Sr. Mgr, Mandate Implementation jobs in United States
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Horizon Blue Cross Blue Shield of New Jersey · 5 hours ago

Sr. Mgr, Mandate Implementation

Horizon Blue Cross Blue Shield of New Jersey empowers its members to achieve their best health and is seeking a Senior Manager for Mandate Implementation. This role is responsible for assessing enterprise-wide solutions for legislative and regulatory mandates, directing the planning and execution of mandate projects, and ensuring compliance with applicable laws and regulations.

Health Care

Responsibilities

Lead efforts to collaborate with cross-enterprise leaders to proactively identify pending federal and state legislation/regulation and provide senior management with a comprehensive assessment of impact to existing business and strategy, identify and direct projects to implement new laws and regulations
Ensure Mandate group partners with Legal, Compliance and business owners of individual projects within program to balance project scope, benefits, budget, and resource allocations to meet overall program goals and objectives
Directs program manager(s) to: (1) meet annual program objectives of mandate compliance; (2) ensure overall client satisfaction and appropriate level of service delivery and project deliverables; and, (3) ensure a seamless transition of project deliverables to ongoing operations
Directs communication and reporting of key program management information including assessments of key risks and issues to EPMO and Senior Leadership Team. Also leads annual mandate portfolio planning process in conjunction with business, EPMO and IT leaders, including justified request for enterprise funding
Conducts performance reviews on an annual basis for assigned staff and responsible for hiring, promotions, performance reviews and administering salaries for assigned staff
Ensures assigned staff meets all regulatory requirements and comprehends and complies with best practices, professional standards, internal policies, and procedures
Accountable for maintaining effective internal controls over the processes and transactions under areas of responsibility including the completeness and accuracy of financial information and transactions, compliance with applicable laws and regulations, and the effectiveness and efficiency of operations

Qualification

Healthcare ComplianceManagement ExperienceProject ManagementPMI CertificationAnalytical SkillsRelationship ManagementSupervisory SkillsTechnical ProficiencyCoaching SkillsConflict ManagementFacilitation Skills

Required

High School Diploma/GED required
Bachelor degree preferred or relevant experience in lieu of degree
Requires a minimum of 5+ years of management experience
Requires 5+ years project management experience with working understanding of PMO structures and capabilities
Requires experience in Healthcare with legal and regulatory compliance background
Ability to interact and influence senior leaders of the organization
Excellent supervisory/management skills
Strong analytical and problem solving
Superb conflict management and relationship management skills
Excellent technical proficiency in project management tools
Excellent facilitation, coaching and platform skills

Preferred

PMI Certification desired

Benefits

Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement

Company

Horizon Blue Cross Blue Shield of New Jersey

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Horizon Blue Cross Blue Shield of New Jersey is a company that provides health insurance products.

Funding

Current Stage
Late Stage

Leadership Team

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Gary St. Hilaire
President & Chief Executive Officer
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Company data provided by crunchbase