Teams at Blue Cross Blue Shield Association

The Director of Payment Integrity leads payment integrity strategy for BCBSA, ensuring competitive capabilities across commercial and government markets, advising on program requirements, and managing complex initiatives with a focus on performance monitoring and continuous improvement.

Lead Trade-facing clinical and contract activities for manufacturer rebate programs. Advise Client Relations and Participants on PBM/UM policy, interpret manufacturer contracts, manage medical and pharmacy clinical policies for compliance, and collaborate cross-functionally to drive rebate program execution and clinical decision-making.

The Director of Audit leads client and pharma rebate audits, ensures compliance, manages audit programs, strengthens internal controls, and collaborates with finance and legal teams.