Senior Project Leader

Blue Cross and Blue Shield Association • Philadelphia, PA

68d • Hybrid

About The Position

The Client Set Up and Product Operations Readiness Sr. Project Leader will be responsible for working with cross-functional teams and various levels to define and meet project requirements, deliverables related to Peak and Customer Service operational readiness and projects. Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve. The Client Set Up and Product Operations Readiness Sr. Project Leader will be responsible for working with cross-functional teams and various levels to define and meet project requirements; deliverables related to Peak and Customer Service operational readiness and projects. Key areas of responsibility include planning, organizing, facilitating meetings and leading projects that support end to end operational readiness aligned with the business goals of Service Operations as well as key functional areas within Independence that support Group, Consumer and Medicare product implementations. Key functional areas include but are not limited to Medicare Product Management, Medicare Service Operations, Product Management, Regulatory Compliance, Pharmacy Services, Underwriting, Sales, etc. The Sr. Project Lead will also analyze current policies, procedures and processes to identify gaps and areas for improvement; develop work plans and timelines; create policies, procedures, control processes, develop reporting; effectively work with managers and subject matter experts from multiple functional areas for workgroups and project teams; facilitate meetings and provide trouble-shooting and problem resolution support in support of identified projects.

Requirements

• An undergraduate degree. A minimum of 3-5- years progressive employment experience in a health insurance organization and demonstrated experience in project management is required, as is the ability to effectively utilize project management software and other Microsoft office applications (Access, Word, Excel, PowerPoint).
• Candidate must be able to work independently, manage multiple priorities effectively and have excellent analytical, organizational and problem-solving skills.
• Proven ability to effectively interact and give direction to staff at all levels of the organization, including senior staff, is required.
• Excellent verbal and written communications skills are also required.
• Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app

Responsibilities

• Independently plan, manage and coordinate activities of individuals at both the management and staff levels as well as Client Set Up Vendors (Highmark, Optum, Davis Vision, UCCD, etc.). Ensure that key goals and objectives are accomplished in keeping with established priorities, timeframes and budgets.
• Coordinate inter-departmental and intra-departmental teams to develop policies, procedures, processes and programs to meet key business objectives, performance goals and regulatory requirements.
• Managing contract document and relationship with vendor to ensure contractually obligated PG's and compliance items are met timely.
• Develops and manages project plans, reports on progress weekly. Manages and coordinates every phase of the project
• Creates and maintains policies, desk procedures, program descriptions and training materials to ensure that programs and processes can be efficiently and effectively maintained.
• Organizes and leads meetings with vendors and key functional areas. Creates presentations, agenda and minutes. Ensures timely distribution of meeting minutes to team members as appropriate.
• Identifies and effectively communicates risks and issues. Develops ongoing action plans to improve performance and outcomes. Identify key gaps for which formal action plans need to be developed, works with staff in barrier analysis, action plan development, implementation, and integration of activity into centralized performance monitoring/reporting process.
• Facilitates meetings, effectively develops and maintains effective business relationships with core areas within the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations