Program Manager Senior - Quality Program & Governance

Blue Cross and Blue Shield of Minnesota; Eagan (MN); Hybrid; USD 91,000 - 150,000; Full time

Benefits offered by this job

Medical insurance

401k

PTO

VPTO

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a seasoned professional to lead enterprise-wide quality program management supporting accreditation readiness and regulatory compliance. You will partner with leaders to align quality governance across all lines of business and drive continuous improvement.

The role requires strong program management skills, analytics, and cross-functional collaboration. The company offers a hybrid work model, a competitive compensation package, and

Qualifications

• 5+ years of related project/program management experience.
• Bachelor’s degree; in lieu of a degree, two additional years of relevant experience may be accepted.
• Healthcare or managed care experience preferred.
• Lean Six Sigma / process improvement experience.

Responsibilities

• Lead enterprise-wide quality program management across all lines of business.
• Partner with leaders to strengthen quality governance and drive regulatory compliance.
• Design, document, and implement multiple strategic programs with cross-functional teams.
• Monitor metrics, update plans and timelines, and manage communications.

Skills

Project management

Stakeholder management

Data analysis

Lean Six Sigma

Communication

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

This position provides leadership and oversight for enterprise-wide quality program management activities that support quality improvement, accreditation readiness, regulatory compliance, and strategic priorities across all lines of business. The role partners with leaders and stakeholders across the organization to strengthen quality governance, oversee quality committees and work plans, ensure compliance with NCQA, CMS, DHS, MDH, and other regulatory and accreditation requirements, and drive continuous improvement through effective planning, monitoring, documentation, and cross-functional collaboration.

What You’ll Do

• Drive 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

• Manage and 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.
• Manage multiple communication plans in conjunction with leadership and to support initiatives, including status and progress updates.
• 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

• 5+ 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 communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
• Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
• Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing 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: $90,800.00 - $120,300.00 - $149,800.00 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.