Sr Project/Program Manager-DSNP

Job Description

• Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project.  Must ascertain, categorize and manage projects in relation to corporate priorities.

• Negotiates for resources to staff projects effectively with appropriate skill sets, aligning skills to the needs of the project.  Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation.

• Coordinates development and implementation of policies and procedures as well as development of compliance measurements.  Controls and monitors project effectiveness; updates project plans as necessary.  Ensures compliance with necessary audit requirements.

• Represents BCBSNC in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors.

• Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.

• Develops escalation process to channel issues and concerns to appropriate parties.

• Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses.

• Develops effective business process improvement initiatives and communication plans.

• Performs analytic functions and coaches others in analytical production, technical and other areas.

• Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (ie Cost/Benefit Analysis, Flowcharting, etc).

• Documents and presents project management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals.

• Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project.

• Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training.

Hiring Requirements

• Bachelor's degree or advanced degree (where required)

• 5+ years of experience in related field.

• In lieu of degree, 7+ years of experience in related field.

What We Prefer!

• Health insurance experience

• DSNP Medicare and Medicaid expertise

• Problem solving, relationship management, helping to facilitate solutions

• Strong verbal and written communications skills

• Team Oriented and Collaborative

• Leadership mindset

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.