Command Center Program Manager

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

PURPOSE OF THE JOB

End-to-End Program Lead is the point of contact responsible for organizing and managing migration and legacy incidents, features, and system issues in a command type group setting with key stakeholders. Serves as the bridge

between business and IT to the overall successful planning and execution of programs that positively impact the companys goals for innovation, production, and growth. This role requires a strong blend of technical acumen with

excellent communication and strong organizational skills.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

1. Required Work Experience

2 years of experience in leadership role

5 years of experience in project management

7 years of experience in a professional environment leveraging computer technology and/or information systems

2. Required Education

High-School Diploma or GED in general field of study

3. Required Licenses

N/A

4. Required Certifications

N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

8 years of experience in the healthcare claim industry with a strong understanding of claims processing from either a provider/hospital point of view or from a payer's point of view

8 years of experience in managing and developing practical operational areas

3 years of experience in the healthcare industry

2. Preferred Education

Bachelor's Degree in Management, Business Administration or Information Systems field of study

3. Preferred Licenses

N/A

4. Preferred Certifications

N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

Lead efforts to ensure that the needs of the business are always addressed during each stage of the development cycle.

Lead efforts to utilize technology to develop and/or redesign processes, procedures, and systems. Identify improvement opportunities and coordinate the generation of requirements.

Responsible for ensuring user acceptance testing is completed and approved based on the business.

Communicate all key project plans, commitments, and changes including requirements, QA plans, schedule, and scope changes.

Review production and operating policies to ensure that the most efficient processes are in place and determine tactical plans to improve processes and services that can be streamlined and/or improved.

Define and implement quality assurance procedures for all assigned activities. Implement quality assurance measures to check adherence to ensure continuity, including across lines of business when appropriate.

Assume a leadership role in initiating and completing projects related to increased efficiencies, productivity, and quality as well as managing team relationships and collaboration.

Establish and meet short- and long-term department goals in accordance with overall company objectives and divisional strategic planning.

facilitate collaboration sessions with key stakeholders when platform issues arise. Manage performance challenges and coordinate between the necessary teams to solution the situation.

Identify root cause concerns and monitor service levels, key process indicators, business expectations, and environment usage.

Support team members and develop and maintain appropriate training materials for new and existing team members.

Maintain effective relationships with internal and external customers. Assure service level agreements are established, monitored and managed effectively. Implement action plans to resolve any issues preventing the area from meeting

goals.

Lead and coordinate Go-Live activities, including managing related checklists and executing deployment plans.

Responsible for release and development schedules across all HealthRules Payor and associated systems.

Review and consult on the design and content of projects to ensure consistency across electronic submission platforms

Assure the proper change management and governance protocols are followed to maximize benefit and alleviate unnecessary disruption to the organization and the external customers

Provide recommendations in the development and design of new system logic to support legislative activity, medical policy changes, reimbursement methodology changes, provider contracting needs, etc.

Oversee the development of business requirements and/or user stories to support system and/or process change

Coordinate the identification, prioritization and resolution of issues with the various business areas and vendors

Research new software development and configuration management methodologies and technologies and analyze their application based on configuration and the business needs.

The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per wee, plus any additional hours as requested or as needed to meet business requirements.

Perform all other duties as assigned.

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills

Intermediate skill in the use of office equipment, including copiers, fax machines, scanner and telephones

Intermediate PC proficiency

Intermediate proficiency in spreadsheet, database and word processing software

2. Required Professional Competencies

Work with all levels of management and functional areas in BCBSAZ and understand the potential implications of system changes to those areas

Customer service skills to deal with sensitive and difficult customer situations

Independent thinker with strong oral, verbal and interpersonal communication skills

Basic understanding of information systems, business processes and the key drivers and measures for success

Strong decision analytical skills

Working knowledge of claims processing and related operational needs Maintain confidentiality and privacy

Capable of investigative and analytical research

Analytical knowledge necessary to generate reports based on available data and then make decisions based on reported data

3. Required Leadership Experience and Competencies

Provide leadership, promote teamwork, meet objectives and exercise independent judgment

Experience leading and implementing projects and working collaboratively with other departments and levels of administration

Strong organizational and management skills

PREFERRED COMPETENCIES

1. Preferred Job Skills

Advanced skill in use of office equipment, including copiers, fax machines, scanner and telephones

Advanced PC proficiency

Advanced proficiency in spreadsheet, database and word processing software

2. Preferred Professional Competencies

Demostrates flexibility, anticipates customer needs and effectively communicates in a timely manner consistent with the business strategy

Advanced tactical planning and decision analysis skills

Cope with multiple priorities and high customer expectations and bridge the demands between internal and external customers

Creativity and problem solving skills

Develop methods and processes to disseminate complex information

Plan and manage business strategy effectively and thoroughly

Mentor less experienced staff

Advanced understanding of information systems, business processes and the key drivers and measures fo success

Advanced analytical and diagnostic skills dealing with issues that are often novel and not readily defined, lack known precedent or appear contradictory

Develop solutions by applying accepted processes or is able to create new approaches to leverage technology from abstract information

Advanced understanding of HIPAA transactions and codes sets

Presentation and public speaking abilities

Development and application of budgeting concepts, processes and procedures

Advanced project management skills

Advanced technical and business knowledge of Internet and HIPAA transaction requirements to identify production issues and effectively communicate issues to IT and other areas as necessary

Create business requirements, technical specifications, test plans and test scripts

Understanding of a clearinghouse and other EDI systems

Interpret medical, legal, and technical data, including state and federal regulations and their effect on operations

Conceptualize new business architecture and infrastructure

3. Preferred Leadership Experience and Competencies

Identify resources and training needs while fostering opportunities for staff growth promote and support the overall quality principles and company quality program

Empower associates at all levels and encourage innovation and risk-taking

Develop an enthusiastic and positive work environment

Negotiation and influencing skills with the ability to create win/win situations Resource management skills

For Senior Manager: Requires the skills, experience and leadership abilities to serve as the designated back-up for the Director

For Senior Manager: Educate and mentor department managers on leadership techniques, staff consulting, work management, etc.

For Senior Manager: Provide management coverage for any area within the department as needed

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.