Health Care Manager - Professional Trend Management

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 (Hybrid)

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.&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 />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 />For Application Timeline &amp; Selection Process:&nbsp;<a href="https://s3.amazonaws.com/data.vizirecruiter.com/Images/BCBSMCareers+-+Quick+Reference+Guide.pdf" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/requisitions" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: position summary,leadership,project management,analysis,strategy,education,experience,skills

Mid-level Manager

Competitive Total Compensation Package

Overview: <p><strong>Leads the research, development, and implementation of enterprise initiatives that enhance health care value, mitigate high-cost trends, and advance affordability goals. Builds and manages a pipeline of opportunities from identification and solution design through executive approval and transition to implementation.</strong></p>
Responsibilities: <ul> <li>Facilitate the biweekly Professional Opportunity Lab, bringing together subject matter experts from across the business to identify solutions for high-cost trend drivers and develop them into execution-ready initiatives.</li> <li>Develop compelling business cases and present to executive forums, secure approval to proceed, and coordinate transition to the appropriate business owner. This includes developing rough order sizing of opportunity, cost, and evaluating trade-offs with other value drivers.</li> <li>Lead multiple cross-functional programs and projects by establishing plans, objectives, milestones, and measures of success. Develop solutions to complex issues and tailor recommendations for senior leaders and other stakeholders.</li> <li>Ensure programs and initiatives align with enterprise priorities, complement related efforts across the organization, and support the broader corporate strategy.&nbsp;</li> <li>Anticipate and resolve challenges that could impede corporate objectives, lead change-management activities, and coordinate team priorities and execution.</li> <li>Partner with actuary and analytics teams to identify and prioritize areas for investigation, define business questions and analytic requirements, interpret findings, and translate data-driven insights into actionable opportunities and well-supported initiatives.</li> <li>Independently develop clear, compelling, and executive-ready presentation materials that synthesize complex analyses, articulate recommendations, and communicate effectively to diverse stakeholder audiences.</li> <li>Other duties may be 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 of related experience, typically spanning at least two subject areas, such as financial analysis, planning, health care economics or policy, statistical modeling, business 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 thoughtfully embed AI tools into your workflow to improve analytic efficiency, communication, and execution</li> <li>Ability to work independently and 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>