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  • Program Manager II

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)



    Apply Now

    Ready to help us transform healthcare? Bring your true colors to blue.

     

    Reports to the Associate Director of Project Portfolio Management. The Program Manager of Production Operations will direct a Production Operations team supporting Communications Materials, Reporting, Analysis, Quality Control, Security Access Facilitation and PDE for Government Markets and lead divisional projects.

     

    This position is eligible for the flex persona.

    Your Day to Day:

    + Direct and support Production Operations team ensuring materials for communications, reporting, quality control, or project support is completed in a timely manner

    + Lead, plan, execute, and ensure completion of Production Operations projects stemming from mandates or business operational needs

    + Develop and maintain project documentation to track assigned initiatives through various stages of program or project lifecycle

    + Participate in other corporate projects representing Production Operations

    + Maintain strong relationships throughout the organization including, but not limited to, Medicare Product, Medicare Operations, Medicare Compliance, Risk Adjustment, Sales, Marketing, Pharmacy, Health and Medical Management

    + Participate in Business Continuity representing Government Programs

    + Oversee Prescription Drug Event (PDE), pharmacy performance guarantees, security audits, and other Production Operations duties

    + Oversee Medicare Part D Claims audits to ensure that all MAPD and PDP PDE’s are submitted timely, accurately reconciled, and meets CMS requirements including attestations

    + Support Government Markets projects and AEP readiness into Prod Operations steady state

    + Communicate project and operational risks and issues

    + Provide timely project status reporting to Corporate and departmental dashboard reporting

     

    This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

    We're Looking For:

    + Demonstrated ability to lead project teams and manage implementation plans through project lifecycle

    + Ability to collaborate in a cross-functional business environment and to work closely with internal and external business partners

    + Strong ability to multi-task and manage multiple deliverables while demonstrating high quality of work and meeting agreed upon deadlines

    + Knowledge of federal legislative, regulatory changes, and industry trends impacting Medicare including Medicare Part D program

    + Knowledge of health plan marketing and communications

    + Ability to work independently and manage multiple complex/competing priorities

    + Demonstrated ability to coach and mentor team members

    + Excellent interpersonal and collaboration skills; team player; results oriented

    + Proven time management and organizational skills

    + Excellent written and oral communication skills

    + Identify and apply “lessons learned” to support continuous improvement efforts

    + Demonstrated attention to detail & analytical skills

    + High degree of professionalism; ability to effectively interact with all levels of the organization

    + Broad knowledge of operational practices and business issues that can be applied to resolving complex project issues

    What You Bring:

    + Bachelor's Degree or equivalent work experience.

    + 5-7 years of professional business experience required in healthcare industry

    + 5 or more years of project management experience demonstrated

    + Medicare experience a plus

    + Medicare Advantage and Prescription Drug Plan experience a plus

    #LI-HYBRID

    Minimum Education Requirements:

    High school degree or equivalent required unless otherwise noted above

     

    LocationHinghamTime TypeFull time

     

    Salary Range: $93,690.00 - $114,510.00

     

    The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

     

    This job is also eligible for variable pay.

     

    We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

     

    Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

     

    WHY Blue Cross Blue Shield of MA?

     

    We understand that the confidence gap (https://www.theatlantic.com/magazine/archive/2014/05/the-confidence-gap/359815/) and imposter syndrome (https://www.braintreepayments.com/blog/overcoming-imposter-syndrome/) can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

     

    As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community (https://careers.bluecrossma.org/us/en/jointalentcommunity?applyType=JTC) to stay “in the know” on all things Blue.

     

    At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work (https://careers.bluecrossma.org/us/en/how-we-work) " Page.

     

    Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.

     

    Our Commitment to You

     

    We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.

     

    Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.

     

    Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

     


    Apply Now



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