Manager - HCV Project Execution

<p>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.</p>

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.<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 />Learn more about your options as an external candidate. <a href="" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: analysis,leadership,maintain,solutions,management,design,management,solutions,organization,department preferences,license,education,proficiency,sales,professional


Competitive Total Compensation Package

Overview: <p style="font-weight: 400;"><strong>Department Summary / Preferences:</strong></p> <p>Responsible for implementing, corporate programs and initiatives dedicated to enhancing health care value.</p> <p>Accountable for and manages the development, implementation and ongoing maintenance of long-term project(s) typically spanning two years or more planning to implementation with relatively more complex scope and deliverables that may impact multiple business unit/function or business critical program.</p> <p>Project scope impacts one or more of the following:</p> <ul> <li>Process, system, function, product and/or service. Project span across enterprise. Aligns with enterprise initiatives, multifaceted and strategy.</li> <li>Monitor progress, produce project status reports, timelines, budget reports, project metrics.</li> <li>Plan projects, including the concept, design, planning, project scope, cost and benefits, testing, acceptance, implementation and post-implementation review of project deliverables.</li> <li>Leads cross functional teams comprised of various internal customers and vendor resources. Provide assistance and mentor staff on project management related issues.</li> <li>Lead complex development initiatives. Manage teams and ensure that project resources are utilized in an effective and efficient manner. Ensure project goals are met or exceeded via the facilitation and resolution of barriers prohibiting the progress on projects.</li> <li>Recommend and implement process changes to increase project execution performance. Review system and tools to ensure quality and efficient implementation of development and enhancement efforts.</li> <li>Possess and maintain knowledge of BCBSM business, products, programs (including claims, reimbursement, benefits, provider and program data, networks, etc.), corporate organizational structure (including functional responsibilities),</li> <li>Develop solutions to complex issues and present recommendations to senior management as well as employees at various corporate levels.</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.</li> <li>Independently develop and plan, reports, papers and/or other materials.</li> </ul>
Responsibilities: <p><strong>Responsible to plan, organize, direct, control, and lead assigned business unit; specialize in development, planning, and leadership; operate within broad objectives to ensure optimum utilization of capital, manpower, and equipment for the assigned business unit.</strong></p> <ul style="font-weight: 400;"> <li>Manage activities of a department including but not limited to planning, problem solving, staff development and communication.</li> <li>Execute function/area objectives that support continuous improvement.</li> <li>Manage professional, exempt, and non-exempt non-bargaining and bargaining unit employees. Responsible for special projects and/or problem resolutions.</li> <li>Provide effective and efficient solutions to complex business problems.</li> <li>Provide high level oversight and leadership.</li> <li>Other Duties may be assigned.</li> </ul>
Requirements: <div id="requisitionDescriptionInterface.ID1574.row1" class="inlinepanel" title=""><span class="subtitle">Qualifications</span></div> <ul> <li><span style="font-family: arial;"><span style="font-size: small;">Bachelor's Degree in related field required. Master's Degree in related field considered a plus.</span></span></li> <li> <div><span style="font-family: AlbanyWTJ; font-size: small;">Five (5) to ten (10) years experience in related field including Five (5) years project management experience in health plan operations or related field.</span></div> </li> <li><span style="font-family: arial;"><span style="font-size: small;">Ability to work under general direction.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Ability to work effectively in a team environment.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Good analytical, organizational, planning, verbal and written communication skills.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Other related skills and/or abilities may be required to perform this job</span></span><span style="font-family: arial;"><span style="font-size: small;">.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Valid Michigan Accident and Health Insurance License.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Valid and unrestricted driver's license is required.</span></span></li> </ul> <p><span style="font-size: small;">Department Preferences:</span></p> <ul> <li><span style="font-family: Arial; font-size: small;">Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.</span></li> <li><span style="font-family: Arial; font-size: small;">Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).</span></li> <li><span style="font-family: Arial; font-size: small;">Ability to work independently, within a team environment and communicate effectively with employees at all levels.</span><span style="font-family: Arial; font-size: small;">&nbsp;</span></li> <li><span style="font-family: Arial; font-size: small;">Bachelor's degree in related field required</span></li> <li><span style="font-family: Arial; font-size: small;">Project Management/ Project Management Certificate (PMP) preferred</span></li> <li><span style="font-family: Arial; font-size: small;">Leadership and/or analytical experience with data, systems, and operations</span></li> <li><span style="font-family: Arial; font-size: small;">Demonstrated proficiency and experience with project management methodologies, applications, templates, development tools, and&nbsp;</span><span style="font-family: Arial; font-size: small;">analysis tools required</span></li> <li><span style="font-family: Arial; font-size: small;">Demonstrated knowledge and experience planning and leading high risk and complex projects</span></li> <li><span style="font-family: Arial; font-size: small;">Knowledge of healthcare and/or managed care principles, computer systems, and claims databases</span></li> <li><span style="font-family: Arial; font-size: small;">Extensive experience with analysis including root cause identification and problem solving</span></li> <li><span style="font-family: Arial; font-size: small;">Knowledge of Michigan health care marketplace</span></li> <li><span style="font-family: Arial; font-size: small;">Demonstrated process development skills including the use of continuous quality improvement</span></li> </ul> <p><strong>CERTIFICATES, LICENSES, REGISTRATIONS</strong></p> <p><strong>If an employee is selling/negotiating rates as part of the duties and responsibilities of this job, the following licenses are required within 90 days of the employee's start date or the license expiration date.</strong></p> <blockquote dir="ltr"> <ul> <li><span style="font-family: arial;"><span style="font-size: small;">Valid Michigan Accident and Health Insurance License&nbsp;<br /></span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Valid Michigan driver's license required.</span></span></li> </ul> </blockquote>