Jessica Sanders
Southfield,MI
Summary
Experienced product manager with 17 years of experience in government programs. Extensive experience with regulated products including Medicare, Medicaid and the Affordable Care Act for the largest insurance carrier in the state, Blue Cross Blue Shield of Michigan (BCBSM). Product owner and manager for BCBSM's Healthy Kids Dental (HKD) Medicaid program which currently serves over 350,000 children statewide. This is the enterprise's second largest book of business. Program activities tracked using the Jira system.
Created, built, and managed multiple first-time products for BCBSM's portfolio. Each of these products quickly exceeded their first-year membership projections and remain strong several years later.
Project lead for creating the first HMO Medicare Advantage supplemental buy-up product. Membership currently exceeds 25,000 and continues to grow annually. This product's success resulted in the BCBSM PPO Medicare Advantage plan also opting to add it to its portfolio. Current PPO membership exceeds 40,000 (over 40% of total program enrollment).
Business lead for Qualified Health Plan (QHP) submission for BCBSM dental plans which included an Agile project management approach. As the audit project coordinator, I earned BCBSM's first 100% annual compliance review score from the state of Michigan's MIChild Medicaid product. Also earned 100% score for all subsequent annual compliance reviews under my ownership.
Overview
17
17
years of professional experience
Work History
Manager, Medicaid Product
Blue Cross Blue Shield
Detroit, Michigan
10.2018 - Current
- Duties entail end to end oversight/ ownership for all aspects of the HKD product including strategy planning, quality oversight, compliance reviews, internal and external audits, consumer facing and provider facing marketing materials/communications, community outreach coordination, project management and more.
- Oversee all vendor activities including enrollee and provider communications, strategic planning, contract compliance and adherence to all service level agreements.
Product Consultant
Blue Cross Blue Shield
Detroit, Michigan
04.2015 - 10.2018
- Segment leader for all Health Care Reform product-related projects.
- Ensure product offerings meet or exceed ACA compliance standards.
- Work includes product development based on consumer intelligence as well as primary and secondary market research.
Senior Analyst - Product Development
Blue Cross Blue Shield
Detroit, Michigan
02.2011 - 04.2015
- Create, review and finalize presentations, compliant contracts, member communication materials, job aids and project plans to ensure successful implementation of various products across several segments.
- Project lead for annual implementation of the Medicare Advantage dental and vision products.
Analyst - Federal Business Division
Blue Cross Blue Shield
Detroit, Michigan
08.2009 - 02.2011
- Collaborated with numerous business areas to adhere to government regulations/guidelines in the Federal Business Division (FBD).
- Spearheaded the development and implementation of various internal auditing reports and tools to ensure compliance.
- Monitored, updated and maintained FBD policies and procedures to exemplify compliance with CMS standards.
Customer Service Rep II - Federal Business Division
Blue Cross Blue Shield
Detroit, Michigan
11.2006 - 08.2009
- Recognized as a top performing, white-glove agent.
- Earned my MBA during my tenure in this role.
Education
Master of Business Administration -
Wayne State University
12-2009
Bachelor of Arts, Advertising -
Michigan State University
05-2006
Skills
- Teamwork and Collaboration
- Product Vision and Strategy
- Product Lifecycle Management
- Prioritization and Execution
- Competitive Analysis
- Brand Building
- Attention to Detail
- Strategic Planning
- Timeline Management
- Stakeholder Communications
- Product Issue Resolution
- Product Development
- Cross Functional Leadership
- Stakeholder Relations
- Vendor Management
- Effective Organization
Affiliations
- Leadership Oakland Cornerstone (Graduate, Class LOXXXII)
- Team Smile and Mission of Mercy (Volunteer)
- Big Brothers Big Sisters of Metro Detroit (Mentor)
- Inforum Leadership Program (Professional Member)
- Employee Resource Network: Blue ACTS (Treasurer)
- Mentoring Circles Program (Mentor & Mentee)
- Top performing enterprise employee recognized by Executive Vice President
Timeline
Manager, Medicaid Product
Blue Cross Blue Shield
10.2018 - Current
Product Consultant
Blue Cross Blue Shield
04.2015 - 10.2018
Senior Analyst - Product Development
Blue Cross Blue Shield
02.2011 - 04.2015
Analyst - Federal Business Division
Blue Cross Blue Shield
08.2009 - 02.2011
Customer Service Rep II - Federal Business Division
Blue Cross Blue Shield
11.2006 - 08.2009
Master of Business Administration -
Wayne State University
Bachelor of Arts, Advertising -
Michigan State University
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