National Blue Plans Strategy Lead

Highmark; United States; On-site; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. seeks a National Account Executive to lead and represent Highmark with the BCBSA and other Blue Plans, driving strategic initiatives across Commercial Markets. This role partners with Finance, Legal, Actuary, and Operations to maximize synergies and ensure compliant, competitive execution.

The incumbent maintains deep relationships with BCBS peers, supports executive leadership, and coordinates with CHP workgroups to position Highmark nationally.

Qualifications

• 5 years of BCBSA Inter-Plan Programs and Policies relating to the national delivery of commercial group business.
• 3 years of experience in a consultative role interfacing with BCBSA and BCBS Plans at all levels of management and staff.
• 3 years of experience in a project management role leading strategic initiatives or negotiating/defending administrative agreements.

Responsibilities

• Collaborate with all levels of management to propose Blue solutions and messaging for internal/external customers.
• Manage cede negotiations and BCBSA Inter-Plan policies related to ceding for PA and National Markets.
• Oversee BCBSA CHP financial policies for InterPlan fee reimbursements and serve as SME witness in court or deposits.
• Maintain relationships among BCBS Plan colleagues to manage membership retention and shared sales strategies.
• Review and propose changes to Inter-Plan Programs Policy impacting BlueCard fees, ceding, and networks.
• Lead project management tasks for strategic initiatives and CHP pricing strategies.

Skills

Time management

Project management

Negotiation

Relationship building

Education

Bachelor's in Business Administration or Health Care Management

Job description

Highmark Inc. seeks a National Account Executive to lead and represent Highmark with the BCBSA and other Blue Plans, driving strategic initiatives across Commercial Markets. This role partners with Finance, Legal, Actuary, and Operations to maximize synergies and ensure compliant, competitive execution.

The incumbent maintains deep relationships with BCBS peers, supports executive leadership, and coordinates with CHP workgroups to position Highmark nationally.