Medicaid Ops & Performance Lead

BCBSM, Inc.; United States; Hybrid; USD 117,800 - 200,200; Full time

Job summary

Blue Cross and Blue Shield of Minnesota seeks a senior Medicaid operations professional to lead end-to-end procurement, contracting, and performance across Medicaid accounts. The role ensures contract readiness, data integrity, and timely attestations while partnering with Compliance to meet regulatory requirements.

Hybrid role with a focus on cross-functional coordination, risk management, and enterprise education on Medicaid programs and contract obligations.

Qualifications

• 5+ years of progressive Medicaid experience, with 1+ staff, team lead or project lead experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
• Masters degree in related field (preferred).
• Knowledge of government healthcare programs, regulations, and compliance requirements.
• Knowledge of health plan operations, products, and business practices.
• Ability to communicate expectations and priorities clearly to team members, actively listen to resolve issues and remove barriers, and drive alignment across teams and stakeholders.
• Ability to analyze department challenges, guide team decision-making, and collaborate across teams to drive resolution and next steps.
• Ability to effectively organize team work, balance priorities across projects, and manage time and resources to ensure timely delivery and coordination.

Responsibilities

• Direct end-to-end Medicaid procurement and contracting activities, including RFP strategy and execution, contract negotiations, implementation planning, and contract modifications.
• Provides operational and administrative support to Medicaid accounts throughout the contract lifecycle, ensuring accuracy and timeliness.
• Ensure ongoing contract readiness and accountability by maintaining required documentation, overseeing contract data integrity, and leading annual contract obligation attestations.

Skills

Medicaid experience

Team lead

Contract management

Regulatory knowledge

Communication

Education

Bachelor’s degree

Masters degree

Job description

Blue Cross and Blue Shield of Minnesota seeks a senior Medicaid operations professional to lead end-to-end procurement, contracting, and performance across Medicaid accounts. The role ensures contract readiness, data integrity, and timely attestations while partnering with Compliance to meet regulatory requirements.

Hybrid role with a focus on cross-functional coordination, risk management, and enterprise education on Medicaid programs and contract obligations.