SVP, Government Programs

We take great strides to ensure our employees have the resources to live well be healthy continue learning develop skills grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

Where the role is located: Baton Rouge Louisiana

Who the role reports to: EVP Chief Growth Officer

Summary

The Senior Vice President Government Programs provides executive leadership and strategic direction for Blue Cross and Blue Shield of Louisianas Medicare Advantage and Medicaid businesses. This role holds full accountability for strategy growth financial performance operations regulatory compliance and vendor oversight ensuring sustainable growth high-quality care delivery and strong outcomes for members served through government programs.

How this Roles Helps Achieve our Mission

• Provides strategic leadership and vision for Medicare Advantage and Medicaid programs driving growth profitability and mission-aligned outcomes.
• Maintains full profit and loss accountability including budgeting forecasting medical loss ratio management and financial reporting to executive leadership and the Board of Directors.
• Oversees day-to-day operations to ensure compliance with CMS state and federal regulatory requirements and contractual obligations.
• Collaborates with clinical services provider network management and care management teams to ensure coordinated high-quality member-centered care.
• Leads partnerships vendor relationships and joint venture governance including board participation and performance oversight.
• Represents the organization with regulators elected officials external partners and community stakeholders.
• Builds leads and develops high-performing teams through effective talent management succession planning and a culture of accountability and continuous improvement.

Qualifications

Required

• Bachelors degree in Business or a related field or equivalent experience.
• 10 years of progressive leadership and management experience with Medicare Advantage.
• Experience with Medicaid programs.
• Strong financial acumen including P&L ownership and budget management.
• Demonstrated expertise in CMS regulations compliance and healthcare policy.
• Proven success in strategic planning operational execution and growth management.

Preferred

• Masters degree in management public health or a related field.
• Executive leadership experience with Board of Directors interaction.
• Experience serving dual-eligible (Medicare/Medicaid) populations.
• Demonstrated success leading large complex healthcare programs or joint ventures.

An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME FIREFOX SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive only those most qualified will be contacted. To monitor the status of your application please visit the My Applications section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application please contact for assistance.

In support of our mission to improve the health and lives of Louisianians Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke and in order to promote good health our company properties are smoke and tobacco free.

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration criminal courts federal state and county repositories of criminal records Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994 individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.