Senior Program Manager overseeing Value-Based Care programs at Blue Cross NC. Collaborating with teams to maintain program performance and manage risks while ensuring operational integrity and accountability.
Responsibilities
Ensure operational deliverables are met on schedule and within scope
Identify and resolve operational issues; escalate risks when necessary and maintain a formal escalation process
Provide program subject matter expertise to implementation teams and operational stakeholders
Manage program changes and risks; develop mitigation and contingency plans
Develop and execute communication plans to ensure clarity and alignment across stakeholders
Maintain strong relationships with provider partners and vendors by fostering trust, ensuring open communication, and aligning on program changes and deliverables
Maintain a program playbook and implement process improvements for efficiency
Lead implementation of new programs or major program changes when required
Track stakeholder commitments and follow up to maintain accountability
Analyze and develop business processes to improve operational efficiency
Monitor program performance and report KPIs, benefit realization, and engagement metrics
Work with provider vendors to optimize performance and maximize program impact
Represent the organization in meetings with external parties, including consultants and vendors, and manage vendor service delivery as needed
Support contract and financial oversight, including performance guarantees, vendor invoicing, and develop/tracking budgets, operating plans, and financial forecasts
Apply strategic thinking to balance competing priorities and align program decisions with business objectives
Requirements
Bachelor's degree or advanced degree (where required)
5+ years of experience in related field
In lieu of degree, 7+ years of experience in related field
Proven experience in healthcare – clinical background a plus
Experience managing Value-Based Care programs, including quality measurement, risk adjustment, financial performance, and data-driven decision-making
Strong program management expertise with the ability to resolve bottlenecks, drive accountability, and maintain alignment with business objectives
Exceptional communication and relationship-building skills to engage executive leadership, internal stakeholders, provider partners, and vendors effectively
Strategic thinker with strong problem-solving and analytical abilities to balance priorities, interpret data, and deliver actionable insights
Demonstrated leadership and organizational skills to manage multiple priorities, foster vendor trust, and ensure timely, efficient program execution
Benefits
The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
Work-life balance, flexibility, and the autonomy to do great work
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
Job title
Senior Program Manager – Value Based Care Programs
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