Project Consultant - MA Defects and Release 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

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" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: planning,implementation,management,quality assurance,departmental preferences,develop,support,experience,project management,technical,leadership,degree,professional


Competitive Compensation and Benefits Package

Overview: Accountable for and manages the development, implementation, and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope is at least two years planning to implement and may impact one or more business units/functions. Project scope typically impacts one or more of the following: process, system, function, product, and/or service.
Responsibilities: <ul> <li>Develop detailed project plans and schedules, identify goals, objectives, risks, and resource allocation.</li> <li>Monitor project status for significant deviations in quality, cost, or schedule. Interface with various departments, senior management, and external individuals providing value and support for continuous improvement.</li> <li>Support the development of project budgets and updates, as required.</li> <li>Coach and mentor team members.</li> <li>Provide feedback on team performance.</li> <li>Ensure that expectations are developed, controlled, and executed in a timely manner.</li> <li>Represent leadership staff at meetings in their absence.</li> <li>May provide supervision to others.</li> <li>Other duties as assigned.</li> </ul> <p><span style="font-size: small;"><strong><span style="font-family: Arial;">Departmental Preferences:</span></strong></span></p> <ul type="disc"> <li><span style="font-family: arial; font-size: small;">Ability to present to a large audience / group.</span></li> <li><span style="font-family: arial; font-size: small;">Expertise in claims processing including pends payments and denials.</span></li> <li><span style="font-family: arial;"><span style="font-size: small;">Membership / Enrollment experience preferred.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: small;">IKA experience preferred.&nbsp;</span></span></li> </ul>
Requirements: <ul type="disc"> <li><span style="font-family: arial; font-size: small;">Bachelor's Degree in related field required.</span></li> <li><span style="font-family: arial; font-size: small;">Five (5) or more years' experience in a related field.</span></li> <li><span style="font-family: arial; font-size: small;">Three (3) years of project management experience in health plan operations or related field</span></li> <li><span style="font-family: arial; font-size: small;">Project Management Professional Certificate preferred.</span></li> <li><span style="font-family: arial; font-size: small;">Leadership and/or analytical experience with data, systems, and operations.</span></li> <li><span style="font-family: arial; font-size: small;">Knowledge of program management preferred.</span></li> <li><span style="font-family: arial; font-size: small;">Excellent analytical, organizational, problem-solving, verbal, and written communication skills.</span></li> <li><span style="font-family: arial; font-size: small;">Knowledge of project management tools and methodologies.</span></li> <li><span style="font-family: arial; font-size: small;">Ability to work independently, within a team environment, and with multiple priorities.</span></li> <li><span style="font-family: arial; font-size: small;">Proficient in current industry standard PC applications and systems (e.g., Access, Excel, and Word).</span></li> <li><span style="font-family: arial; font-size: small;">Ability to work closely with the technical support team in understanding and resolving systems issues.</span></li> <li><span style="font-family: arial; font-size: small;">Ability to develop, implement, and monitor policies and procedures.</span></li> <li><span style="font-family: arial; font-size: small;">Other related skills and/or abilities may be required to perform this job.</span></li> </ul>