Senior Consultant – National Markets

Highmark Health

Highmark consultant leading Blue Cross commercial-market compliance, strategy, and negotiations. Serving as national liaison to BCBSA, BCBS Plans, and Consortium Health Plans.

Posted 8/21/2026full-timeAlabama, Alaska, Arizona, California, Colorado, Connecticut, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming • 🇺🇸 United StatesSenior💰 $118,400 - $196,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in BCBSA Inter-Plan Programs and Policies, with a strong focus on strategic initiative implementation and negotiation. Proven ability to manage relationships and collaborate effectively across various teams within the BCBS system.

Highest-signal resume keywords

BCBSA Inter-Plan ProgramsStrategic Initiative ImplementationNegotiation ExperienceProject Management SkillsConsultative Role Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Business AdministrationHealth Care ManagementCede NegotiationsFinancial Policy ManagementProject ManagementConsultative ExperienceLegal Terminology UnderstandingMembership Retention StrategiesInter-Plan Program Policy ReviewShared Savings Expertise

Soft Skills

Time ManagementNetworking SkillsRelationship BuildingCollaborationCommunication

Industry Keywords

BCBSABCBS PlansCHPBlueCard EnrollmentHealth Plan OperationsGovernment AffairsAdvanced AnalyticsCommercial Group BusinessConsortium Health PlansSales Strategies

About the role

Key responsibilities & impact

Lead Commercial Sales Markets operational compliance, business performance, and strategic positioning regarding BCBSA, BCBS Plans, and CHP policies and initiatives
Serve as Highmark’s designated National Account Executive to the BCBSA and ambassador with BCBSA, BCBS Plans, and CHP
Support Commercial Sales Markets teams and maximize synergy with Finance, Sales Ops, Legal, Product Strategy, Customer Alignment, Provider, Actuary, HM Health Solutions, Health Plan Operations, Government Affairs, and Advanced Analytics
Collaborate with management and staff to propose Blue solutions and consistent messaging
Act as subject matter expert and trusted advisor on national delivery of Blue commercial group business
Manage cede negotiations and BCBSA Inter-Plan Program Policies related to ceding for Pennsylvania and National Sales Markets
Manage BCBSA and CHP financial policies for reimbursement of InterPlan fees
Serve as SME witness in national and local court cases and support legal preparation
Maintain relationships among BCBS Plan colleagues to manage membership retention and common sales strategies for Host BlueCard enrollment
Review and recommend changes to Inter-Plan Programs Policies affecting BlueCard fees, ceding, and network issues
Manage strategic initiative projects, including shared savings expertise, training, CHP pricing strategies, and competitive financial levers
Support the Senior Vice President, National Markets and National Markets management team
Represent Highmark on BCBSA and CHP workgroups
Perform other duties as assigned or requested

Requirements

What you’ll need

Bachelor's in Business Administration or Health Care Management, or 6 years progressive experience in interplan/consultative/cede experience in lieu of Bachelor degree
5 years of BCBSA Inter-Plan Programs and Policies relating to the national delivery of commercial group business
3 years of experience in a consultative role interfacing and collaborating with BCBSA and BCBS Plans at all levels of management and staff
3 years of experience in a project management role emphasizing strategic initiative implementation and/or negotiating or defending administrative agreements
Excellent time management and project management skills
Ability to prioritize and manage multiple projects
Superior institutional knowledge of BCBSA Inter-Plan Programs and Policies and the structure of BCBSA
Negotiation experience and understanding of legal terminology
Superior relationships with BCBSA and BCBS Plan staff
Strong relationships within the BCBS system and at other Blue Plans
Knowledge of the value and activity of Consortium Health Plans
Networking skills to develop trust and loyalty among Blue colleagues
No licenses or certifications required
No language other than English required

Benefits

Comp & perks

Remote work designation on the job board
Base pay range of $118,400.00–$196,800.00 per year
Travel requirement of 0%–25%