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.
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .
About Us
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We're committed to better health and better health care - in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Authorization to Work in the United States
We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.
Request Accommodations
Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com .
Blue Cross NC is a Hybrid First company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welsome candidates from outside the local area and in any of our approved states:
Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming
