SVP, Government Programs

Blue Cross and Blue Shield of Louisiana • Baton Rouge, LA

5d

About The Position

The Senior Vice President, Government Programs provides executive leadership and strategic direction for Blue Cross and Blue Shield of Louisiana’s Medicare Advantage and Medicaid businesses. This role holds full accountability for strategy, growth, financial performance, operations, regulatory compliance, and vendor oversight, ensuring sustainable growth, high-quality care delivery, and strong outcomes for members served through government programs. How this Roles Helps Achieve our Mission Provides strategic leadership and vision for Medicare Advantage and Medicaid programs, driving growth, profitability, and mission-aligned outcomes. Maintains full profit and loss accountability, including budgeting, forecasting, medical loss ratio management, and financial reporting to executive leadership and the Board of Directors. Oversees day-to-day operations to ensure compliance with CMS, state, and federal regulatory requirements and contractual obligations. Collaborates with clinical services, provider network management, and care management teams to ensure coordinated, high-quality, member-centered care. Leads partnerships, vendor relationships, and joint venture governance, including board participation and performance oversight. Represents the organization with regulators, elected officials, external partners, and community stakeholders. Builds, leads, and develops high-performing teams through effective talent management, succession planning, and a culture of accountability and continuous improvement.

Requirements

• Bachelor’s degree in Business or a related field, or equivalent experience.
• 10+ years of progressive leadership and management experience with Medicare Advantage.
• Experience with Medicaid programs.
• Strong financial acumen, including P&L ownership and budget management.
• Demonstrated expertise in CMS regulations, compliance, and healthcare policy.
• Proven success in strategic planning, operational execution, and growth management.

Nice To Haves

• Master’s degree in management, public health, or a related field.
• Executive leadership experience with Board of Directors interaction.
• Experience serving dual-eligible (Medicare/Medicaid) populations.
• Demonstrated success leading large, complex healthcare programs or joint ventures.

Responsibilities

• Provides strategic leadership and vision for Medicare Advantage and Medicaid programs, driving growth, profitability, and mission-aligned outcomes.
• Maintains full profit and loss accountability, including budgeting, forecasting, medical loss ratio management, and financial reporting to executive leadership and the Board of Directors.
• Oversees day-to-day operations to ensure compliance with CMS, state, and federal regulatory requirements and contractual obligations.
• Collaborates with clinical services, provider network management, and care management teams to ensure coordinated, high-quality, member-centered care.
• Leads partnerships, vendor relationships, and joint venture governance, including board participation and performance oversight.
• Represents the organization with regulators, elected officials, external partners, and community stakeholders.
• Builds, leads, and develops high-performing teams through effective talent management, succession planning, and a culture of accountability and continuous improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive