Health Care Manager - Blue Print Operations

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.

Southfield, 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.

keywords: position summary,analysis,performance,teamwork,consulting,quality assurance,maintenance,departmental preferences,degree,skills,experience,knowledge,professional


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 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> <br /> <p><strong>Department Preferences:</strong></p> <ul> <li>Develop and manage project budgets.</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>Monitor progress, produce project status reports, timelines, budget reports, project metrics.</li> <li>Create internal and external communications, including development of executive-oversite-level presentations.</li> <li>Lead cross functional teams comprised of various internal customers and vendor resources. 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>Monitor project risk and consult on mitigation plans.</li> <li>Manage production and maintenance of policies, procedures, and process flows (including experience using Visio).</li> <li>Self-manage multiple competing priorities and deadlines.</li> <li>Experience using/managing a SharePoint site.</li> <li>Work with internal IT partners, facilitate defect tracking and resolution, and thoroughly document SLA breaches.</li> <li>Manage engagement with corporate audit.</li> <li>Work with Data Analysts, Program Director, and Medical Directors to align and prioritize reporting requests.</li> <li>Utilize critical thinking by contemplating the broad picture within detailed context.</li> <li>Other duties as assigned.</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.</li> <li>Seven (7) to Ten (10) years experience of related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or 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> <div id="gtx-trans" style="position: absolute; left: -143px; top: 26px;">&nbsp;</div>