VP, Medicare Systems and EDI

Summary

Why should you join the BlueCross BlueShield of South Carolina family of companies

Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nations leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy consider joining our team!

Position Purpose :

As the Vice President Medicare Systems and EDI for Palmetto GBA you will provide overall senior leadership and be responsible for all systems support activities at Palmetto GBA a 400-person division of BlueCross BlueShield of South Carolina. You will direct and control all information systems activities from a contractual strategic tactical and financial perspective. The Vice President will direct tactical and operational IT provisioning infrastructure to support contractual and operational business goals as well as align and calibrate the LOBs technology deployment strategy with the corporate business strategy.

The successful candidate will have a strong knowledge of government contracting information system environments security requirements and data analytics as well as experience leading IT departments with a broad array of tools and responsibilities.

For this role you will need to have a bachelors degree and a broad understanding of both industry Commercial-Off-The-Shelf (COTS) and proprietary systems.

Description

Logistics : Palmetto GBA one of BlueCross BlueShields South Carolina subsidiary companies.

Location : This position is full-time (40-hours / week) Monday-Friday working ONSITE at our 17 Technology Circle Columbia SC 29203 location.

Government Clearance : This position requires the ability to obtain a security clearance which requires applicants to be a U.S. Citizen.

What Youll Do :

Responsible for meeting all Information Systems contractual requirements related to the business.

Controls all Information Systems expenditures related to contracts including software hardware and total infrastructure.

Promotes current systems to meet the customers business needs and corporate strategy. Represents customer account in all Information Systems activities that will impact their customer.

Directs the development maintenance and performance of a comprehensive and thoroughly documented Entity-Wide Security Program that meets business and contract requirements. Makes enhancements to the program as requirements are changed. System security program requirements should include but are not limited to : assessment evaluation and compilation of the corporations compliance with the Core Security Requirements using the CMS approved methodologies and tools to meet CMS contractor requirements as reflected in the current Business Partner Systems Security Manual (BPSSM); system security plans and risk assessments for each Major Application and General Support System; a system security compliance certification statement to be included in the Certification Package for Internal Controls (CPIC); Information Technology Systems Contingency Program; Corrective Action Plans (CAPs) and Plans of Actions and Milestones (POA&M); Computer Security Incidence Response Program; Systems Security Profile.

Leads all business development activities in conjunction with relevant business unit within Government Programs.

Oversees development of business development plans for each Government Programs organization and supports the efforts to execute these plans.

Participates in executive level planning around implementation of the Business Development Plan.

Responsible for achieving business development goals for Government Programs various product lines.

Develops the customer contact plan staying up-to-date with the customers needs and goals as well as understanding the value of partnerships and company dynamics.

Develops relationships with potential business and government customers and partners to leverage overall competencies to win new contracts. Manages efforts to market companys capabilities and competencies to include development of marketing materials.

Implements sales strategies for winning new business and retaining existing business.

Controls all Information Systems expenditures related to government-mandated reimbursable efforts.

Interacts with internal and external executives to ensure that Information Systems is meeting contractual strategic and tactical objectives.

Works with the business leadership team to influence strategic business decisions regarding the use of technology.

Participates in business technology planning bringing current knowledge and future vision of technology and systems to business processes for a competitive advantage.

To Qualify for This Position Youll Need the Following :

Required Education : Bachelors degree

Required Experience :

12 Years Twelve years experience in an Information Systems environment

6 Years management experience OR equivalent military experience in grade E4 or above

We Prefer That You Have the Following :

Strong knowledge of government contracting information system requirements and system security requirements

Knowledge of Medicare contracting

Strong data analytics

Broad array of COTS and proprietary systems

Experience with specialty contracts

Knowledge and / or experience implementing artificial intelligence solutions

Our comprehensive benefits package includes the following :

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

Subsidized health plans dental and vision coverage

401k retirement savings plan with company match

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers in major locations

Education Assistance

Service Recognition

National discounts to movies theaters zoos theme parks and more

What We Can Do for You :

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next :

After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who are the most qualified with prioritization given to those candidates who demonstrate the required qualifications.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation .

Some states have required notifications. Heres more information.

Required Experience :

Exec

Key Skills

Sales Experience,Marketing,Public Relations,Pricing,Sales Pipeline,Outside Sales,Strategic Planning,Social Media Management,Sales Management,Enterprise Sales,Public Speaking,negotiation

Employment Type : Full-Time

Experience : years

Vacancy : 1