Jobs at BSC Industries, Inc.

Manage and maintain formularies and drug list databases for Commercial, Exchange, and Medicare lines. Serve as subject matter expert coordinating with internal teams and external vendors to implement, validate, and audit formulary changes, ensure regulatory compliance (CMS, DMHC), prepare submissions and collateral, maintain procedures and job aids, create reports, and support claims validation and operational workflow improvements.

Support Medicare compliance through risk-based monitoring, audits, and reviews of Medicare Advantage and Part D marketing and member materials; submit materials to CMS/DHCS as needed; document risks and mitigation plans; monitor corrective actions; advise business units on regulatory updates; manage department activities and calendars; prepare analyses and reports; participate in projects.

Lead design and delivery of scalable cloud data lakes, warehouses, and marts. Build high-performance ELT/ETL pipelines, apply Data Vault/dimensional modeling, enforce data quality, lineage, and governance, champion DataOps/CI-CD, mentor engineers, and enable AI/ML-ready data products on platforms like Snowflake, Databricks, or Synapse.

Lead formulary operations for Commercial, Exchange, and Medicare lines: maintain formulary databases, validate claims, manage regulatory submissions, create documentation and reports, coordinate implementations with internal teams and external PBM vendors, and improve operational workflows.

Senior email development specialist responsible for building, coding, testing, and deploying personalized email and SMS journeys using Salesforce Marketing Cloud. Collaborates with cross-functional partners, applies HTML/CSS/AMPscript/SQL, manages Automation Studio/Journey Builder workflows, implements A/B tests, and contributes to tools and processes to improve campaign performance and member experience.

Senior individual-contributor responsible for a portfolio of strategic customer accounts: develop and execute account plans, drive value realization and solution adoption, secure renewals and growth, build executive relationships, coordinate cross-functional teams, surface expansion opportunities, manage risks and governance, and support change management to deliver measurable business outcomes.

Lead and scale platform engineering, cloud infrastructure, and DevSecOps teams; modernize CI/CD/GitOps pipelines; champion shift-left security; partner with Product, Data, AI, and Security to align engineering strategy with business priorities; establish enterprise tools and maintain secure, multi-cluster, multi-tenant platforms while fostering a high-performance engineering culture.

Lead product strategy and portfolio management for Small Business health plan products. Develop roadmaps, business cases, and regulatory filings; coordinate cross-functional execution, monitor performance, conduct competitive and market analysis, and present recommendations to senior leadership to drive growth, retention, affordability, and compliance.

Lead strategy and performance improvements for Health Plan Operations, governing optimization portfolios across Claims, Customer Experience, Backoffice and Operations. Drive operating model modernization, identify end-to-end process improvements, oversee implementation and ROI tracking, create business cases for funding, set and measure customer-driven KPIs, and provide executive oversight to managers delivering short- and long-term operational plans.

Lead end-to-end delivery of complex, cross-functional IT payer programs. Define program vision, roadmaps, governance, KPIs, and integrated plans. Drive execution, risk mitigation, stakeholder alignment, change management, and executive reporting to ensure multi-year initiatives meet scope, schedule, budget, and adoption goals.

Manage end-to-end product line performance and vendor relationships, drive product strategy and roadmaps, deliver business and technical requirements, oversee contract compliance and vendor spend, lead cross-functional program execution, use analytics to inform decisions, and integrate AI-driven insights into reporting and planning.

Lead a pharmacy accounts and sales support team to drive membership growth and retention. Partner with sales, underwriting, and business units to develop pharmacy strategies, RFP responses, pricing approaches, client renewals, training materials, and sales collateral. Manage client issues, ensure contract deliverables, and present pharmacy value to clients, brokers, and consultants.

Lead AI-focused internal audits and investigations to detect misuse, fraud, compliance violations, and insider threats in AI systems. Develop methodologies, analytics, continuous monitoring, and control assessments; supervise auditors; partner with Legal, Security, Privacy, and business stakeholders; and deliver risk-based findings and remediation recommendations.

Provide senior in-house legal counsel for Stellarus on product, pharmacy, technology and commercial matters, including drafting and negotiating complex agreements, advising on AI solutions and governance, supporting go-to-market partnerships, and collaborating with cross-functional leadership and Ascendiun legal teams.

Lead cross-functional programs for Middle Markets and Small Business, develop and track integrated delivery plans, validate financial forecasts, analyze data and produce executive-facing reports, partner with enterprise teams to drive operational improvements and support sales performance.

Lead product and technical strategy for a commissions platform integrating SAP and Informatica. Define roadmaps, design integrations and reconciliation, drive CI/CD and observability, mentor teams, ensure security/compliance, and coordinate incident response and performance tuning to deliver enterprise solutions.

Lead enterprise strategic planning and performance by creating repeatable frameworks, managing strategy governance and executive forums, aligning strategy to financial and operational planning, developing dashboards and KPIs, and enabling rapid response to market shifts. Partner with Finance, Operations, and leadership to drive prioritization, resource allocation, and measurable execution.

Lead design, build, and production deployment of generative AI products (LLM apps, agents, copilots, RAG/search). Rapidly prototype features, build APIs/services and retrieval pipelines, optimize performance, ensure responsible AI, and mentor team members while setting AI technical direction across the organization.

Implement and manage Group Medicare product lifecycle, produce regulated materials, ensure compliance with federal/state regulations, collaborate cross-functionally, track quality and timelines, advise legal/compliance, and document processes to support accurate, timely product delivery.

Lead sales operations strategy, CRM architecture, data governance, forecasting, and analytics for the revenue organization. Partner cross-functionally to standardize processes, enable BDR/SDR motions, optimize lead-to-revenue workflows, and deliver executive reporting to improve forecast accuracy and sales productivity.