Medicaid Program Health Manager

Blue Cross & Blue Shield of Minnesota; Eagan (MN); Hybrid; USD 79,000 - 131,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

401k

PTO

Volunteer Time Off

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Medicaid Program Health Manager to drive design, development, and evaluation of programs within the Medicaid Performance Hub. You will transform operational, clinical, and state/county data into actionable insights for leadership and ensure contractual alignment while coordinating multiple initiatives.

You will monitor metrics, support plan updates, and collaborate with leadership to manage change, deadlines, and stakeholder needs in a hybrid

Qualifications

• 3+ years of project/program management experience.
• Bachelor’s degree; in lieu of a degree, two additional years of relevant experience may be accepted.
• Experience with data-driven decision-making and analytics.

Responsibilities

• Support the design, development, implementation, and evaluation of strategic programs.
• Maintain strategic relationships with internal and external partners to incorporate market considerations.
• Support business decision-making to ensure capabilities meet market expectations and explore alternatives.
• Manage multiple programs and align strategies with solutions through effective influencing.

Skills

Project management

Communication

Data analysis

Time management

Healthcare experience

Lean Six Sigma

PM tools

Education

Bachelor’s degree

Tools

PM tools

Microsoft analytics

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

As a Medicaid Program Health Manager within the Medicaid Performance Hub, you will play a critical role in ensuring predictable execution, performance visibility, and delivery on contractual commitments. You will support the design, development, implementation, and evaluation of programs that improve the delivery of health care services and the health of our members, partnering with leadership and cross-functional teams to advance strategic priorities and help the business effectively manage change. You will provide the analytics backbone for the Hub—transforming operational, clinical, and customer (state/county) data into actionable insights that enable leaders to make proactive, informed decisions. Your work will help ensure program execution stays aligned to contractual and market expectations—including member, provider, and stakeholder needs—while managing work across multiple initiatives and tight deadlines. By monitoring key metrics, identifying risks and opportunities, and delivering clear, data-driven reporting, you will help the enterprise anticipate and support RFP and pursuit cycles, maintain compliance, and meet year-over-year performance expectations.

What You’ll Do

• Support the development and documentation of design, requirements and implementation of multiple strategic programs.
• Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design.
• Support the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored.
• Support the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence.

How You’ll Do It

• Monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.
• Continually update program or project plans, timelines and deliverables while coordinating multiple sub-processes to expand and/or improve programs.
• Stay abreast of changes in the rapidly evolving health care marketplace.
• Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Required Skills & Experience

• 3+ years of related project/program management professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience

• Ability to tailor communication to varied audiences, actively listen to uncover requirements, and ensure accurate and timely information exchange.
• Ability to analyze information, identify patterns and root causes, and collaborate with partners to implement practical solutions.
• Ability to effectively organize work, balance competing priorities, and manage time across multiple responsibilities and deadlines.
• Healthcare or managed care experience.
• Experience managing complex projects which may involve multiple team members, task assignment, working with internal or external clients, managing teams and customer relationships, and managing project deliverables.
• Experience in data-driven decision-making.
• Process improvement (Lean / Six Sigma) experience.
• Familiarity with PM tools & Microsoft analytics tools.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits:

Pay Range: $79,100.00 - $104,800.00 - $130,500.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Aff… All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [e-mail].

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.