Compliance Project Consultant - Senior

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.<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: implementation,strategy,management,leadership,teamwork,design,analysis,goals,knowledge,experience,project management,leadership,degree,proficiency


Competitive Compensation and Benefits Package

Overview: 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. Project scope impacts one or more of the following: process, system, function, product and/or service. Project span across enterprise. Aligns with enterprise initiatives, multi-faceted and strategy
Responsibilities: <ul><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>Monitor project risk and consult on mitigation plans.</li><li>May provide supervision to others.</li><li>Other duties as assigned. </li></ul>
Requirements: <ul> <li><span style="font-size: small;">Bachelor's degree in related field required</span></li> <li><span style="font-size: small;">Seven (7) or more years experience in related field</span></li> <li><span style="font-size: small;">Five (5) years project management experience in health plan operations or related field</span></li> <li><span style="font-size: small;">Project Management/ Project Management Certificate (PMP) preferred</span></li> <li><span style="font-size: small;">Leadership and/or analytical experience with data, systems, and operations</span></li> <li><span style="font-size: small;">Knowledge of program management preferred</span></li> <li><span style="font-size: small;">Demonstrated proficiency and experience with project management applications, templates, development tools, and analysis tools required</span></li> <li><span style="font-size: small;">Demonstrated knowledge and experience planning and leading high risk and complex projects</span></li> <li><span style="font-size: small;">Knowledge of project management tools and methodologies</span></li> <li><span style="font-size: small;">Knowledge of healthcare and/or managed care principles, computer systems, and claims databases</span></li> <li><span style="font-size: small;">Extensive experience with analysis including root cause identification and problem solving</span></li> <li><span style="font-size: small;">Knowledge of Michigan health care marketplace</span></li> <li><span style="font-size: small;">Proficient in current industry standard PC applications and systems (e.g., Access, Excel and Word)</span></li> <li><span style="font-size: small;">Demonstrated project management skills including the use of continuous quality improvement tools</span></li> <li><span style="font-size: small;">Demonstrated competency planning and conducting reports and completing research reports</span></li> <li><span style="font-size: small;">Excellent written and verbal communication skills</span></li> </ul>