Blue Cross Blue Shield Association

Senior Program Manager – Supplemental Benefits, Dental

Blue Cross Blue Shield Association

full-time

Posted on:

Location Type: Hybrid

Location: Chicago • District of Columbia • Illinois • United States

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Salary

💰 $103,677 - $149,129 per year

Job Level

Senior

About the role

  • Manages all aspects of a large health insurance program
  • Leads all aspects of contracting and implementation with the vendor partner and Office of Personnel Management (Office of personnel management)
  • Responsible for developing the strategic business objectives to advance the program
  • Leads the vendor partner and internal staff to develop and implement a work plan to ensure the strategic objectives are met
  • Manages all aspects of contract oversight for two contracts, the vendor partner and OPM
  • Leads all aspects of the annual benefit development
  • Leads and serves as the subject matter expert for program education including the daily relationships with all parties involved in the program
  • Facilitating education materials and attending and presenting at events throughout the year
  • Monitoring all aspects of the vendor contract are being adhered to including service level agreements, reporting requirements, processes, and internal controls
  • Oversees the inquiry response process to make sure questions/issues are resolved timely, accurately, and comprehensively
  • Assures that the vendors fully cooperate and comply with all aspects of audits
  • Develops the strategic business objectives to increase enrollment and retain membership
  • Leads all aspects of the annual benefit development and implementation including benefit changes, coordinating actuarial premium development, brochure updates, managing OPM benefit negotiations, and overseeing vendor implementation of changes
  • Leads and serves as the primary program contact, developing and maintaining relationships with the vendor partner, OPM, and internal BCBSA staff
  • Facilitating, providing content, and reviewing all program education items such as flyers, advertising materials, presentations, social media content, emails, newsletters and wellness articles
  • Leads the creation, content, updates, and navigation for the program website and mobile application
  • Recommends and oversees the creation and updates of program digital tools
  • Leads and participates in work groups, presents at meetings/conferences, attends community and open season events, conducts trainings and represents the program at other meetings

Requirements

  • Bachelor's Degree or equivalent work experience
  • 5+ Years health insurance industry and/or health care knowledge and experience
  • Knowledge and demonstrated skills in developing, planning, directing, and execution of strategic business plans
  • A proven record of measurable accomplishment in developing and administering strategic business plans
  • Effective relationship skills with the ability to interact effectively and work collaboratively with internal and external staff
  • Knowledge and demonstrated skills in contracting and contract oversight
  • Ability to identity and quantify the appropriate metrics to determine strategic direction and success
  • Ability to translate technical and complicated information into member friendly communications
  • Knowledge and understanding of customer service processes
  • Ability to ensure that complex computer systems are programmed to adjudicate claims correctly
  • Ability to work well under pressure, demonstrated success at working under deadlines with tight time frames
  • Analytical and problem solving skills
  • Organizational and leadership skills
  • Decision making skills in complex situations
  • Strategic thinking skills
  • Outstanding written and verbal communications skills
  • Solid writing skills with ability to craft comprehensive and persuasive communications
  • Ability to create and deliver presentations to meet the need of the client (Plan, Agency, Member, OPM, etc.)
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
contract oversightstrategic business planninghealth insurance knowledgecustomer service processesclaims adjudicationdata analysisprogram developmentvendor managementbenefit developmentdigital tool creation
Soft Skills
relationship managementcollaborationanalytical skillsproblem solvingorganizational skillsleadershipdecision makingstrategic thinkingwritten communicationpresentation skills
Certifications
Bachelor's Degree