Mgr - Trading Partner Strategy - Hybrid

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES 

Manager — General 

• Manage the activities, processes, and continuous improvement of the TPDM platforms and operational excellence functions. Ensure that the team complies with change control guidelines and operational standards. 

• Coordinate with the EDI, ETL, and Delivery pillar leads on cross-pillar initiatives, escalations, and operational priorities. Serve as a cross-pillar resource and integrative leader, not a supervisor of the pillar leads. 

• Provide direction and resources to deliver platform health, operational excellence, and strategic execution outcomes effectively. 

• Provide clear and concise communication keeping stakeholders informed and escalating issues to senior leadership timely to minimize disruption. 

• Give presentations, organize operating reviews, and conduct platform scorecard discussions with audiences ranging from technical teams to executive leadership. 

• Develop a culture of trust, accountability, teamwork, high quality results, and continuous service improvement. 

• Demonstrate leadership abilities along with good judgment and decision-making skills. 

• Mentor and coach TPDM team members across all three pillars. Hold team members accountable for adhering to corporate policies and procedures. 

Senior Manager — General 

• Coach other leaders on the TPDM team, including pillar leads, on operational excellence disciplines. 

• Manage multiple concurrent strategic initiatives, platform improvement programs, and operational deliverables. 

• Plan, build, and run cross-pillar operational programs that span the EDI, ETL, and Delivery functions. 

• Communicate proficiently with senior leaders, including Staff VP and executive stakeholders. Represent TPDM in cross-functional governance forums when delegated by the Director. 

• Overcome blockers and deliver objectives creatively and strategically. Work with the team to create visibility on the health of TPDM platforms and the workflows within the organization. 

• Demonstrate readiness to cover Director responsibilities during absence as succession trajectory progresses. 

Platform Stewardship & Performance Assurance 

• Own and maintain the Edifecs platform performance assurance scorecard — tracking uptime, throughput, error rates, SLA adherence, and integration performance across all trading partners. 

• Establish, document, and enforce Edifecs platform standards — configuration governance, change management procedures, environment controls, and platform-level run and build books. 

• Drive capacity management and technical debt management for the Edifecs platform — anticipating downstream technical needs and preventing capacity-driven outages. 

• Serve as primary BCBSAZ point of contact for the Edifecs vendor relationship — managing escalations, roadmap alignment sessions, license tracking and management, and contract milestones at the operational level. 

• Lead platform governance decisions — approval thresholds, rollback procedures, and patching / upgrade discipline. 

• Monitor and report on the Edifecs SaaS migration implementation status, TCO realization, and milestone completion against the approved business case. 

Operational Excellence & Continuous Service Improvement 

• Own the TPDM Intake & Triage process — maintaining the framework, improving the intake workflow, and reporting on intake volume and resolution trends. 

• Serve as the first escalation path for cross-pillar operational issues, absorbing decisions that would otherwise route to the Director. 

• Drive continuous service improvement across the EDI, ETL, and Delivery pillars — identifying friction, standardizing workflows, and applying disciplines that drive operational maturity and prevent outages. 

• Build and maintain TPDM operational metrics, scorecards, and reporting dashboards — providing leadership with timely visibility into organizational health, trading partner status, and performance against goals. 

• Identify, scope, and partner with technical teams to implement automation opportunities that reduce manual effort and improve reliability. 

• Maintain documentation governance across the TPDM Confluence environment — ensuring accuracy and currency of run books, build books, and partner documentation against established standards. 

Strategic Execution & Innovation Enablement 

• Serve as the Director's operational counterpart — translating strategic vision into executable plans and maintaining momentum on initiatives between cycles of strategic attention. 

• Drive the TPDM career development program — maintaining the skill matrix, facilitating individual development plan conversations, and identifying training pathways for team members. 

• Lead and advance TPDM governance frameworks — including the Trading Partner File Integration Governance, build governance standards, and quality assurance processes. 

• Own staffing plan documentation — maintaining organizational design artifacts, succession maps, and headcount justification materials. 

• Champion documentation best practices across the organization — setting the standard for how TPDM produces, maintains, and retires documentation assets. 

• Partner with the Director on external stakeholder engagement — including governance committee relationships, cross-departmental partnerships, and vendor coordination. 

Operations 

• Oversee day-to-day cross-pillar operational administration by coaching and motivating departmental personnel to make maximum use of experience and skills. 

• Develop staff, including development and maintenance of training materials, establishing performance goals, regular follow-up with staff, and year-end performance evaluation support. 

• Maintain effective working relationships to ensure teamwork in achieving corporate goals. 

• Ensure service level agreements are established, monitored, and managed effectively; identify, prioritize, and resolve issues with business areas and vendors. 

• Monitor quality performance, develop and maintain effective workflows, and seek to maximize system efficiencies. 

• Review relevant production and operating policies to ensure the most efficient processes are in place and determine tactical plans to improve processes and services. 

• Participate with management in formulating goals for the team. Participate in budgeting process, including resource capacity planning. 

Strategy 

• Participate in developing technical strategy to scale and standardize Trading Partner data management and platform operations. 

• Establish and meet short- and long-term department goals in accordance with overall company objectives and divisional strategic planning. 

• Assist in identifying gaps, mitigating issues, and developing alternative solutions for plans in play. 

• Partner with other technology leaders to identify points of leverage, integration, and resource sharing. 

Project Management 

• Develop timelines, work estimates, and cost projections; manage projects to approved guidelines; review and consult on design and technical approach to ensure consistency. 

• Provide analytical, process-driven team support and planning for IT projects and initiatives. 

• Ensure change management protocols maximize benefit and alleviate unnecessary disruption. 

Financial 

• Manage use of corporate funds including budgeting, financial management, and reporting within designated authority. 

• Identify opportunities to achieve administrative efficiencies while maintaining service. 

• Support vendor negotiations to contain or reduce contract services expense and/or one-time purchase expense, in partnership with the Director. 

Other 

• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. 

• Position may require evening, weekend, or on-call schedules, depending on project requirements, vendor escalations, or platform status. 

• Perform all other duties as assigned. 

REQUIRED COMPETENCIES 

PREFERRED COMPETENCIES