Director, Health Plan Operations Excellence & Performance

Blue Cross Blue Shield Association; Illinois; On-site; USD 200,000 - 260,000; Full time

Job summary

Blue Cross Blue Shield Association seeks a Director of Operations Excellence & Performance within Health Plan Operations. The role leads divisional planning, performance management, continuous improvement, and Duals/Marketplace performance, reporting to the Senior Vice President of Health Plan Operations.

The director will own portfolio reporting, budget coordination, AI initiative tracking, and CI project oversight; drive audit-ready performance across segments and advise leadership and Blue

Responsibilities

• Owns portfolio reporting and budget coordination across Health Plan Operations.
• Leads continuous improvement discipline and Lean Six Sigma initiatives across programs.
• Guides performance management and audit readiness, coordinating with CMS, OIG, and internal audits.
• Partners with Finance, Data & Analytics, Legal, and Compliance to ensure regulatory alignment.

Job description

Blue Cross Blue Shield Association seeks a Director of Operations Excellence & Performance within Health Plan Operations. The role leads divisional planning, performance management, continuous improvement, and Duals/Marketplace performance, reporting to the Senior Vice President of Health Plan Operations.

The director will own portfolio reporting, budget coordination, AI initiative tracking, and CI project oversight; drive audit-ready performance across segments and advise leadership and Blue