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Cons FEP SIU

Blue Cross Blue Shield Association
Washington, DC
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Blue Cross Blue Shield Association United States, D.C., Washington 1310 G ...
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Summary
About the job:
Street Northwest ( Show on map ) April 19, 2024 Executes measures for the prevention, identification and investigation of fraud, waste, and abuse (FWA) perpetrated against the Federal Employee Program (FEP). Ensures that Blue Cross Blue Shield (BCBS) Plans and Pharmacy Benefit Managers (PBMs) meet reporting requirements as mandated by the Carrier Letter and FEP Special Investigations Unit (FEP SIU) Standards Manual. Provides Plan and PBM oversight for the identification, investigation, and reporting of FWA. Coordinates...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Sr Coordinator, Workplace Services

Blue Cross Blue Shield Association
Washington, DC
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This position provides Workplace Services (WPS) support for all divisions ...
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Summary
About the job:
and is responsible for the scheduling and coordinating daily activities, providing building and vendor management; administrator of the controlled access and security system; as well as invoice processing and expense tracking. Scheduling and coordination of furniture and equipment installation and repairs. Secondary responsibilities include participation in WPS Management initiatives. Primary Job Functions: - Monitor the physical premises daily for required maintenance or repair. Schedule and supervise general repair...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
First-Line Supervisors of Office and Administrative Support Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Facility Manager
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

ED Pharmacy Programs

Blue Cross Blue Shield Association
Washington, DC
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Provides oversight and management of all drug utilization and spend across ...
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Summary
About the job:
both the Pharmacy and Medical drug benefit. Provides operational oversight and management of the FEP Employer Group Waiver Plan program and Medicare Part D business. Works with contracted PBM's, executives, and operational staff on ongoing contract administration and maintenance. Leads the directorial processes for the FEP Pharmacy and Medical Policy Committee (PMPC), PMPC support vendor, and National P&T Committee. Works with FEP leadership team in establishing and maintaining relationship with CMS and OPM on all...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
Shelbyville, KY
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Responsible for developing, establishing, and maintaining the Federal ...
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Summary
About the job:
Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the position responsibilities requires ongoing cross-departmental, cross-organizational...
Location:
Shelbyville, KY
Job Type:
Part-Time
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
Pennsylvania
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Blue Cross Blue Shield Association United States, Pennsylvania February 27, ...
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Summary
About the job:
2024 Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the...
Location:
Pennsylvania
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
Maryland
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Blue Cross Blue Shield Association United States, Maryland February 27, 2024 ...
Details
Summary
About the job:
Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the position...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
Nebraska
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Blue Cross Blue Shield Association United States, Nebraska February 27, 2024 ...
Details
Summary
About the job:
Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the position...
Location:
Nebraska
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
Ohio
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Blue Cross Blue Shield Association United States, Ohio February 27, 2024 ...
Details
Summary
About the job:
Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the position...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
North Carolina
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Blue Cross Blue Shield Association United States, North Carolina February ...
Details
Summary
About the job:
27, 2024 Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the...
Location:
North Carolina
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, OPL Federal Health Program Reimbursement

Blue Cross Blue Shield Association
Tennessee
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Blue Cross Blue Shield Association United States, Tennessee February 27, ...
Details
Summary
About the job:
2024 Responsible for developing, establishing, and maintaining the Federal Employee Program (FEP) business policy on Other Party Liability (OPL) contractual activities, as detailed in our contracts with the Office of Personnel Management (OPM), and reimbursement to federal health programs, as defined by regulation. This position is charged with maintaining strategic leadership direction by serving as the single point of contact on complex policy and reimbursement positions for the FEP. Successful execution on the...
Location:
Tennessee
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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