Senior Medicaid Program Health Manager OR Medicaid Program Health Manager

Medicaid Program Health Manager

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.

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.

This position is being posted at a hierarchy and can be hired at either the Senior Medicaid Program Health Manager level or at the Medicaid Program Health Manager level. The identified candidate will be hired at the level commensurate with their skills.

Senior Medicaid Program Health Manager

• Drive the development and documentation of design, requirements and implementation of multiple strategic programs.
• Manage multiple communication plans in conjunction with leadership and to support initiatives, including status and progress updates.

Medicaid Program Health Manager

• Support the development and documentation of design, requirements and implementation of multiple strategic programs.
• Monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.

Maintaining 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.

Supporting the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored.

Supporting the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence.

Continually updating program or project plans, timelines and deliverables while coordinating multiple sub-processes to expand and/or improve programs.

Staying abreast of changes in the rapidly evolving health care marketplace.

Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Pay Range: Medicaid Program Health Manager $79,100.00 - $104,800.00 - $130,500.00 Annual - Senior Medicaid Program Health Manager $90,800.00 - $120,300.00 - $149,800.00 Annual

• 5+ years of related project/program management professional experience.
• Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

• Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
• Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
• Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing 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.

Hybrid

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

$90,800.00 - $120,300.00 - $149,800.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: View email address on click.appcast.io.

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.