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Senior Program Manager, Medicare Engagement & Retention-NC ONLY
Building upon the successful Medicare Outbound Service & Engagement program, the Senior Program Manager will lead the maintenance, growth, and expansion of the program, which includes accessible, in-person experiences for Medicare-eligibles in NC communities as well as for Blue Cross NC Medicare members. In addition, this individual will manage the day-to-day aspects of running the program and will work with stakeholders to measure results and effectiveness. This role will work across all areas of the enterprise that connect with our local communities (Quality & Risk, Drivers of Health/Corp. Social Responsibility, County Engagement, Sales, etc.).
The Senior Program Manager, Medicare Engagement & Retention leads and manages the day-to-day operational and tactical aspects of multiple or enterprise scale projects, new initiatives and other ongoing business deliverables in accordance with business needs. Identifies, evaluates and resolves issues that conflict with project deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully implement projects/programs. Assesses project risks, develops mitigation and contingency plans. Oversees project to ensure projects have required resources, meets milestones and are successfully implemented. Leads and coordinates matrix and/or cross-functional team.
What You’ll Do
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Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to corporate priorities.
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Negotiates for resources to staff projects effectively with appropriate skill sets, aligning skills to the needs of the project. Resourcing may include sourcing or managing external partners. Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation.
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Coordinates development and implementation of policies and procedures as well as development of compliance measurements. Controls and monitors project effectiveness; updates project plans as necessary. Ensures compliance with necessary audit requirements.
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Represents BCBSNC in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors.
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Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
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Develops escalation process to channel issues and concerns to appropriate parties.
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Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses.
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Develops effective business process improvement initiatives and communication plans.
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Performs analytic functions and coaches others in analytical production, technical and other areas.
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Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (i.e. Cost/Benefit Analysis, Flowcharting, etc.).
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Documents and presents project management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals.
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Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project.
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Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training.
What You Bring
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Bachelor’s degree or advanced degree (where required)
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5+ years of experience in related field.
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In lieu of degree, 7+ years of experience in related field.
Bonus Points
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Strong communication skills, written and verbal
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Knowledge of event planning, working with vendors and contracting, detail-oriented work
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Prior experience collaborating in a highly matrixed environment, interacting with internal and external partners
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Program performance reporting to key stakeholders and C-Suite executives
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Background working with community partners
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MUST LIVE IN NORTH CAROLINA
What You’ll Get
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The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
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Work-life balance, flexibility, and the autonomy to do great work
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Medical, dental, and vision coverage along with numerous health and wellness programs
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Parental leave and support plus adoption and surrogacy assistance
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Career development programs and tuition reimbursement for continued education
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401k match including an annual company contribution
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Learn more
Where You’ll Work
Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.
In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
- Based on annual corporate goal achievement and individual performance.
$89,174.00 - $142,679.00
Skills
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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
