Job DescriptionLeads and manages the day-to-day strategic and operational aspects of multiple projects and new initiatives for the population health program. Leads and coordinates cross-functional teams to meet program goals and accreditation requirements. Drafts reports to meet NCQA population health management (PHM) standard requirements. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives.
What You’ll Do
- Manages and coordinates activities, analyzes datasets and writes population health reports to meet quality program requirements and targets.
- Develops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans.
- Identifies, analyzes and understands target audiences and their specific program needs.
- Supports ongoing administration of larger and/or more complex population health strategies and initiatives. Works with project teams and key stakeholders to ensure deadlines are met.
- Drives continuous improvement for population health programs. Manages the development and implementation of new or enhanced processes to support operational and strategic goals.
- Reviews reports and records of activities to ensure progress is being accomplished toward specified program objectives and modifies or changes methodology as required to redirect activities and attain objectives.
- Serves as a subject matter expert, routinely briefing key stakeholders on assigned initiatives.
- Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentations.
- Owns and makes needed decisions to ensure the successful resolution of all issues, problems and changes within the program that do not alter or defer significantly from the agreed upon milestones and major deliverables.
- Evaluates programs to ensure they meet program goals. Ensures that programs meet appropriate regulatory and accreditation standards.
What You’ll Bring (Hiring Requirements)
- Bachelor’s degree or advanced degree (where required)
- 5+ years of experience in related field
- In lieu of degree, 7+ years of experience in related field
Hiring Preferences
- 5+ years of experience in program or project management.
- Graduate degree preferred in public health, population health, quality or health care administration.
- NCQA accreditation experience is a plus.
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.
$75,900.00 – $136,600.00