New

Vice President, Healthy Blue Medicaid

BlueCross BlueShield of South Carolina
life insurance, paid time off, 401(k)
United States, South Carolina, Columbia
May 01, 2025
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: As BlueChoice HealthPlan's Vice President of Healthy Blue Medicaid, you will be accountable for the Medicaid HMO business segment, growth, and profitability. The ideal candidate for this position will operate as the primary coordinator and point of contact for the Medicaid HMO line of business, responsible for interactions with the South Carolina Department of Health and Human Services and other contractual relationships associated with the Medicaid HMO line of business. Description Location: This position is full-time (40-hours/week) Monday-Friday working ONSITE at our 4101 Percival Road, Columbia, SC location. What You'll Do: Financial responsibility for the line of business, including financial planning, budget control, and profit and revenue forecasting. Operational oversight of the business including effective and efficient control of all functional operations of the unit, management of all vendor relationships, and ensuring all contractual and corporate standards/requirements are met and all corporate guidelines are followed. Develops and drives strategy, processes, and practices for the department in collaboration with management. Develop, implement, and execute marketing strategies and plans to achieve annual and long-term goals. Initiate, develop, and coordinate effective advertising and promotion programs utilizing all media to publicize products and/or services. Provider network development and Clinical Program development; assist in the development of programs to grow and maintain the Medicaid provider network. Develop and manage a productive working relationship with the Department of Health and Human Services. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor's degree in Business Administration, Finance, or other job-related field. Required Experience: Ten years of Medicaid or related experience, including seven years management experience. Required Software and tools: Microsoft Office Required Skills and Abilities: Excellent communication, decision-making and analytical skills. Demonstrated problem-solving skills, understanding of key health care financial and operational metrics. We Prefer That You Have the Following: Experience leading a Medicaid HMO line of business, especially South Carolina Medicaid Working knowledge of key health care metrics. Knowledge of financial reporting. Understanding of leadership within a matrixed organization Experience with RFP work around Medicaid Procurement Experience managing a certification process for Medicaid Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation. Some states have required notifications. Here's more information.