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CareFirst BlueCross BlueShield · 2 days ago

Senior Program Manager - DC Market Operations (Hybrid)

Washington, DC

Full-time

Hybrid

Senior Level, Lead/Staff

$137K/yr - $245K/yr

10+ years exp

CareFirst BlueCross BlueShield is seeking a Senior Program Manager for their DC Market Operations. The role involves leading the operation of a Medicaid program, ensuring profitability and growth while collaborating with various departments to drive strategy and execution.

Health CareNon ProfitService Industry

No H1B

Responsibilities

Oversee and lead RFP readiness efforts for market expansion

Lead day-to-day operations of the Healthy DC Plan Basic Health Plan in DC

Develop and oversee day-to-day operations for implementation of annual business plan and their components of the 3 year strategic plan

Establish the business objectives for all matrixed and direct functions supporting the business area as required to meet the business plan. Work with matrixed business leaders in these functions as they develop strategies to execute on these defined business objectives

Establish business objectives for membership growth that deliver the business plan and strategic objectives. Integrate strategies that increase membership through alternative sources, outreach, education activities and strategic provider and community relationships

Assess changes in the external environment including state and federal government, identify implications and develop plans to address

Ensure strategic plans are translated into tactical goals, objectives and lead measures that guarantee performance measures are met or exceeded

Develop and drive the strategic government programs marketing and communications plan, leveraging a marketing operations team to execute

Collaborate with cross functional leaders to identify and implement opportunities for improving operational performance

Collaborate with vendor management team(s) to ensure acquisition of services required to support vendor strategy and ongoing relationship management, including adherence to all business and administrative regulations

Provide operational oversight

Collaborate with a matrixed cross-functional team to identify opportunities to improve performance and develop plans to drive growth, manage medical cost, improve operational costs, and improve quality

Qualification

Medicaid experienceProgram managementFinancial modelingAnalytical skillsStrategic planningLeadershipCommunication skillsInterpersonal skillsProblem solvingOrganizational skills

Required

Bachelor's Degree in Business Management or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience

10 years experience in a program operation roles with 3 years in program management capacity

Advanced analytical and financial modeling skills, problem solving, planning and financial and accounting skills

Develops effective relationships with internal and external colleagues, clients and vendors to ensure that operations programs are aligned with corporate and strategic objectives

Ability to develop and implement policies and programs that will advance corporate, financial and operational goals and objectives

Strong analytical and critical thinking skills. Ability to organically offer perspectives and insights

Extremely well developed organizational and prioritization skills as well as strong process orientation skills

Highly developed written and oral communication skills to effectively convey complex and detailed concepts to a diverse audience and facilitate communication between different areas of the corporation

Considerable judgment, tact, initiative, accuracy and integrity. Excellent interpersonal skills with ability to build consensus and agreement and bring resolution to contentious issues and entrenched interests

Demonstrated ability to establish credibility with executives and senior management

Must be a strong values driven leader and a collaborative team member able to engage colleagues from all levels of the organization

Must be eligible to work in the U.S. without Sponsorship