Director, Specialty Business Planning and Strategy (Hybrid)

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

• 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

• Bachelor’s degree in general field of study

• N/A

• N/A

PREFERRED QUALIFICATIONS

• 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

• Master’s degree in Business Administration

• N/A

• N/A

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 product