Blue Cross And Blue Shield Association Woodland Hills , CA 91367
Posted 2 weeks ago
Your Role
The Network Management and Provider Partnerships team is responsible for supporting Enterprise-led mandates and managing all Business-led mandates. The Program Manager, Principal will oversee the intake, review, and impact assessment for all mandates to determine what Network Management teams may be impacted. This role will ensure appropriate representation from impacted network team in cross function mandate requirement and impact assessment meeting and project kick offs. Reporting to the Sr. Director, Provider Services-Network, the Program Manager, Principal leads all business led mandates project management efforts. This includes but is not limited to monitoring and representing the business unit's interests in projects from initiation through delivery, tracking for continuous improvement, and monitoring project milestones through completion to ensure timely compliance.
Your work
In this role, you will:
Represent Network Management and Provider Partnerships in mandate kick-off and impact assessment collaboration meetings to ensure alignment with other business units
Leads all business led mandates project management efforts, monitoring and representing the business unit's interests in projects from initiation through delivery
Work closely with the Mandate Control Group to monitor, track, and assess incoming mandates
Interpret and summarize requirements outlined in legal memos and other mandate documents
Coordinate with appropriate business areas to confirm business impacts and outline requirements
Complete business impacts assessments outlined in mandate statutes including State Assembly and Senate bills, CMS all plan letters, and other DMHC and DHCS requirements
Monitor and communicate project milestone delivery and potential impacts to cross functional project dependencies
Develop program status dashboard reporting, monitor, and report on status
Blue Cross And Blue Shield Association