Program Manager - InterPlan Governance/Compliance
- Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; ensures program meets its stated objectives; provides subject matter expertise in response to day to day external client facing business issues.
- Supports several BCBSA workgroup agenda items to ensure Elevance Health's strategies and feedback are incorporated.
- Manages Blue systemwide mandates to ensure compliance with applicable requirements such as ITS, B2, BX, BlueAxis, NDW, etc.
- Develops communication documents and training criteria relative to program success measures.
- Develops documentation to support meeting presentations and the tracking and reporting of the program's success.
- Collaborates with Plan Partners to resolve inquiries and escalations.
- Researches applicable subject matter practices and remains aware of industry trends.
- Manages external client facing relationships and partners with corporate and regional business areas.
- Coordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success.
- Experience and knowledge with BlueCard and/or InterPlan policy highly preferred.
- Familiarity with ITS, CIW and BlueSquared highly preferred.
- Graduate degree preferred.
- Experience and knowledge of data analytics, project management, project execution, process improvement and change management experience (strategic and execution) strongly preferred.
- Project management certification preferred.
- Experience and knowledge in healthcare or managed care is preferred.
- Ability to collaborate with cross functional teams strongly preferred.
- Ability to organize work, set and manage multiple priorities in a time sensitive manner is strongly preferred.
- The ideal candidate is resourceful, inquisitive, creative and displays a passion for being a problem solver, being a leader, hit the ground running, demonstrated assertive decision making style and have superior interpersonal skills strongly preferred.
- Excellent written, oral, presentation communication skills with the proven ability to negotiate expectations between multiple parties such as Elevance Health, Plans and BCBSA.
- Proficient of Microsoft Office products, most notably expertise in Excel, PowerPoint, Teams, Outlook, and Word.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits 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.
Recommended Jobs
Project Manager/Supervisor, Landscape Construction
Black Pearl Management is dedicated to delivering top-notch installation and landscaping construction services. The Project Manager/Supervisor plays a pivotal role in ensuring the seamless execution …
Senior AWS Cloud Engineer
Responsibilities for this Position Location: Any Location / Remote Full Part/Time: Full time Job Req: RQ211495 Type of Requisition: Regular Clearance Level Must Currently Possess:…
Quality Auditor, Advisor
Program Overview About The Role **Position is Contingent Upon Contract Award** We are seeking a Quality Auditor, Advisor to join our team of qualified, diverse individuals. The ideal cand…
Transport Field Regional Lead
Job Description Description Leidos currently has an opening on the ‘Service Management, Integration and Transport’ (SMIT) Contract for a Transport Field Network Lead position. This is an exci…
Senior Director, Global Partner Services, Contact Center Operations (Hybrid)
Overview Senior Director, Global Partner Services, Contact Center Operations (Hybrid) Capital One’s Customer Channels organization is seeking a talented Senior Director to lead our Global Par…
Senior IT Systems Solution Architect IV (System Architect)
Responsibilities for this Position Location: Any Location / Remote Full Part/Time: Full time Job Req: RQ211246 Type of Requisition: Regular Clearance Level Must Currently Possess:…
OTR Team CDL-A Company Truck Drivers (Blacksburg)
Highlights Dedicated Teams - $192,400 - $228,800 Annually Per Team Late-Model Equipment OTR Team CDL-A Company Truck Drivers - Multiple Locations Pay & Benefits Pay & Detai…
Prepared Foods Cook / Food Production - Full Time
A career at Whole Foods Market is more than just the work you do- it's about your personal growth and creating meaningful change. Our purpose is to nourish people and the planet. That means improving…
Jobs Plus Ambassador - Part Time - Indian Village
Jobs Plus Ambassador (Part Time) Location: Roanoke, VA - Indian Village Department: Jobs Plus Pay: $12.77 - $16.55 per hour General Definition of Work Performs work establishing relatio…
Applications Architect
Location: Alexandria, VA Clearance Required: Secret Overview Provides application architecture expertise to analyze, maintain, and optimize enterprise applications. Ensures compliance with frame…