Meyer Consulting has been retained in the search for the Vice President, Service Implementation for Horizon Blue Cross Blue Shield of New Jersey, New Jersey’s leading health insurance provider, serving approximately 3.9 million members. Horizon BCBSNJ is a not-for-profit company and a licensee of the Blue Cross and Blue Shield Association, with annual revenues of over $12 billion and approximately 5,000 employees.
The Vice President is an officer of the Corporation and is responsible for all account implementation, enrollment, billing, benefit coding and accounts receivables for Horizon BCBSNJ’s commercial accounts, comprising approximately 3 million members across all commercial lines of business. S/he will have responsibility for over 150 FTEs and an operating budget of $25m. The Vice President will ensure the appropriate modeling and setup of customer benefits for accurate claims payment. This position is also responsible for financial reporting for alternate funding arrangements and self-insured billing. S/he will collaboratively develop and implement strategic projects / initiatives that represent innovative best practices, streamline processes to create a more efficient and effective department and reduce administrative expenses.
The Vice President will be an accomplished service operations executive with a minimum of 7-10 years of progressive experience leading membership/service functions in a complex health plan or other relevant organization with a large transactional volume. Additional characteristics include:
Excellent leadership skills; demonstrated success in leading teams and ensuring the effective and efficient execution of service operations;
Highly collaborative; proven ability to create productive and trusted relationships across an organization;
Strong communications skills with the ability to effectively present complex information to all levels of an organization;
Strong experience overseeing effective vendor relationships and ensuring timely and accurate vendor deliverables;
Knowledge of benefit configuration / modeling and central product library support functions;
An understanding of ASO market dynamics including stop-loss arrangements;
Tactical and strategic; can collaboratively develop and implement projects / initiatives that represent innovative best practices; experience leading a large-scale implementation a plus;
Undergraduate degree required; MBA or Masters in relevant field preferred.
Meyer Consulting has been exclusively retained by Horizon BCBSNJ to conduct this search. Referrals, requests for information, and resumes can be sent via email to the company’s search consultants, Mike Meyer, Ryan Hubbs, and David Linder at email@example.com. We can be reached by phone at 347/284.0160 (Hubbs) or 847/902.2550 (Linder). All communication will be treated will full professional confidentiality.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.