Blue Cross Blue Shield of Michigan

Health Care Manager

Blue Cross Blue Shield of Michigan  •  Detroit, MI (Onsite)  •  4 hours ago
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Job Description

Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value.  Position operates within broad objectives to ensure optimum utilization of manpower and budget.  Specialize in research, planning, development, implementation and leadership.
  • Utilize data analytics and extensive business knowledge to manage the research, analysis, identification and evaluation of data from identified problems to evaluate existing and potential trends, competition, and issues. 
  • Possess and maintain in-depth knowledge of BCBSM business, products, programs (including claims, reimbursement, benefits, provider and program data, networks, etc.), corporate organizational structure (including functional responsibilities), and complex research principles/methodologies. 
  • Lead and monitor multidisciplinary corporate programs/projects simultaneously by managing the establishment of project plans and objectives to ensure goal attainment within defined parameters. Develop solutions to complex issues and present recommendations to senior management as well as employees at various corporate levels. 
  • Act as a Health Care Consultant by developing strategies and programs to reduce health care benefit costs and improve quality of care. 
  • Collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results  
  • Ensure programs and initiatives encompass broad corporate scope and present significant variables. 
  • Anticipate, identify, and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities. 
  • Independently develop and plan, reports, papers and/or other materials. 
  • May have direct supervisory responsibility which includes performance reviews. 
  • Other duties may be assigned.
" Qualifications"
  • Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master's Degree in related field preferred.
  • Seven (7) to Ten (10) years experience of related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).
  • Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
  • Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
  • Ability to work independently, within a team environment and communicate effectively with employees at all levels.
  • Other related skills and/or abilities may be required to perform this job.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
Blue Cross Blue Shield of Michigan

About Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association.

BCBSM's commitment to Michigan is what differentiates it from other health insurance companies doing business in the state. That mission has never changed. Nearly 70 years ago, Blue Cross Blue Shield of Michigan started with a purpose to provide people with the security of knowing they have health care when they need it.

Today, that nonprofit mission is the same and the company is accomplishing it in many ways, including:

Offering access to health care coverage for everyone, regardless of circumstances

Never dropping your coverage for health reasons

Partnering with the state to cover more than 32,000 children through MIChild

Providing financial support to 30 free clinics statewide

Contributing more money than any other company to provide Michigan with better health and health care

Advocating and educating through Alliance for Advancing Nonprofit Health Care

For more on the history of BCBSM, please visit our section on historical highlights: http://www.bcbsm.com/home/bcbsm/1930.shtml

Industry
Finance & Insurance
Company Size
10,000+ employees
Headquarters
Detroit, Michigan
Year Founded
Unknown
Website
bcbsm.com
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