Director, Commercial Group Markets

Blue Cross of Idaho (BCI) is looking for a Director to lead Commercial Group Markets P&L as the Director, Commercial Group Markets. This role has responsibility for the profit and loss (P&L) to drive throughout the organization the development, innovation, implementation, and administration of the Group Market Segment, including small group (QHP and grandparent plans), medium and large group fully-insured, Balance Funded products. This role will drive improvements in products and services, go-to-market strategy, develop initiatives and lead internal partners to meet operating and financial goals for the Commercial Group Market Segment, which generates a revenue of over $600 million.

This position reports to the VP, Government and Commercial Business. This position is located in Idaho. #LI-Onsite

To be considered for this opportunity you have:

1. Experience: Ten (10) years experience in healthcare to include profit & loss responsibility for group sales or actuarial or underwriting experience; or related area within a consumer financial services business to include management experience.
2. Education: Bachelor’s Degree in Business, Healthcare Administration, or Sales preferred; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college).

You will be an excellent fit for this position if you have the ability to:

• Develop and implement strategies for profitable membership growth.
• Drive complex, segment-oriented initiatives through cross-functional areas while hitting deadlines.
• Analyze and interpret financial data.
• Develop and maintain effective working relationships at all levels.
• Develop effective, highly skilled individuals and teams to achieve desired business results.
• Effectively lead multiple high-level activities and initiatives concurrently.
• Lead operational initiatives and workgroups.
• Develop business and community relationships.
• Establish processes and policies that achieve BCI’s goals while maintaining appropriate margins and membership targets.

We'd also love it if you had:

• Master’s degree in Business or related field.
• Specific knowledge of group health insurance market plans (both fully-insured and self-funded).

Here's what your day may look like:

• Implement and achieve the business strategy for all lines in the commercial group market segment.
• Analyze and interpret financial and other business data such as pro forma, profit and loss statements, claim and administrative cost trends, and utilization management trends.
• Identify strategic opportunities to achieve both growth and retention in the various group market segments.
• Implement, oversee, and refine initiatives to achieve the desired outcome for financial, sales and retention, and customer experience to include products and services, and holding other parts of the company accountable to deliver the needed outcomes.
• Identify and bring together operational challenges for process improvement efforts. Develop and submit business cases to request resource and prioritization of such improvement opportunities. Establish operational efficiencies through self-service tools, standardizations, and other process improvement opportunities that contribute to profitability.
• Conduct market research, approve prices, as needed, and monitor sales performance to optimally market group segment products/services.
• Monitor, analyze, and evaluate product performance and customer/broker/consultant feedback to generate new product ideas. Identify product/service/process changes to meet customer needs.
• Prepare membership forecasts and budgets; monitor sales volume, revenues and costs against forecasts. Adapt plans to improve the financial performance of the segment.
• Liaise with marketing and communications to provide sales and educational collateral that effectively positions BCI as the group market carrier of choice.
• Monitor, analyze, and evaluate state and national market trends, consumer behavior and competitor activity to identify market opportunities for the product/service.
• Advise the sales and marketing strategies required to achieve membership and market share objectives, including comprehensive go to market plans.
• Advise the pricing strategy and approve prices for the products in collaboration with Actuarial Services.
• Direct and refine mechanisms for collecting, analyzing, and applying data on competitors’ and other Blues Plans’ products, pricing, performance, and capabilities and pinpoint areas of improvement.
• Perform other duties and responsibilities as assigned.

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.