Program Manager Senior - Quality Program & Governance

Blue Cross Blue Shield of Minnesota•Eagan, MN

1d•Hybrid

About The Position

This position provides leadership and oversight for enterprise-wide quality program management activities that support quality improvement, accreditation readiness, regulatory compliance, and strategic priorities across all lines of business. The role partners with leaders and stakeholders across the organization to strengthen quality governance, oversee quality committees and work plans, ensure compliance with NCQA, CMS, DHS, MDH, and other regulatory and accreditation requirements, and drive continuous improvement through effective planning, monitoring, documentation, and cross-functional collaboration.

Requirements

5+ years of related project/program management professional experience.
Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Nice To Haves

Exceptional communication and stakeholder management skills, with the ability to translate complex regulatory, quality, and operational concepts into clear, actionable information for various audiences and drive alignment across the organization.
Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
Healthcare or managed care experience.
Experience leading complex cross-functional initiatives and projects which may involve multiple team members, task assignment, working with internal or external clients, managing teams and customer relationships, and managing project deliverables.
Experience in data-driven decision-making.
Experience with process improvement methodologies, such as Lean, Six Sigma, PDSA or other continuous improvement frameworks.
Familiarity with PM tools & Microsoft analytics tools.
Knowledge of healthcare quality measurement and performance programs, such as HEDIS, Stars, CAHPS, accreditation standards, quality improvement programs, or population health initiatives.
Experience supporting governance structures, committees, and regulatory reporting, including preparing meeting materials, documenting decisions, tracking action items, and ensuring compliance with organizational and regulatory requirements.

Responsibilities

Drive the development and documentation of design, requirements and implementation of multiple strategic programs.
Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design.
Support the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored.
Support the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence.
Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.
Continually update program or project plans, timelines and deliverables while coordinating multiple sub-processes to expand and/or improve programs.
Manage multiple communication plans in conjunction with leadership and to support initiatives, including status and progress updates.
Stay abreast of changes in the rapidly evolving health care marketplace.
Performs additional responsibilities consistent with the scope and level of the role, as assigned.