Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

PURPOSE OF THE JOB

The mission of the Operational Excellence team is to drive process efficiency, financial strength, operational performance, and the success of strategic initiatives. The Growth Effectiveness Program Manager is responsible for planning, directing, and managing activities associated with the end-to-end implementation of Open Enrollment and Annual Benefit Change. Working collaboratively with all stakeholders, the Growth Effectiveness Program Manager applies sound project management principles while ensuring successful implementation of commercial groups. The Growth Effectiveness Program Manager thinks through scenarios holistically and partners with subject matter experts to create options and contingency plans

QUALIFICATIONS

REQUIRED QUALIFICATIONS

1. Required Work Experience

* 8 years of experience in a professional environment leveraging computer technology and/or information systems

* 5 years of experience in leadership role

* 5 years of experience in healthcare or similar field developing business plans and customer specifications

* 3 years of experience in project management

2. Required Education

* High-School Diploma or GED in general field of study

3. Required Licenses

* N/A

4. Required Certifications

* N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

* 8 years of experience coordinating and managing enterprise-wide projects

* 6 years of experience managing and developing effective operational areas

* 5 years of experience in project management

* 3 years of experience in healthcare industry

2. Preferred Education

* Bachelor's Degree in Management, Business Administration or Information Systems field of study

3. Preferred Licenses

* N/A

4. Preferred Certifications

* N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

* Effectively manage the end-to-end implementation of Commercial Groups ensuring Go-Live success.

* Apply sound project management principles and demonstrate solid time management skills.

* Track and manage end-to-end implementation and issues resolution using Gantt charts, RAID logs, and other tracking /communication tools.

* Assume leadership role in initiating and completing projects related to increased efficiencies, productivity, and quality as well as managing team relationships and collaboration.

* Create and deliver presentations to multiple levels of leadership.

* Produce clear & accurate documentation, including status reporting, for any groups assigned.

* Provide frequent updates on project status to senior leadership, including presentation of reports for revieing and assessing deliverables and results.

* Work collaboratively with all stakeholders and communicate effectively across the organization.

* Confer with stakeholders, product owners, and other parties as needed to outline schedules, dependencies, convergence, and assignments to ensure each project is being planned and communicated clearly.

* Ensure that the proper change management process is followed so that unnecessary disruptions are minimized and/or eliminated.

* Lead, instruct, direct, and check the work of other team members and business partners.

* Lead identification, design, and implementation of improvements for the efficient and effective performance of the department.

* Establish and meet short- and long-term department goals in accordance with overall company objectives and divisional strategic planning.

* Serve as the point-person for updates on the end-to-end implementation of Open Enrollment initiatives and enhancements.

* Provide recommendations on methods and technology that will continue to enhance our ability to meet and execute new processes for an effective Open Enrollment.

* Research new software development and configuration management methodologies and technologies and analyze their application based on configuration and the needs of the business.

* The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

* Perform all other duties as assigned.

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills

* Intermediate PC proficiency

* Intermediate proficiency in spreadsheet, database, project management, and word processing software

* Advanced knowledge of project management principles, methodologies, and implementation

* Intermediate knowledge of Microsoft Applications and Suites, Windows Server, and networking applications

* Strong understanding of systems best practices and quality improvement principles.

2. Required Professional Competencies

* Work with all levels of management and functional areas in BCBSAZ and understand the potential implications of system changes to those areas

* Customer service skills to deal with sensitive and difficult customer situations

* Independent thinker with strong oral, verbal and interpersonal communication skills

* Basic understanding of information systems, business processes and the key drivers and measures for success

* Strong decision analytical skills

* Working knowledge of claims processing and related operational needs

* Maintain confidentiality and privacy

* Capable of investigative and analytical research

* Analytical knowledge necessary to generate reports based on available data and then make decisions based on reported data

3. Required Leadership Experience and Competencies

* Provide leadership, promote teamwork, meet objectives and exercise independent judgment

* Experience leading and implementing projects and working collaboratively with other departments and levels of administration

* Strong organizational and management skills

PREFERRED COMPETENCIES

1. Preferred Job Skills

* Advanced skill in use of office equipment, including copiers, fax machines, scanner and telephones

* Advanced PC proficiency

* Advanced proficiency in spreadsheet, database and word processing software

2. Preferred Professional Competencies

* Demonstrates flexibility, anticipates customer needs and effectively communicates in a timely manner consistent with the business strategy

* Advanced tactical planning and decision analysis skills

* Cope with multiple priorities and high customer expectations and bridge the demands between internal and external customers

* Creativity and problem solving skills

* Develop methods and processes to disseminate complex information

* Plan and manage business strategy effectively and thoroughly * Mentor less experienced staff

* Advanced understanding of information systems, business processes and the key drivers and measures fo success

* Advanced analytical and diagnostic skills dealing with issues that are often novel and not readily defined, lack known precedent or appear contradictory

* Develop solutions by applying accepted processes or is able to create new approaches to leverage technology from abstract information

* Advanced understanding of HIPAA transactions and codes sets

* Presentation and public speaking abilities

* Development and application of budgeting concepts, processes and procedures

* Advanced project management skills

* Advanced technical and business knowledge of Internet and HIPAA transaction requirements to identify production issues and effectively communicating issues to IT and other areas as necessary

* Create business requirements, technical specifications, test plans and test scripts

* Understanding of a clearinghouse and other EDI systems

* Interpret medical, legal and technical data, including state and federal regulations and their effect on operations

* Conceptualize new business architecture and infrastructure

3. Preferred Leadership Experience and Competencies

* Identify resources and training needs while fostering opportunities for staff growth Promote and support the overall quality principles and company quality program

* Empower associates at all levels and encourage innovation and risk-taking

* Develop an enthusiastic and positive work environment

* Negotiation and influencing skills with the ability to create win/win situations

* Resource management skills

* For Senior Manager: Requires the skills, experience and leadership abilities to serve as the designated back-up for the Director

* For Senior Manager: Educate and mentor department managers on leadership techniques, staff consulting, work management, etc.

* For Senior Manager: Provide management coverage for any area within the department as needed

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Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.