Remote-Eligible Quality Programs Lead

Excellus BlueCross BlueShield; City of Utica (NY); On-site; USD 79,000 - 142,000; Full time

Job summary

Excellus BlueCross BlueShield is seeking a Program Manager to oversee complex programs and provide end-to-end quality performance enhancements, focusing on accreditation and regulatory compliance. The role interfaces with internal and external stakeholders as the primary program contact and drives timely submissions and performance monitoring.

Responsibilities include leading and coordinating cross-functional teams, presenting dashboards to executives, and ensuring adherence to program standards

Qualifications

• Minimum 3 years of project management. PMI/PMP certification preferred.
• Applied knowledge of quality improvement, accreditation and regulatory compliance.
• Demonstrated leadership, quality principles and problem-solving skills.
• Strong communication skills across the organization.

Responsibilities

• Performs elevated program management duties with focus on measures/outcomes and operational efficiencies.
• Manages day-to-day operations to ensure compliance with program standards.
• Plans, schedules, monitors and reports on program activities.
• Develops program plans, monitors progress and ensures deadlines are met.
• Oversees governance, vendor/auditor/regulator relationships and evidence collection for program requirements.

Skills

Project management

Quality improvement

Regulatory compliance

Stakeholder communication

Education

Bachelor’s degree in Nursing/Business/Healthcare Admin

Master’s degree preferred

Job description

Excellus BlueCross BlueShield is seeking a Program Manager to oversee complex programs and provide end-to-end quality performance enhancements, focusing on accreditation and regulatory compliance. The role interfaces with internal and external stakeholders as the primary program contact and drives timely submissions and performance monitoring.

Responsibilities include leading and coordinating cross-functional teams, presenting dashboards to executives, and ensuring adherence to program standards