Blue Cross NC · 3 days ago
Senior Program Manager, Population Health Strategy and Transformation
United States
Full-time
Remote
Mid, Senior Level
$89K/yr - $143K/yr
5+ years expBlue Cross NC is dedicated to improving health outcomes and care coordination through innovative population health strategies. The Senior Program Manager will lead the design and implementation of initiatives aimed at enhancing member health outcomes while managing costs and ensuring compliance with regulations.
Financial ServicesHealth InsuranceInsurance
Responsibilities
Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterprise
Develops business cases, strategy concept designs and program requirements. Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives
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. Develops and deploys marketing strategy to increase member engagement in maternal health programs
Leads vendor identification, evaluation, selection and contract negotiations for new vendor relationships
Works with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
May work across multiple Line of Business and states to encompass program needs into population health strategies
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 issues within the program to achieve milestones and program deliverables
Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitored
Qualification
Required
Bachelor's degree or advanced degree (where required)
5+ years of experience in related field (strategic planning and program management for health plan)
In lieu of degree, 7+ years of experience in related field
Preferred
Clinical background preferred
Benefits
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Company
Blue Cross NC
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.
5001-10000 employees
H1B Sponsorship
Blue Cross NC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (1)
2023 (2)
2022 (5)
2021 (13)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Tunde Sotunde
President and Chief Executive Officer
Caleb Davies
Medicaid Market CFO - Healthy Blue of NC Medicaid
Recent News
2026-01-06
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