Director, Specialty Business Planning And Strategy (Hybrid) in Phoenix

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

This position requires work and residency in Arizona.

Purpose of the job

Lead and implement the overall strategy and long-term goals for the BCBSAZ Specialty business unit
Responsible for the growth and profitability of the BCBSAZ Specialty business unit – membership, revenue, and operating gain
Develop and oversee all operational aspects of the BCBSAZ Specialty business unit across all segments and third-party partners

REQUIRED QUALIFICATIONS

Required Work Experience

10 years of management experience
7 years of experience managing diverse product portfolios demonstrating market share gain and profitability
5 years of experience evaluating and analyzing markets and competitors in specialty benefits
5 years of experience in developing short and long range strategic plans, forecasting, and budgeting

Required Education

Bachelor’s degree in general field of study

Required Licenses

Required Certifications

PREFERRED QUALIFICATIONS

Preferred Work Experience

15 years of management experience
10 years of experience managing diverse product portfolios demonstrating market share gain profitability
7 years of experience evaluating and analyzing markets and competitors in specialty benefits
7 years of experience in advertising, communications and marketing

Preferred Education

Master’s degree in Business Administration

Preferred Licenses

Preferred Certifications

ESSENTIAL job functions AND RESPONSIBILITIES

STRATEGY, GROWTH, PROFITABILITY

Develop short- and long-term strategies to drive Specialty membership and revenue growth and profitability across all segments in BCBSAZ
Create multi-year strategic plans and proforma financials for ELT to evaluate Specialty impact on BCBSAZ
Develop deep understanding of existing business – dental, vision, life, worker compensation, life, disability, accident, critical illness, third party stop loss, EAP, and international health insurance
Evaluate and recommend new lines of business by assessing competitive landscape and market opportunities
Create business cases including market analysis, strategic fit, economic models, and integration plans
Create and implement a continual and systematic product development process with other BCBSAZ functional areas needed to bring a product to market from planning to commercialization.
Manage the product life cycle and marketing principles associated with product portfolio by segment and make recommendations accordingly to maintain market share and meet profitability targets
Interpret the current market to determine competitive price points and forecast revenue from break even to profit, including required administrative support to enable the product sale and distribution
Interpret federal and state regulations and legislation to determine opportunities to drive additional specialty revenue and manage implementation strategy

OPERATIONS

Lead the development, renewal and strategic contractual relationships for key vendor product partnerships that enable our specialty products
Negotiate financial and operational terms with our vendor partners
Drive integration with all Segment leadership (Commercial, Individual, Government) to create successful, fully operational Specialty products and services
Lead integration with key vendor partners to ensure BCBSAZ level of operational service and standards
Manage all key vendor partners service level agreements to ensure consistent member experience
Oversee provider contracting strategies, source data updates, implementation, and operations for dental and other providers
Provide BCBSAZ delegation parameters and expectations for outsourced operations
Drive operational and system requirements with internal departments necessary to develop a road map required for implementation, including whether outsourcing or partnerships may be required
Identify additional administrative requirements, such as billing and enrollment, which may be impacted by the strategy
Partner with Analytics and Finance to track enrollment, revenue, and gain of products and revise products to quantify their success
Develop a product intelligence network consisting of Blue plans (through the Agency Network), vendors, and category experts from which to draw insights and analysis.

REQUIRED COMPETENCIES

Required Job Skills

Strong written and verbal communications.
Ability to decipher and assimilate federal and state regulations.
Intermediate PC proficiency.
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones.
Advanced skill in word processing, spreadsheet and presentation software.
Advanced knowledge of database and data analytic applications.
Intermediate skill using departmental BCBSAZ and BCBSA software.

Required Professional Competencies

Management skills in an operationally changing environment, with drive for results and success based on objectives.
Intermediate knowledge of research and marketing techniques, trends, and concepts.
Advanced project management experience.
Advanced knowledge of financial concepts and product management and development processes.
Advanced knowledge of segmentation, retention marketing, online marketing, and market research principles.
Advanced knowledge of sales, marketing, advertising and creative services disciplines.
Advanced knowledge of principles, practices, and procedures focused on development of commercial business lines, with a specific focus on specialty lines of coverage.
Ability to assess cost and ROI and determine product feasibility in light of market demand.
Strong customer service skills.
Interpersonal skills that allow for harmonious relationships with providers, members and coworkers.
Recognize strategic opportunities and use data to make timely and sound decisions.
Flexibility and willingness to adjust to shifting demands/priorities.
Ability and experience to assimilate multiple new functions, services, projects and systems while maintaining existing systems and programs.

Required Leadership Experience and Competencies

High standard of performance while pursuing aggressive goals
Principled leadership and sound business ethics

PREFERRED COMPETENCIES

Preferred Job Skills

Preferred Professional Competencies

Preferred Leadership Experience and Competencies

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

Director, Specialty Business Planning And Strategy (Hybrid)

LOCATION

QUALIFICATIONS

RESPONSIBILITIES

INDUSTRY

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