Sr Project/Program Manager
$115K - $115K/yr
Develops and deploys marketingstrategyto increase member engagement in maternal health programs ... management for health plan) * In lieu of degree, 7+ years of experience in related field Bonus ...
$115K - $115K/yr
Develops and deploys marketingstrategyto increase member engagement in maternal health programs ... management for health plan) * In lieu of degree, 7+ years of experience in related field Bonus ...
$115K - $115K/yr
Develops and deploys marketingstrategyto increase member engagement in maternal health programs ... management for health plan) * In lieu of degree, 7+ years of experience in related field Bonus ...
... programs. The Tribes that comprise the Phoenix Service Unit include the Fort McDowell Yavapai ... Manage and modify therapies for high-risk pregnancies. * The Maternal/Fetal Medicine Physician ...
... programs. The Tribes that comprise the Phoenix Service Unit include the Fort McDowell Yavapai ... Manage and modify therapies for high-risk pregnancies. * The Maternal/Fetal Medicine Physician ...
Registered Nurse (RN) - Case Manager (Maternal/Child) Job Category Nursing Schedule Full time Shift ... Assists with program planning, development, and evaluation. Adheres to TMCH organizational and ...
Registered Nurse (RN) - Case Manager (Maternal/Child) Job Category Nursing Schedule Full time Shift ... Assists with program planning, development, and evaluation. Adheres to TMCH organizational and ...
Tucson, AZ · On-site
The Division has an ACGME-accredited Maternal/Fetal Medicine fellowship training program. Currently ... Provide strategic leadership and management of day-to-day operations and set a clear vision and ...
Tucson, AZ · On-site
The Division has an ACGME-accredited Maternal/Fetal Medicine fellowship training program. Currently ... Provide strategic leadership and management of day-to-day operations and set a clear vision and ...
Phoenix, AZ · On-site
$71K/yr
... a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of ...
Phoenix, AZ · On-site
$71K/yr
... a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of ...
Phoenix, AZ · On-site +1
$71K/yr
... a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of ...
Phoenix, AZ · On-site +1
$71K/yr
... a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides oversight of ...
Maternal and child health. Project coordination approaches. Performance Management (PM), and ... Program and budget management, planning and evaluation. Developing and maintaining working ...
Maternal and child health. Project coordination approaches. Performance Management (PM), and ... Program and budget management, planning and evaluation. Developing and maintaining working ...
Phoenix, AZ · On-site
$52K/yr
... Maternal and child health. • Project coordination approaches. • Performance Management (PM ... consumers. • Program and budget management, planning and evaluation. • Developing and ...
Phoenix, AZ · On-site
$52K/yr
... Maternal and child health. • Project coordination approaches. • Performance Management (PM ... consumers. • Program and budget management, planning and evaluation. • Developing and ...
Full time 2nd shift RN, Case Manager - This would be a position for our Maternal/Child side with ... Completes enrollment of qualified infants into the High-Risk Perinatal Program (HRPP) according to ...
Full time 2nd shift RN, Case Manager - This would be a position for our Maternal/Child side with ... Completes enrollment of qualified infants into the High-Risk Perinatal Program (HRPP) according to ...
Full time 2nd shift RN, Case Manager - This would be a position for our Maternal/Child side with ... Completes enrollment of qualified infants into the High-Risk Perinatal Program (HRPP) according to ...
Full time 2nd shift RN, Case Manager - This would be a position for our Maternal/Child side with ... Completes enrollment of qualified infants into the High-Risk Perinatal Program (HRPP) according to ...
Tucson, AZ · On-site
Employee Mentorship program * Reimbursement program for industry schooling * Employee housing ... Paid maternal and paternal leave * Ongoing training * Internal growth opportunities
Quick apply
Tucson, AZ · On-site
Employee Mentorship program * Reimbursement program for industry schooling * Employee housing ... Paid maternal and paternal leave * Ongoing training * Internal growth opportunities
Employee Mentorship program * Reimbursement program for industry schooling * Employee housing ... Paid maternal and paternal leave * Ongoing training * Internal growth opportunities
Employee Mentorship program * Reimbursement program for industry schooling * Employee housing ... Paid maternal and paternal leave * Ongoing training * Internal growth opportunities
Tucson, AZ · On-site
Employee Mentorship program * Reimbursement program for industry schooling * Employee housing ... Paid maternal and paternal leave * Ongoing training * Internal growth opportunities
Tucson, AZ · On-site
Employee Mentorship program * Reimbursement program for industry schooling * Employee housing ... Paid maternal and paternal leave * Ongoing training * Internal growth opportunities
Tucson, AZ · On-site
Provide strategic leadership and management of day-to-day operations and set a clear vision and ... Serve as the role model to advance the Division's active program of comprehensive basic ...
Tucson, AZ · On-site
Provide strategic leadership and management of day-to-day operations and set a clear vision and ... Serve as the role model to advance the Division's active program of comprehensive basic ...
Chandler, AZ · On-site
$20 - $30/hr
Embark operates programs nationwide, providing a full continuum of behavioral health services-from ... paid maternal leave. * Company Paid Holidays plus a PTO accrual schedule. Embark is an Equal ...
Chandler, AZ · On-site
$20 - $30/hr
Embark operates programs nationwide, providing a full continuum of behavioral health services-from ... paid maternal leave. * Company Paid Holidays plus a PTO accrual schedule. Embark is an Equal ...
$103K - $133K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
$103K - $133K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
Phoenix, AZ · On-site
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
Phoenix, AZ · On-site
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... to Maternal-Fetal Medicine services at St. Josephs. The APP will contribute to specialty programs ...
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... to Maternal-Fetal Medicine services at St. Josephs. The APP will contribute to specialty programs ...
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...
$107K - $155K/yr
Responsibilities will include management of protocol-driven conditions such as diabetes and ... Maternal-Fetal Medicine services at St. Joseph's. The APP will contribute to specialty programs ...

$115K - $115K/yr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 7 days ago
7.8
Based on 13 frontline employees who took The Breakroom Quiz
166th of 260 rated insurance
Job Description
Leads and oversees the design of population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Works alongside senior leadership to monitor the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives that can improve member health outcomes, reduce provider administrative burden, and/or reduce medical or operational expense through a variety levers, including clinical workflow innovation, operational efficiency, prior authorization management, and AI-enabled care.WhatYou'llDo
Leads the development of population health strategies focused on advancing care coordination, improving health outcomes, and increasing program efficiency
Gathers input from across the enterprise, division, community, members and through competitive intelligence toidentifyopportunities, assess needs and develop strategicdesign ofsolutions.Ensuresalignment of solutions across the enterprise.
Developsbusiness cases, strategy conceptdesignsand program requirements.Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives.
Developsproject plans and recommendations in support of complianceobjectivesandleadsimplementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans.
Identifiesanalyzes and understandstarget audiences and their specific program needs. Develops and deploys marketingstrategyto increase member engagement in maternal health programs.
Leadsvendor identification, evaluation,selectionand contract negotiations for new vendor relationships.
Works with senior leadershipteamto support clinical initiatives and/or programs arein accordance withNational Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
May work across multiple Line of Business and states to encompass program needs into population health strategies
Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financialmeasuresand methodologies forimplementing programs. Documents andpresents programresults through operational reports,outcomesstudies and presentations.
Owns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverables.
Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures,outcomes measuresand financial measures. Ensureprogram isdesigned in such a way that these metrics can be collected andmonitored.
What You Bring
Bachelor's degree or advanced degree (whererequired)
5+ years of experience in related field (strategic planning and program management for health plan)
In lieu of degree, 7+ years of experience in related field
Bonus Points
Preference for a background in quality, public health, healthcare administration,businessand/or clinical background
WhatYou'llGet
The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community
Work-life balance, flexibility, and the autonomy to dogreat work
Medical, dental, and vision coverage along withnumeroushealth and wellness programs
Parental leave and support plus adoption and surrogacyassistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Learn more
WhereYou'llWork
Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.
In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year for meaningful moments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
Budgeting, Office Administration, Process Improvements, Program Administration, Program Documentation, Program Evaluations, Program Implementation, Program Management, Project Management, Resource Allocation_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
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Insurance services
5,001 - 10,000 Employees
Durham, NC, US
1933