Director, Commercial Markets Strategy

Job Description

What You'll Do

• The Director of Commercial Markets Strategy will own the development, refinement and activation of strategy across our commercial portfolio, including:
  • Group business across fully insured, level-funded, self-funded and special arrangements
  • Individual Under 65
  • Dental and Vision
  • Blue TPA offerings
• Develop and continuously refine the short- and long-term Commercial Markets strategy.
• Translate strategy into clear strategic imperatives, execution roadmaps, measurable outcomes and governance.
• Establish performance measures that allow leadership to understand whether the strategy is delivering expected results.
• Direct market research, competitive intelligence, segment performance analysis and financial analysis to identify opportunities and inform strategic decisions.
• Identify unmet employer and member needs and translate those needs into new opportunities for growth, affordability and differentiation.
• Evaluate potential partnerships, vendors, capabilities and investments that can strengthen our competitive position.
• Develop strong business cases and operating models that connect strategic opportunities to financial and operational value.
• Lead a disciplined approach to strategic vendor and partner evaluation and performance.
• Bring forward clear recommendations on trade-offs, risks, investment priorities and strategic choices.
• Lead, coach and develop a team of strategists, establishing high expectations for quality, collaboration, accountability and delivery.
• Influence and align senior leaders and cross-functional partners across Sales, Finance, Operations, Legal, Compliance and Technology.
• Establish relationships, maintain compliance as appropriate and successfully leverage capabilities and insights of associations and other peer plans (e.g. CHP, AHIP, other Blues plans, etc).

What You Have

• Bachelor’s degree
• 10+ years of experience in healthcare or strategy consulting, strategic development, market or product development or financial analysis.
• Extensive experience leading and developing implementing complex business and/or contractual issues and serving as the principal liaison to business executives, internal and external, and other outside advisors
• Significant success and experience identifying new opportunities, creating products/programs/solutions and driving change.
• 5 years experience leading teams and/or directly managing staff
• In lieu of degree, 12+ years of experience in related field

Bonus Points

• Demonstrated experience in commercial health plan, payer, or healthcare strategy, with a strong understanding of the commercial health insurance market and employer-sponsored benefits, including fully insured, level-funded, and self-funded/ASO arrangements.
• Proven ability to develop and execute commercial market, product, or growth strategies, using market trends, competitive intelligence, consumer insights, and emerging opportunities to inform strategic priorities and decision-making.
• Strong financial and business acumen, including experience with P&L considerations, financial modeling, business-case development, and evaluating the financial and strategic viability of new products, capabilities, partnerships, or market opportunities.
• Experience advancing new products, solutions, partnerships, or capabilities from strategy through execution, including evaluating vendors and strategic partners and translating strategic direction into actionable operating models, roadmaps, and measurable outcomes.
• Demonstrated ability to operate effectively at both the enterprise strategy and hands-on execution levels, developing long-term strategic recommendations while working collaboratively across functions to build alignment, navigate change, and move complex initiatives forward.
• Established people leadership and executive influence, with experience leading high-performing professionals, developing executive-level presentations and recommendations, and building credibility with senior leaders and cross-functional partners through a collaborative, low-ego leadership approach.

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community 

• Work-life balance, flexibility, and the autonomy to do great work 

• Medical, dental, and vision coverage along with numerous health and wellness programs 

• Parental leave and support plus adoption and surrogacy assistance 

• Career development programs and tuition reimbursement for continued education 

• 401k match including an annual company contribution 

• Learn more 

Where You’ll Work

Our Hybrid-Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.

In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote-Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid-Flex or Remote-Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

Skills

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About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application, hiring process, or have technical issues that prevent you from completing your application please notify HR at HR.Staffing@bcbsnc.com.

Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming

Notice to staffing agencies and search firms: Blue Cross NC does not accept unsolicited resumes from agencies or third parties and is not responsible for fees associated with unsolicited resumes.