BlueCross BlueShield of North Carolina Sr. Program Manager, Network Strategy and Vendor Management in Durham, North Carolina
We are looking for a Senior Program Manager - Network Strategy and Vendor Management to join our already skilled team of experts. You'll be a trusted member of a high energy, tight-knit, creative team. We want people who have a real passion for what they do and will apply it to our high-performance culture. Your responsibilities will be to ensure absent internal coordination occurs for critical Blue Cross NC provider contracts required for the delivery and filling of Blue Cross NC networks. You will evaluate network performance and address deficiencies with multiple stakeholders such as Network, Legal, Product Development, Actuarial, Strategy, and Sales. Additionally, this position will be responsible for ongoing, successful relationship and contract management between assigned vendors and Blue Cross NC. A successful candidate will have experience managing large scale programs with multiple vendors, and enjoy a fast-paced cross-functional environment.
Serve as primary contact to assigned vendors and proactively lead vendor relationship management and negotiations of new and renewing provider contracts.
Execute the enterprise contract compliance process, including negotiating contracts, identifying deliverables and obligations and monitoring compliance with contract terms.
Work cross-functionally to coordinate with stakeholders such as Network, Legal, Product Development, Actuarial, Strategy, and Sales.
Establish and monitor performance metrics and goals for programs, including process measures, outcomes measures and financial measures. Document and present program results through operational reports, outcomes studies, presentations and publications.
Develop and manage budgets to control expenditures in accordance with budget allocations, together with the conformance to timing, limits and usage of funding as agreed upon in the spending plan for the assigned program(s).
Ensure that programs meet appropriate regulatory and accreditation standards. Ensure that the program fully cooperates with the organizational governance functions and provides oversight for the definition and exercise of regular iteration and reporting required by organizational governance policies.
Bachelor’s degree and 7 years of program or project management experience in the area of program specialization.
In lieu of degree, 9 years of experience as stated above.
Experience in healthcare payer environment.
Strategic visioning and planning skills to align program goals and benefits with the long-term goals of the organization.
Superior communication and collaboration skills to deal with various stakeholders, team members, sponsors, managing directors, customers, vendors, senior management, and providers.
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina. Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Our company is a not-for-profit with headquarters in Durham and major operations in Winston-Salem and Fayetteville. In all we employ more than 4,900 North Carolinians and serve more than 3.9 million customers.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Third Party Staffing Agencies
Blue Cross NC does not accept unsolicited resumes from any source other than directly from candidates. For the protection of all parties involved in the recruiting process, resumes will only be accepted from recruiters/agencies if a signed agreement is in place at the inception of the recruiting effort and authorized for a specific position. Unsolicited resumes sent to Blue Cross NC from recruiters/agencies do not constitute any type of relationship between the recruiter/agency and Blue Cross NC and do not obligate Blue Cross NC to pay fees if we hire from those resumes.