National BCBSA Strategy & Inter-Plan Lead

Highmark Health; Madison (WI); On-site; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. seeks a National Accounts Executive to lead Commercial Sales Markets' engagement with BCBSA, CHP, and other blue plans. You will align strategies, manage ceding negotiations, and serve as SME on inter-plan policies while influencing national and local governance.

Responsibilities include building broad relationships across BCBS teams, supporting executive leadership, and guiding strategic initiatives to optimize Blue Card enrollment and market competitiveness.

Qualifications

• Bachelor's in Business Administration or Health Care Management required.
• 6 years progressive interplan/consultative/cede experience in lieu of Bachelor degree.
• 5 years of BCBSA Inter-Plan Programs and Policies relating to national delivery of commercial group business.
• 3 years of consultative role interfacing with BCBSA and BCBS Plans at all levels.
• 3 years of project management leading strategic initiatives and/or negotiating/defending administrative agreements.

Responsibilities

• Collaborate with management across Commercial Sales Markets to deliver Blue solutions and messaging.
• Manage cede negotiations and Inter-Plan Program Policies in Pennsylvania and National Sales Markets.
• Support financial policies for InterPlan reimbursement when Highmark is Control/Home/Par/Host Plan.
• Build relationships across BCBS Plan teams to position national blue networks.
• Lead or support strategic initiatives, training, and governance committee work.

Skills

Time management

Project management

Negotiation

Stakeholder management

Strategic thinking

Relationship building

Legal terminology

Education

Bachelor's in Business Administration or Health Care Management

6 years interplan/consultative/cede experience in lieu of Bachelor degree

Job description

Highmark Inc. seeks a National Accounts Executive to lead Commercial Sales Markets' engagement with BCBSA, CHP, and other blue plans. You will align strategies, manage ceding negotiations, and serve as SME on inter-plan policies while influencing national and local governance.

Responsibilities include building broad relationships across BCBS teams, supporting executive leadership, and guiding strategic initiatives to optimize Blue Card enrollment and market competitiveness.