Medicaid Program Health Manager

bcbsmn; United States; Hybrid; USD 79,000 - 131,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Medicaid Program Health Manager to lead analytics-enabled program design, development, and evaluation within the Medicaid Performance Hub. You will transform state/county data into actionable insights to support proactive decision-making and ensure contractual commitments are met.

In this hybrid role, you will collaborate with leadership and cross-functional teams to drive performance and manage change, delivering clear data-driven reporting

Qualifications

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

Responsibilities

• Develop and document design, requirements and implementation of multiple strategic programs.
• Maintain strategic relationships with internal and external resources for design alignment.
• Support business decisions to ensure capabilities meet market expectations.
• Oversee ongoing program management across multiple initiatives with timelines.

Skills

Project management

Stakeholder communication

Data-driven decisions

Lean Six Sigma

Cross-functional collaboration

Education

Bachelor's degree

Tools

PM tools

Microsoft Analytics tools

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'll 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

Role designation definition:

Teleworking is working full time remote.

Hybrid is a minimum of 2 days onsite.

Onsite is full-time onsite.

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

$79,100.00 - $104,800.00 - $130,500.00 Annual

• 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 Minn