Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership.
Utilize data analytics and extensive business knowledge to manage the research, analysis, identification and evaluation of data from identified problems to evaluate existing and potential trends, competition, and issues.
Possess and maintain in-depth knowledge of BCBSM business, products, programs (including claims, reimbursement, benefits, provider and program data, networks, etc.), corporate organizational structure (including functional responsibilities), and complex research principles/methodologies.
Lead and monitor multidisciplinary corporate programs/projects simultaneously by managing the establishment of project plans and objectives to ensure goal attainment within defined parameters. Develop solutions to complex issues and present recommendations to senior management as well as employees at various corporate levels.
Act as a Health Care Consultant by developing strategies and programs to reduce health care benefit costs and improve quality of care.
Collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results.
Ensure programs and initiatives encompass broad corporate scope and present significant variables.
Anticipate, identify, and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.
Independently develop and plan, reports, papers and/or other materials.
May have direct supervisory responsibility which includes performance reviews.
Other duties may be assigned.
"Qualifications"
Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master's Degree in related field preferred.
Seven (7) to Ten (10) years experience of related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).
Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
Ability to work independently, within a team environment and communicate effectively with employees at all levels.
Other related skills and/or abilities may be required to perform this job.
Department Summary / Preferences:
DLRidentifies opportunitiesfor benefit savings across a broad timeline usually a rolling 5-year scope
Opportunities areevaluated across eight dimensions:Business problem, potential value, stakeholder risk,level of effort, confidence, scope and impact, interdependencies, development plan
DLRreviews opportunitieswith the Lever Owner and socializes at appropriate forums and owns theprioritization and roadmap of initiatives
DLR also owns theover archinglong term steerage strategyin conjunction with the lever own
DLR owns ability tomeet pipeline targetandstacking the pipelinefor future years
Responsible for ideating upon solutionsfor savings tomeettargets, provide initialopportunity sizing, and supportteamexecutionfor identified IMPACT themes
Plays role in steps 4-7
Responsible to attend all meetings related to the IMPACT themeand operating rhythm
Is first point of contact to the IMPACT team for steerage
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
Please see job description for required skills.