A Career of Your Calling

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

As the Vice President of Health Solutions you will be responsible for the strategic planning, development and value of health solutions for all lines of business. The scope includes health solutions for both medical and behavioral health, and they will partner closely with clinical operations to ensure efficient and impactful execution of all products and programs.  This role is accountable for demonstrating the value (both clinical and financial) of health solutions to internal and external stakeholders and working through our Provider Relations Team to assure the delivery of high quality, efficient, and appropriate clinical care to members. They will partner closely with leaders in Provider Relations and Pharmacy to ensure all health services solutions are integrated and aligned to deliver on our mission of paving the way for everyone to achieve their healthiest life.  This position will also collaborate closely with the leadership of Commercial, Medicare, and Medicaid product lines to ensure they meet the unique health needs of their specific member populations and position us as a leader in delivering high value health solutions.  

Your Responsibilities

• Sets and executes the health solutions strategic mission, vision, and objectives considering member and stakeholder needs, legal and regulatory requirements, market analysis, and industry trends.

• Leads the strategic development and implementation of health solutions products and programs to ensure that everyone can affordably achieve their healthiest life, and that products and programs meet the needs of our internal and external stakeholders to ensure sustainable organizational growth.

• Ensures all products and programs meets applicable regulatory and compliance standards and accreditation requirements.

• Represents the division to a variety of external stakeholders including provider organizations, customers, advocacy groups and government entities.

• Establishes department goals and performance metrics that support the Health Services division and enterprise strategic plans.

• Ensures that the right systems, processes and measurement/reporting are in place to demonstrate the value and clinical effectiveness of Health Solutions products and programs to internal and external stakeholders.

• Collaborates with Data & Analytics and Communications teams to develop and effectively communicate product and program value to internal and external stakeholders

• Partners closely with other health services leaders to ensure value delivery is optimized across departmental levers

• Communicates clearly and persuasively to build support for initiatives, engaging both internal and external stakeholders.

• Ensures clinical and management talent are in place to improve member health.

• Serves as a role model and coach/mentor for ongoing leadership and staff development.

• Enhances teamwork, collaboration, across enterprise.

Required Skills and Experience

• 10+ years of management level experience in healthcare/managed care with proven ability to successfully develop and execute a strategic vision. All relevant experience including work, education, transferable skills, and military experience will be considered.

• 5+ years of population health and/or managed care leadership.

• If applicable current MN license or ability to obtain one.

• Knowledge of government and CMS policies regarding Medicare and Medicaid eligibility, programs, and beneficiaries.

• Knowledge of managed healthcare delivery systems to include critical components and interdependencies.

• Proficiency with data and analysis of healthcare trend

• Experience with strategic planning and the budget process.

• Ability to communicate with a variety of stakeholders both internal and external, including Board and C-suite.

• Ability to organize and manage multiple priorities and budgets

• Evidence of ability to drive execution and consistently deliver business results

• Excellent relationship skills to partner on shared goals with other Blue Cross teams and colleagues as well as with key external influencers.

• Demonstrated ability to lead people, create high performing teams and develop talent.

• High ethical standards and commitment to the organization's key values and proven ability to create a high performing team culture.

• Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment, and Restrictive Covenants Agreement as a condition of employment.

• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Post graduate education in Health Care Administration, Public Health, or an MBA.

• Clinical licensure a plus but not required and will consider non-clinical candidates with significant population health and/or managed care experience.

Compensation and Benefits:

Pay Range: $300,000.00 - $330,000.00 - $360,000.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.