Program Manager, Consultant
About The Position
The Behavioral Health Network Management, Healthcare Quality and Affordability (HQA) team is responsible for the development and maintenance of all Behavioral Health provider networks, including vendor relationships necessary to provide our members and clients with access to quality, affordable health care services. The Program Manager, Consultant will report to the Program Manager, Principal. In this role you will support the Behavioral Health Network Management, HQA team and be responsible for investigating and resolving claims issues through detailed root cause analysis, cross functional collaboration, and end to end remediation oversight. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Requirements
- Support the Behavioral Health Network Management, HQA team
Nice To Haves
- Energized by creative and critical thinking
- Building and sustaining high-performing teams
- Getting results the right way
- Fostering continuous learning
Responsibilities
- Investigating and resolving claims issues through detailed root cause analysis
- Cross functional collaboration
- End to end remediation oversight
Benefits
- Blue Shield is a U.S. News Best Company to work for
- Deloitte U.S. Best Managed Company
- Top 100 Inspiring Workplace
- Recognized by Fair360 as a Top Regional Company
- One of the 50 most community-minded companies in the United States by Points of Light
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
