated experience working with Federal Employee Programs preferred.
  • Demonstrated ability to create, execute and evaluate short and long-term operating plans, analyze statistical information and direct multiple teams with varied functions/responsibilities.--
  • Successful leadership of a high volume operations center including establishment of a high performance, customer-centric culture with a focus on service excellence.--
  • Excellent judgment, problem solving skills, analytical and cognitive.--
  • Strong project management experience, including the ability to partner across groups to ensure projects are resourced and supported.--
  • Excellent verbal and written communication skills. Ability to communicate effectively, both orally and in writing, with individuals and groups, regarding complex or sensitive issues or regulations.-- Normally to be proficient in the competencies listed above: Director or VP Federal Employee Program would have a Bachelor's Degree in Business Management and 7+ years of experience in healthcare operations/administration or equivalent combination of education and experience. FTEs Supervised: 200
    • Work is primarily performed in an office environment
    • Travel may be required, either locally or out of state At Cambia, we advocate for transforming the health care system. You aren't satisfied with the status quo and neither are we. We're looking for individuals who are as passionate as we are about transforming the way people experience health care. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access; and free-standing health and wellness solutions.-- We have a century of experience in developing and providing health solutions to serve our members. We had our beginnings in the logging communities of the Pacific Northwest as innovators in helping workers afford health care. That pioneering spirit has kept us at the forefront as we build new avenues to improve access to and quality of health care for the future. Information about how Cambia Heath Solutions collects, uses, and discloses information is available in our Privacy Policy.
      -- We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check are required. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy . Posted 30+ Days Ago Full time R-288 About Us Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia is transforming the health care system to revolve around people. For over 100 years we've designed people-first health solutions rooted in the nation's first health plan, a loggers' wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans serving over 3 million Americans. Cambia blends data science with a compassionate human perspective to anticipate people's needs, and empower them to make smarter health care choices. Interested in driving accessibility, affordability and quality health care for real people? Apply to any of our open jobs or join the Twitter conversation @Cambia . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .

Keywords: Cambia Health Solutions, Inc., Tacoma , Director/VP of Federal Employee Program, Executive , Tacoma, Washington

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