Kathleen Proctor

About Kathleen Proctor

As the Director of FEP Member Benefits at Blue Cross Blue Shield Association, I bring extensive expertise developed over 15+ years in managed care, employee benefits, and Medicare. My role focuses on the strategic design and administration of FEP’s product suite, ensuring compliance with industry regulations while addressing the needs of a diverse member base. I lead cross-functional teams to navigate benefit negotiations with the Office of Personnel Management and oversee the implementation of innovative solutions such as the No Surprises Act. My work is driven by a commitment to enhancing healthcare offerings for federal employees through collaboration and strategic leadership.

Experience

1. Director, Fep Member Benefits

   Blue Cross Blue Shield Association

   Jun 2017 — Present · DC, US

   Responsible for the continued success and long-term viability of Blue Cross Blue Shield’s six medical product offerings in the Federal Employees Health Benefit Program (FEPHBP) and the Postal Service Health Benefits Program (PSHBP) – collectively referred to as “FEP” - covering close to 6 million lives Management responsibility for the FEP Member Benefit and the Provider Network Innovation Teams comprised of eight professionals Lead program and benefit education for BCBS Plan members nationally Direct responsibility for annual benefit and brochure negotiations with the Office of Personnel Management (OPM) Final oversight of all benefit documents including program brochures, manuals and other member and BCBS Plan-facing publications Oversee new benefit implementation annually Responsible for long-term strategic direction of BCBSA FEP programs and products Create and maintain three to five-year product strategy Review market and membership research to remain relevant and responsive Ensure continued growth and retention of membership Solidify long-term program viability Standing member of advisory group of 14 BCBS Plan leaders focused on innovating BCBSA product offerings in the FEHBP and the PSHBP Thoroughly analyze and supply recommendations on provider network innovation and optimization (High-Performance Networks, Value-Based Programs, etc.) to influence benefit design, new products, and to improve cost and quality of service Ensure compliance with all federal regulations and legislative requirements, including the Mental Health Parity and Addiction Equity Act, the Affordable Care Act, and the Inflation Reduction Act Led introduction of FEP Blue Focus - new EPO product introduced in 2018 Managed the BCBSA Federal Employees Dental and Vision Insurance Program (FEDVIP) Team (Blue Cross Blue Shield FEP Dental and Blue Cross Blue Shield FEP Vision) through the integration of military retirees and their dependents (2018)

Education

• Rockville High School

  High School Diploma

• University of Maryland

  BA, English

Skills

• Medicare
• Healthcare
• Program Management
• Crm
• Insurance
• Policy
• Marketing
• Employee Benefits
• Strategic Planning
• Budgets
• Training
• Customer Service
• Management
• Healthcare Information Technology
• Sales
• Human Resources
• Account Management
• Claim
• Healthcare Management
• Recruiting
• Health Insurance
• Managed Care
• Hipaa