Network Process Manager

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

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💵 $72.9k - $137.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

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Logo of Capital Blue Cross

Capital Blue Cross

1001 - 5000 employees

Founded 1938

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.

📋 Description

• Organize teams, develop plans, and facilitate project execution to achieve organizational goals • Lead Network-led and participant projects from initiation through completion • Implement projects on time and on budget, driving collaboration, accuracy, and risk escalation • Serve as first line of contact for project leads and mitigate risks or resolve critical issues • Follow corporate project life-cycle, meeting, Agile, change-management, and governance guidelines • Secure acceptance of project deliverables and support project-team governance • Manage project budgets, resources, monthly budget reconciliation, and enterprise resource reporting • Ensure projects close within 45–60 days of go-live • Work with vendors to keep projects on schedule • Develop and monitor Key Performance Indicators and Cost-Benefit Analysis • Ensure stakeholder communication plans are complete • Monitor BCBSA deliverables, Network acquisitions/mergers, and audit activity for regulatory accuracy and timeliness • Build scorecards, dashboards, reports, process flows, and value-stream maps • Document current business and data flows and analyze data • Create data visualizations, baseline metrics, data-collection plans, pilots, quality controls, and training plans • Manage multiple concurrent projects under tight time constraints with minimal oversight

🎯 Requirements

• 5 years of Project Management work and/or Network System development experience • Experience working on cross-functional teams strongly desired • Experience leading significant initiatives requiring change management leadership desired • Strong interpersonal, written, and verbal communication skills • Proven ability to deliver reports and presentations • Ability to influence colleagues and build relationships • Ability to guide and inspire team members to deliver work on time and on budget • Ability to lead discussions with vague details or little direction, identify ideal states, and conduct gap analysis • Self-motivated, quick, and assertive • Extremely detail-oriented and organized • Ability to multitask and work under pressure in an ambiguous environment • Comfort with change and complexity in dynamic environments • Ability to prioritize tasks and shift between big-picture and critical details • Ability to balance people, process, and technology factors and analyze complex business relationships • Access Reporting skills • Knowledge of BCBSA Network regulatory requirements • Project management knowledge • Proficiency in MS Office, MS Project, Visio, Adobe, Crystal Reports, SAS, and similar applications • Current project management and insurance industry trends and technology knowledge through professional associations, trade journals, networking, training, and seminars

🏖️ Benefits

• Medical, Dental & Vision coverage • Retirement Plan • Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement • Training and continuing education • Flexible environment • Community volunteering opportunities

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