Health Care Manager - HCV Strategy and Planning

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

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Competitive Total Compensation Package

Overview: Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership.
Responsibilities: <ul> <li>Utilize data analytics and extensive business knowledge to manage the research, analysis, identification, and evaluation of data from identified problems to evaluate existing and potential trends, competition, and issues.&nbsp;</li> <li>Possess and maintain in-depth knowledge of BCBSM business, products, programs (including claims, reimbursement, benefits, provider and program data, networks, etc.), corporate organizational structure (including functional responsibilities), and complex research principles/methodologies.&nbsp;</li> <li>Lead and monitor multidisciplinary corporate programs/projects simultaneously by managing the establishment of project plans and objectives to ensure goal attainment within defined parameters. Develop solutions to complex issues and present recommendations to senior management as well as employees at various corporate levels.&nbsp;</li> <li>Act as a Health Care Consultant by developing strategies and programs to reduce health care benefit costs and improve quality of care.&nbsp;</li> <li>Collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results<em>.</em>&nbsp;</li> <li>Ensure programs and initiatives encompass the broad corporate scope and present significant variables.&nbsp;</li> <li>Anticipate, identify, and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.&nbsp;</li> <li>Independently develop and plan, reports, papers, and/or other materials.&nbsp;</li> <li>May have direct supervisory responsibility which includes performance reviews.&nbsp;</li> <li>Other duties may be assigned.</li> </ul> <p><strong>Departmental Preferences:</strong></p> <ul> <li>Develop relationships and collaborate across HCV and the broader enterprise to advance strategy development and drive change.</li> <li>Assess the competitive landscape to identify and prioritize market needs by interacting/collaborating with HCV leadership, Enterprise strategy teams, and Business Unit leadership</li> <li>Lead and collaborate on Health Care Value multi-year strategy formation, development, testing and roll out including development of metrics and key performance indicators.</li> <li>Support the development of HCV functional area strategies and key strategic themes to help advance the divisional strategy and maintain our total cost of care position</li> <li>Develop the business cases for, craft strategy, and drive the initial strategic development of solutions built around specific customer needs.</li> <li>Develop, maintain and refine the comprehensive value story for HCV, ensuring that messaging aligns with the HCV divisional strategy</li> <li>A graduate degree and/or management consulting experience is preferred</li> <li>Strong aptitude for problem-solving and/or formal problem-solving experience or training preferred</li> </ul>
Requirements: <ul> <li>Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master's Degree in related field preferred.,r business management).</li> <li>Excellent analytical, planning, problem-solving, verbal, and written skills to communicate complex ideas.</li> <li>Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).</li> <li>Ability to work independently, within a team environment, and communicate effectively with employees at all levels.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>