Jena Estes is vice president of the Government Program Integrity (GPI) for the Blue Cross Blue Shield Association (BCBSA), a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. The Blue System is the nation's largest health insurer covering more than 106 million people – one-in-three of all Americans. It is the largest single processor of Medicare claims in the nation, and holds the world's largest privately underwritten health insurance contract – the 5.3 million-member FEP (FEP).
Estes serves as chief integrity executive over all government programs including the FEP, the largest nationwide carrier in the Federal Employees Health Benefits Program, OPM Multi-State Plan Program and Medicare. Estes is accountable for the overall success of government program initiatives by assuring effective control environments achieve contractual and regulatory compliance, withstand the rigor of government audits, safeguard assets against fraudulent practices, and meet financial and strategic business objectives.
Additionally, Estes is responsible for developing new and innovative services supporting local Blue Plans in their senior market business strategies at both the state and federal levels
Estes has more than 25 years of experience in the healthcare industry covering the spectrum of health plan operations with specialty in a consumer choice market. Throughout her career with the Association, she has served in numerous progressive leadership roles, with roles in audit/compliance, finance, pharmacy programs, and business operations. Most recently, she served as chief operating executive over the FEP. Under her leadership, the program grew to over 5 million members with eight consecutive years of membership growth, achieved record operational performance, stable medical trends, and increased member satisfaction. During her tenure, she launched a multiyear, integrated strategy that transformed the consumer experience incorporating data-driven strategies that led to increased consumer engagement, integration of wellness programs in the core offerings to federal employees, and digitalized the member experience with a portfolio of consumer tools and a member portal creating 24/7 online member access to routine transactions and a personalized member experience.
She has worked extensively advising and representing local Blue Cross and Blue Shield companies interests over the years in areas of audit, anti-fraud, business performance, operations, financial management, risk management and government contract administration.
Prior to joining BCBSA, she served in various capacities with a health maintenance organization in the Washington, D.C., metropolitan area where she was instrumental in launching the internal audit function for the organization.
She is a graduate of the University of Texas at Austin and is a certified public accountant.