Medicaid Program Health Manager

Medicaid Program Health Manager About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing.

If you are ready to make a difference, join us. The Impact You'll Have As a Medicaid Program Health Manager within the Medicaid Performance Hub, you will play a critical role in ensuring predictable execution, performance visibility, and delivery on contractual commitments. You will support the design, development, implementation, and evaluation of programs that improve the delivery of health care services and the health of our members, partnering with leadership and cross-functional teams to advance strategic priorities and help the business effectively manage change.

You will provide the analytics backbone for the Hubtransforming operational, clinical, and customer (state/county) data into actionable insights that enable leaders to make proactive, informed decisions. Your work will help ensure program execution stays aligned to contractual and market expectationsincluding member, provider, and stakeholder needswhile managing work across multiple initiatives and tight deadlines.

By monitoring key metrics, identifying risks and opportunities, and delivering clear, data-driven reporting, you will help the enterprise anticipate and support RFP and pursuit cycles, maintain compliance, and meet year-over-year performance expectations. What You'll Do Support the development and documentation of design, requirements and implementation of multiple strategic programs. Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design.

Support the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored. Support the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence. How You'll Do It Monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.

Continually update program or project plans, timelines and deliverables while coordinating multiple sub-processes to expand and/or improve programs. Stay abreast of changes in the rapidly evolving health care marketplace. Performs additional responsibilities consistent with the scope and level of the role, as assigned. Required Skills & Experience 3+ years of related project/program management professional experience.

Bachelors degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted. Preferred Skills & Experience Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange. Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.

Ability to effectively organize work, balance competing priorities, and manage time across multiple responsibilities and deadlines. Healthcare or managed care experience. Experience managing complex projects which may involve multiple team members, task assignment, working with internal or external clients, managing teams and customer relationships, and managing project deliverables. Experience in data-driven decision-making.

Process improvement (Lean / Six Sigma) experience. Familiarity with PM tools & Microsoft analytics tools. Role Designation Hybrid Role designation definition: Teleworking is working full time remote. Hybrid is a mini