Health Care Manager - Strategic Business Initiatives

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.

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Competitive Compensation and Benefits Package

Overview: <span style="font-family: arial; font-size: small;"><span style="font-family: arial; font-size: small;">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.<br /></span></span> <p><strong><span style="font-family: Arial; font-size: small;">Departmental Preferences:</span></strong></p> <ul> <li><span style="font-family: Arial; font-size: small;">Lead a team of strategy experts to develop relationships and collaborate across HCV and the broader enterprise to advance initiatives and drive change.</span></li> <li><span style="font-family: Arial; font-size: small;">Assess the competitive landscape to identify and prioritize market needs by interacting/collaborating with HCV leadership, Enterprise strategy teams, and Business Unit leadership</span></li> <li><span style="font-family: Arial; font-size: small;">Lead and collaborate on Health Care Value multi-year strategy formation, development, testing and roll out including development of metrics and key performance indicators.</span></li> <li><span style="font-family: Arial; font-size: small;">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</span></li> <li><span style="font-family: Arial; font-size: small;">Develop the business cases for, craft strategy and drive initial strategic development of solutions built around specific customer needs.</span></li> <li><span style="font-family: Arial; font-size: small;">Develop, maintain and refine the comprehensive value story for HCV, ensuring that messaging aligns with the HCV divisional strategy.</span></li> </ul>
Responsibilities: <ul> <li><span style="font-size: small;">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;</span></li> <li><span style="font-size: small;">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;</span></li> <li><span style="font-size: small;">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;</span></li> <li><span style="font-size: small;">Act as a Health Care Consultant by developing strategies and programs to reduce health care benefit costs and improve quality of care.&nbsp;</span></li> <li><span style="font-size: small;">Collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results<em>.</em><span style="font-family: arial;">&nbsp;</span></span></li> <li><span style="font-size: small;">Ensure programs and initiatives encompass broad corporate scope and present significant variables.&nbsp;</span></li> <li><span style="font-size: small;">Anticipate, identify, and resolve challenges in order to fulfill key corporate objectives and respond to the demand for change management and initiate actions needed to plan, organize and control team activities.&nbsp;</span></li> <li><span style="font-size: small;">Independently develop and plan, reports, papers and/or other materials.&nbsp;</span></li> <li><span style="font-size: small;">May have direct supervisory responsibility which includes performance reviews.&nbsp;</span></li> <li><span style="font-size: small;">Other duties may be assigned</span>.</li> </ul>
Requirements: <ul> <li><span style="font-size: small;">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.</span></li> <li><span style="font-size: small;">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).</span></li> <li><span style="font-size: small;">Excellent analytical, planning, problem-solving, verbal and written skills to communicate complex ideas.</span></li> <li><span style="font-size: small;">Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).</span></li> <li><span style="font-size: small;">Ability to work independently, within a team environment and communicate effectively with employees at all levels.</span></li> <li><span style="font-size: small;">Other related skills and/or abilities may be required to perform this job.</span></li> </ul> <p><span style="font-family: Arial; font-size: small;"><strong>Departmental Requirements</strong></span></p> <ul> <li><span style="font-family: Arial; font-size: small;">Bachelor&rsquo;s Degree in economics, business administration, or other related technical field required. Master&rsquo;s degree preferred.</span></li> <li><span style="font-family: Arial; font-size: small;">5 years of experience in the health care industry required, preferably in a consulting or strategy function.</span></li> <li><span style="font-family: Arial; font-size: small;">5 years of leadership experience preferred.</span></li> <li><span style="font-family: Arial; font-size: small;">Excellent leadership, analytical, organizational, verbal and written communication skills.</span></li> <li><span style="font-family: Arial; font-size: small;">Extensive strategic planning and / or business development experience.</span></li> <li><span style="font-family: Arial; font-size: small;">Program management and project management experience.</span></li> <li><span style="font-family: Arial; font-size: small;">Extensive experience collaborating with organizations across an enterprise to develop and implement critical business initiatives.</span></li> <li><span style="font-family: Arial; font-size: small;">Ability to interpret and recommend qualitative and quantitative market research.</span></li> <li><span style="font-family: Arial; font-size: small;">Competitive intelligence experience.</span></li> </ul>