Blue Cross and Blue Shield Association logo

Director Business Solutions

Blue Cross and Blue Shield Association

  • Philadelphia, PA
  • 30+ days ago

    Highlights

    This role partners with executive leadership, operations, and technology teams to design scalable solutions, improve operational performance, and enable strategic initiatives across the enterprise. The Director of Business Solutions is a leadership role responsible for driving end-to-end solution design, delivery, and operational transformation across IBX business functions.

    Numbers & Facts

    LocationPhiladelphia, PA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    Description

    The Director of Business Solutions is a leadership role responsible for driving end-to-end solution design, delivery, and operational transformation across IBX business functions. This role partners with executive leadership, operations, and technology teams to design scalable solutions, improve operational performance, and enable strategic initiatives across the enterprise.

    This position:

    • Drives complex initiatives independently and delivers measurable outcomes

    • Navigates ambiguity and leads through transformation

    • Connects business strategy to execution across multiple domains

    • Influences at the executive level while staying close to operational detail

    Key Responsibilities

    1. Strategic Solution Leadership
    • Lead the design and execution of enterprise business solutions aligned to IBX strategic priorities
    • Translate business needs into scalable, cross-functional solutions spanning operations, technology, and vendor ecosystems
    • Identify opportunities to modernize platforms, improve efficiency, and reduce cost
    1. End-to-End Program Delivery
    • Own delivery of large, complex initiatives across enrollment, billing, claims, and customer operations
    • Drive coordination across business, IT, vendors, and external partners
    • Ensure execution against scope, timeline, budget, and quality objectives
    1. Cross-Functional Partnership
    • Partner with Operations, Product, Finance, and Technology leaders to align solutions
    • Act as a key liaison between business stakeholders and technical teams
    • Support enterprise initiatives such as platform migrations, new product launches, and vendor integrations
    1. Operational Optimization
    • Lead initiatives to improve operational performance (turnaround time, accuracy, scalability)
    • Identify root causes of operational issues and implement sustainable solutions
    • Establish metrics and reporting to monitor performance and outcomes
    1. Team & Talent Leadership
    • Mentor team members and promote continuous improvement
    • Build a high-performing delivery organization focused on accountability and results
    1. Stakeholder & Executive Communication
    • Present updates, risks, and strategic recommendations to senior leadership
    • Drive alignment across competing priorities and stakeholder groups
    • Influence decision-making through data-driven insights

    Core Competencies

    • Strategic thinking and problem-solving
    • Enterprise program leadership
    • Healthcare operations expertise (claims, enrollment, billing, or TPA models)
    • Business + technology solution design
    • Vendor and platform integration
    • Executive communication and influence

    Minimum Qualifications

    • Bachelor's degree required (MBA or advanced degree preferred)
    • 10-15+ years of experience in healthcare, operations, or technology leadership
    • Proven experience leading large-scale, cross-functional programs
    • Experience with platform migrations, vendor integrations, or enterprise transformations

    Preferred Experience

    • Experience within a health plan or payer environment
    • TPA / self-funded / Fully Insured / ACA
    • Systems such as HealthEdge, FOS, or similar
    • Agile / hybrid delivery models

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

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