Bilal Nazir

About Bilal Nazir

Healthcare operations executive with 20+ years of experience leading large-scale payer operations across enrollment, billing, and claims. Currently serving as Vice President, Operations at CareFirst BlueCross BlueShield, where I lead cross-functional teams and drive process, technology, and performance improvements impacting millions of members.I specialize in building high-performing teams, modernizing operational platforms, and strengthening the connection between strategy and execution. At CareFirst, I’ve led enterprise initiatives to improve claims accuracy and timeliness, streamline billing processes, and enhance member and provider experience — all while maintaining cost discipline in a challenging healthcare landscape.Known for balancing execution discipline with long-term strategy, I partner with technology, finance, and clinical leaders to optimize health plan operations. My career spans pharmacy, revenue cycle, and payer operations, giving me a unique 360° view of the healthcare ecosystem.Core strengths: payer operations leadership, health insurance transformation, operational strategy, process automation, member experience, large-team leadership, vendor management, performance optimization, cost management, administrative expense reduction.I’m passionate about leading teams through transformation and building organizations where people, process, and technology align to deliver healthcare that is both more efficient and more compassionate.

Experience

1. Vice President, Operations

   CareFirst BlueCross BlueShield

   Apr 2023 — Present · Owings Mills, MD, US

   Lead enterprise operations across enrollment, billing, and claims with accountability for large, cross-functional teams serving millions of members.• Drive operational strategy and execution to improve accuracy, timeliness, and efficiency across core payer functions.• Partner with IT, finance, and clinical leaders to modernize platforms, optimize system performance, and strengthen the member and provider experience.• Balance financial discipline with service excellence by managing administrative expenses while sustaining operational stability.• Sponsor enterprise initiatives on process automation, productivity, and performance optimization.• Champion enterprise inclusion initiatives, strengthening leadership development, engagement, and cross-functional collaboration across the organization.

Education

• University of Maryland Baltimore County

  Chemistry

  2002 — 2004

Skills

• Data Analysis
• Medicaid
• Accpac
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Pharmacy Benefit Management
• Third Party Billing
• Customer Service
• Pharmacy Automation
• Medicare
• Pharmacy
• Medical Billing
• Healthcare Management
• Managed Care
• Healthcare
• Auditing
• Microsoft Excel
• Billing Systems
• Medicare Prescription Drug Plans
• Hipaa
• Training
• Medicare Part D
• Healthcare Information Technology
• Management
• Team Building
• Prescription Drugs