Job Description
Please note before applying this role does require a North Carolina residency.
The Vice President and Head of Commercial Markets is an enterprise leader with full P&L accountability for BCBSNC’s Commercial lines of business, including Individual ACA, Group Fully Insured, Group ASO, Group TPA, Stop‑Loss, Dental, and Vision.
This role owns the end‑to‑end commercial strategy, translating market insights into differentiated products, disciplined execution, and sustainable financial performance across a multi‑billion‑dollar portfolio serving millions of members.
This leader integrates strategy, product, pricing, sales, operations, and finance to drive growth, retention, affordability, and margin performance in a highly regulated, competitive environment.
Core Accountabilitiesof the Role:
Commercial Strategy & Market Leadership
- Own the multi‑year Commercial Markets strategy, grounded in market dynamics, employer and member needs, regulatory realities, and competitive positioning.
- Translate enterprise and Health Plan strategy into clear commercial priorities, investment decisions, and execution roadmaps.
- Lead ideation‑to‑execution for new market opportunities, product innovations, and distribution strategies.
- Shape employer value propositions across affordability, access, experience, and clinical outcomes, increasingly integrating value‑based care, digital health, and alternative network strategies.
Product Portfolio & Go‑to‑Market
- Own product direction, lifecycle management, and annual product refreshes across all Commercial lines of business.
- Set and execute go‑to‑market strategies in partnership with Sales and Marketing, ensuring competitive differentiation and disciplined growth.
- Establish portfolio prioritization frameworks to balance growth, margin, risk, and operational readiness.
- Drive simplification of product portfolios where possible to improve speed‑to‑market, operational efficiency, and customer experience.
Financial & P&L Ownership
- Full financial accountability for Commercial Markets performance, including revenue, margin, medical cost trend, and operating expense management.
- Partner with Finance to set pricing and rate strategies, risk management approaches, and underwriting guardrails that optimize long‑term performance.
- Lead regular business performance reviews, translating results into corrective actions and strategic pivots as needed.
- Anticipate and manage earnings volatility driven by utilization shifts, risk mix, regulatory change, and competitive pricing pressure.
Execution & Operating Model Leadership
- Ensure disciplined execution across sales, enrollment, claims, billing, service, and customer experience platforms.
- Hold cross‑functional leaders accountable for delivering on growth, affordability, service, and operational performance commitments.
- Lead through market, regulatory, and organizational change with clarity, confidence, and pace.
- Champion continuous improvement, automation, and data‑driven decision‑making across the commercial value chain.
Enterprise Leadership & Influence
- Operate at the enterprise level, partnering with Strategy, Product, Pricing, Finance, Sales, Marketing, Operations, Clinical, and Technology leaders.
- Present Commercial Markets strategy, performance, and risks to executive leadership and the Board.
- Build strong external relationships with brokers, consultants, employer coalitions, and strategic partners.
Required Experience, Leadership and Capabilities
- Senior executive experience in commercial health insurance or similarly complex, regulated industries.
- Demonstrated ownership of large‑scale product portfolios and financial outcomes.
- Proven experience presenting to executive leadership teams and Boards.
- Strong understanding of pricing risk, underwriting, and risk management strategies.
- Enterprise mindset with the ability to integrate strategy and execution.
- Strong commercial judgment and comfort operating in a matrixed environment.
- Sbility to lead through ambiguity, change, and external disruption.
- Track record of building high‑performing leadership teams and developing future executives.
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