Quality Programs Lead — Accreditation & Compliance

Excellus BlueCross BlueShield; Town of De Witt (NY); On-site; USD 79,000 - 142,000; Full time

Job summary

Excellus BlueCross BlueShield in New York seeks a Program Manager to oversee complex programs and provide high-level operational and technical solutioning across accreditation, CMS/DOH, member experience and health plan performance. The role leads cross-functional teams, coordinates governance, ensures timely submissions, and develops dashboards for executives.

A Bachelor's degree with 5+ years PM experience is required; PMI-PMP preferred. Remote work may be considered case-by-case.

Qualifications

• Bachelor’s degree required with minimum 5 years of related work experience; master’s preferred.
• PMI/PMP certification preferred.
• Experience in quality improvement, accreditation and regulatory compliance.

Responsibilities

• Manage complex programs/projects with end-to-end focus on quality performance and regulatory requirements.
• Lead cross-functional teams and govern program submissions to meet specifications and deadlines.
• Develop and monitor dashboards to track progress, outcomes and compliance."
• Communicate with stakeholders at all levels to review scope and resolve issues.
• Coordinate vendor/auditor/regulator relationships and manage program documentation.

Skills

Program management

Leadership

Communication

Quality improvement

Regulatory knowledge

Education

Bachelor’s degree in Nursing, Business or Healthcare Administration, Analytics, Project Management or related fields

Master’s degree preferred

PMI/PMP certification preferred

Job description

Excellus BlueCross BlueShield in New York seeks a Program Manager to oversee complex programs and provide high-level operational and technical solutioning across accreditation, CMS/DOH, member experience and health plan performance. The role leads cross-functional teams, coordinates governance, ensures timely submissions, and develops dashboards for executives.

A Bachelor's degree with 5+ years PM experience is required; PMI-PMP preferred. Remote work may be considered case-by-case.