Senior Vice President, Commercial Markets & Enterprise Data Solutions
Kari Hedges is senior vice president, Commercial Markets & Enterprise Data Solutions, at 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 one-in-three of all Americans.
Hedges, who joined the Association in 1996, focuses on national solutions that involve coordination among the independent Blue Cross and Blue Shield companies to meet the needs of Blue customers, including consumers, employers and physicians.
She is responsible for BCBSA’s commercial markets and data efforts that include BlueCard, Blue Distinction, the National Labor Office and Data Services. The BlueCard program serves national employers with employees in multiple locations and individual travelers domestically and internationally, facilitating more than 250 million claim transactions and more than 600 million eligibility, claim status and referral requests annually. The Blue Distinction® Portfolio of High-Performing Network Solutions supports Plans through the optimization of network value and measurement of provider quality, cost and access. Blue Distinction is raising the quality of care being delivered across the country by recognizing facilities that meet objective, evidence-based thresholds for clinical quality and cost efficiency measures.
In addition, Hedges oversees Enterprise Data Solutions, which is responsible for delivery of innovative data, business applications and shared solutions that enable Plans’ success in local and national markets. Hedges is accountable for ensuring overall success of these programs, proving strategic leadership and direction for program development and ongoing operations, financial performance and data leadership priorities for the Blue System.
Hedges earned a bachelor’s degree from the University of Kentucky and an M.B.A. from the University of Notre Dame.