Manager-Quality Program Administration

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="https://www.bcbsm.com/" 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="http://www.bcbsm.com/index/about-us/our-company.html" 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="https://bcbsm.taleo.net/careersection/2/jobsearch.ftl?lang=en" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

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Full-time

Competitive Total Compensation Package

Overview: This position oversees Service Operations&rsquo; quality evaluation policies and procedures. The team completes auditing/check-the-checker activities, establishes the criteria for quality evaluations, participates in quality reviews and monitors Service Operations&rsquo; quality metrics and action plans. Responsible for planning, organizing and managing an assigned business unit. Operate within broad objectives to ensure optimum utilization of resources; adapt business unit plans and priorities to address resource and operational challenges. Evaluate policies, procedures and business unit goals to make decisions and solve problems
Responsibilities: <ul><li>Manage activities of a department including, but not limited to planning, problem solving, staff development and communication.</li><li>Manage the evaluation of new and existing business processes to identify areas of opportunity and execute on business unit objectives, supporting continuous improvement.</li><li>Lead, direct, evaluate and develop the work of assigned employees.</li><li>Responsible for special projects, programs and initiatives to ensure successful delivery of business outcomes.</li><li>Provide effective and efficient solutions to complex business problems</li><li>Ensure that day to day business unit operations align with organizational objectives. </li></ul>
Requirements: <ul> <li>Bachelor's Degree in a related field is required. Master's Degree in a related field is preferred.</li> <li>Five (5) years of experience in a related field is required.</li> <li>Previous experience leading projects and/or teams is required.</li> <li>Ability to effectively lead, coach and develop team members.</li> <li>Ability to work effectively in a team environment.</li> <li>Strong organizational, planning, analytical, and problem-solving skills.</li> <li>Working knowledge of corporate organizational structures, including functional responsibilities.</li> <li>Strong verbal, written communication and interpersonal skills.</li> <li>Ability to manage multiple priorities concurrently.</li> <li>Ability to solve practical problems and deal with moving variables in situations with limited standardization and alignment.</li> <li>Ability to interface and present to all levels of the organization.</li> <li>Ability to build relationships and work collaboratively with cross-functional teams.</li> </ul> Department Requirements:<br /> <ul> <li>Demonstrated experience implementing lean processes</li> <li>Strong understanding of statistical analysis</li> <li>Strong project management skills</li> <li>Knowledge of industry quality evaluation programs</li> </ul>