About the role
- Strategic planning responsibilities include oversight of program lifecycle from ideation through post-implementation. Provides vision, leadership, business direction and subject matter expertise of activities within the product portfolio. Accountable for product or program deliverables, budget estimations/forecasts, variance analysis and justification.
- Relationship management skills to build and maintain a positive, collaborative working relationship across various internal and external functional areas. Establish cohesive relationships and influence decisions without having a direct functional reporting structure. Build trust, exhibit sense of urgency, drive consensus in resolving conflicts and decision making. Present status updates to Senior/Executive management. Resolve or escalate issues, propose alternatives and set or manage expectations in a timely fashion.
- Quality Assurance responsibilities include managing the development and translation of business requirements while monitoring and evaluating key performance indicators to measure the success of products and programs. Ensure adherence to BCBSA processes/procedures. Use data-driven insights to make informed decisions.
- Process improvement responsibilities for driving change and implementing process improvements while ensuring long term compliance. Provides leadership and business direction by establishing a vision and strategy to meet established goals and objectives, while focused on continuous improvement. Leads the creation and maintenance of methodologies and processes for the department. Leads teams to attain goals, pursue excellence and establish discipline specific best-practices.
Qualifications:
Education
- Required Bachelor's Degree in computer science, Information Systems, Business Administration, other related field, or equivalent work experience
- Preferred Master's Degree
Experience
- Required 7+ Years experience working in the health insurance industry, within the Blue Cross Blue Shield system
Knowledge Skills and Abilities
- Possesses strong technology project and product management skills.
- Strong team-oriented interpersonal and communication skills.
- Excellent presentation creation and delivery skills.
- Relationship management skills with the ability to develop and maintain business relationships.
- Advanced analytical and problem-solving skills.
Extra Posting Information:
Seven or more years' experience working in the health insurance industry, within the Blue Cross Blue Shield system. Seven or more years' of IT or business work experience focused on business delivery, product management or systems development and programming. Seven or more years’ PC experience using spreadsheets and word processing tools, including all components of MS Office.
Experience with health care products such as Claims Processing, Benefits Management, Enrollment, Customer Service and Operational reporting.
Experience in organizing, planning, and executing large-scale projects from vision through. implementation, involving internal staff, contractors, and vendors. Experience analyzing project needs and determining resources needed to meet objectives and within budget. Extensive knowledge in the use of Project Management methodologies and tools and expert understanding of change management techniques. Demonstrated leadership, mentoring, and project management skills. Understanding of current application development methodologies. Ability to research emerging technologies and understand application and impact to the business.
#LI-Remote
$131,908.00 - $189,738.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Skills & Tags
Aplyr's read
Blue Cross Blue Shield is a collective of independent health insurers, ideal for professionals passionate about community health and complex regulatory environments.
What's promising
- •BCBSA offers diverse roles in policy, data science, and healthcare solutions.
- •Strong focus on community-based health initiatives and local operations.
- •Opportunities to work on advanced projects in AI and cybersecurity.
What to watch
- •Complex organizational structure with 36 independent entities may lead to bureaucratic challenges.
- •Navigating regulatory environments can be demanding and intricate.
- •Limited public information about internal culture and employee satisfaction.
Why Blue Cross Blue Shield
- •Federation model allows for localized decision-making and community engagement.
- •Significant involvement in federal and state healthcare policy development.
- •Pioneering roles in healthcare data science and artificial intelligence.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Blue Cross Blue Shield
The Blue Cross Blue Shield Association (BCBSA) is a federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. It provides health insurance coverage to millions of Americans.
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