Manager Clinical Enablement

Blue Cross Blue Shield of Minnesota•Eagan, MN

26d•Hybrid

About The Position

The Manager Clinical Enablement leads a team that connects clinical operations, product teams, and technology to design, develop, implement, and maintain platforms, systems, applications, and processes that support efficient clinical operations. The role ensures these tools and processes are reliable, effective, and configured to comply with industry standards and regulations. It partners with operations leaders and applies data-driven models to continually improve staffing, processes, technology, and automation. The work is highly matrixed, requiring close collaboration with case management and utilization management operations, IT, data and analytics, enterprise value delivery, and business partnerships and negotiations. The manager monitors system performance, addresses priority and recurring issues, oversees configuration and implementation work, and evaluates the effectiveness of medical management platforms and applications. The position is hybrid, with at least two days onsite each week.

Requirements

At least 5 years of progressive information technology experience.
At least 1 year of staff, team lead, or project lead experience.
Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the listed qualifications may be accepted.

Nice To Haves

Master's degree in a related field.
Utilization Management experience.
Ability to communicate expectations and priorities clearly, actively listen to resolve issues and remove barriers, and drive alignment across teams and stakeholders.
Ability to analyze department challenges, guide team decision-making, and collaborate across teams to determine resolutions and next steps.
Ability to organize team work, balance priorities across projects, and manage time and resources for timely delivery and coordination.
Proficiency with business technology platforms, systems, software, and tools.
Understanding of business operations, processes, or domain context.
Ability to analyze information and support business decisions, solutions, or process outcomes.

Responsibilities

Lead a team connecting clinical operations, product teams, and technology to design, develop, implement, and maintain platforms, systems, applications, and processes.
Ensure platforms, systems, applications, and processes are reliable, effective, and configured to comply with industry standards and regulations.
Partner with operations leaders and use data-driven models to improve staffing models, processes, technology, automation, efficiency, and clinical operations outcomes.
Monitor system, platform, and application performance over time.
Escalate and help remediate priority issues quickly, and track and resolve pervasive issues to prevent long-term impacts to business operations.
Manage and evaluate configuration work and provide feedback and coaching.
Oversee development and implementation of policies and procedures, performance metrics, and quality assurance standards for Medical Management platforms, systems, and applications.
Oversee configuration, implementation, and maintenance of medical management software systems and applications.
Assist the team in troubleshooting and resolving issues or defects related to medical management platforms, systems, and applications.
Monitor and analyze data and report on the outcomes and effectiveness of medical management platforms, systems, and applications.
Collaborate with operations leaders, product managers, and business partnerships and negotiations to ensure platforms, systems, and applications support strategic operations goals and product roadmaps.
Continuously improve processes and support clinical teams while maintaining high quality standards, including oversight of workforce management tools and deployment of automation functions.
Coordinate and focus employees' work toward strategic division initiatives, prioritize work, and drive incremental value.
Build partnerships with internal stakeholders to facilitate collaboration and speed delivery.
Perform additional responsibilities consistent with the scope and level of the role, as assigned.