Blue Cross Blue Shield of North Carolina

Principal Program Manager - Vendor Integration

US-AnywhereRemote in North Carolina, US
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or advanced degree (where required)
  • 8+ years of experience in a related field
  • 10+ years of relevant experience in lieu of degree (if applicable)
  • Experience leading complex enterprise-level programs and/or projects is a plus
  • Knowledge of Blue Cross NC's group-specific vendor integration processes.

Responsibilities

  • Manage employer-specific Vendor Integration offerings and related processes.
  • Oversee enterprise-level vendor integrations, addressing issues proactively.
  • Identify and analyze client goals for new vendor integration requests.
  • Develop and manage relationships with internal and external stakeholders.
  • Coordinate interdepartmental functions to minimize implementation delays.
  • Oversee data integration processes and ensure proper fee structures.
  • Lead a cross-functional team to maintain a centralized integration repository and track progress.

Benefits

  • Opportunity to work at the cutting edge of health care delivery in a community-oriented team.
  • Work-life balance with flexibility and autonomy.
  • Comprehensive medical, dental, and vision coverage with wellness programs.
  • Parental leave and support, including adoption and surrogacy assistance.
  • Career development programs and tuition reimbursement offered.
  • 401k match with annual company contributions.
Full Job Description

Job Description

In this role you will oversee Blue Cross NC’s Vendor Integration program for clients requesting employer-specific integrations with their third-party vendors. Provide full end-to-end program management including strategic planning, needs analysis, resource development, implementation oversight, and ongoing monitoring and optimization. Collaborate with internal and external stakeholders on vendor integration initiatives to positively impact the group market offer and relationships with our clients and agency partners.

What You'll Do

  • Manage Blue Cross NC’s employer-specific Vendor Integration offerings, including integration options, pricing, and intake forms and processes.

  • Oversee all employer-specific vendor integrations at the enterprise level, including tracking all active, requested and in-progress vendor integrations and taking action to address any identified issues.  Ensure that existing integrations are updated or terminated as client needs or client/vendor/agency partnerships change.

  • Identify, analyze and understand client goals and the specific requirements for each new vendor integration request. Ensure that new vendor integration requests are triaged quickly and routed to the appropriate team to implement. 

  • Develop and manage relationships with both internal partners and external stakeholders to successfully implement and maintain highly complex vendor integrations to meet the needs of our clients.

  • Coordinate interdepartmental functions to minimize implementation delays; work with program/project team members on a regular basis to review deliverables and ensure deadlines are met.

  • Oversee and optimize all data integration processes for group-contracted third-party vendors, including ensuring that the appropriate fees are charged to support these integrations.  Serve as the primary point person to address questions and concerns about these processes (including integration options, pricing/billing, status and issue triage).

  • Drive program enhancements and process improvements through proactive consultation and collaboration with internal stakeholders.

  • Lead a cross-functional group vendor integration team in maintaining a centralized repository of all active, in-progress and terminated group vendor integrations, identifying interdependencies, communicating program requirements, tracking progress, making decisions, and resolving conflicts and issues.

  • Establish and monitor performance metrics and goals for the Vendor Integration program, including process measures, outcomes measures and financial measures.  Document and present program results through operational reports, outcomes studies, presentations and publications.

  • Direct the development and maintenance of plans, practices and assignments to identify, quantify and contain the occurrence and potential impact of risks and risk events on the execution of the Vendor Integration program and Sales Intake projects, and their likelihood of success.

  • Develop and manage budgets to control expenditures in accordance with budget allocations, together with the conformance to timing, limits and usage of funding as agreed upon in the spending plan for the assigned program(s).

  • Ensure the program meets appropriate regulatory and accreditation standards, fully cooperates with organizational governance functions and provides oversight for the definition and exercise of regular iteration and reporting required by organizational governance policies.

What You Need

  • Bachelor's degree or advanced degree (where required)

  • 8+ years of experience in related field.

  • In lieu of degree, 10+ years of experience in related field.

Bonus Points

  • Experience leading complex enterprise-level programs and/or projects

  • Experience collaborating and communicating effectively with both internal sales and technical teams and external vendors and agents/brokers

  • Experience presenting on project/program status and issue resolution to enterprise leaders

  • Experience with program pricing and budget management

  • Knowledge of Blue Cross NC's group-specific vendor integration processes, including Sales Intake, Data Extracts, PBM Carve-outs, Accumulators and APIs

What You’ll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community 

  • Work-life balance, flexibility, and the autonomy to do great work  

  • Medical, dental, and vision coverage along with numerous health and wellness programs  

  • Parental leave and support plus adoption and surrogacy assistance  

  • Career development programs and tuition reimbursement for continued education  

  • 401k match including an annual company contribution  

  •    

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.

$107,901.00 - $172,642.00

Skills

Budget Management, New Program Development, People Management, Program Coordination, Program Evaluations, Program Implementation, Program Management, Program Strategy, Project Management, Strategy Development

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About Blue Cross Blue Shield of North Carolina

Blue Cross Blue Shield of North Carolina (BCBSNC) is a non-profit health insurance company based in Durham, North Carolina. The company provides health insurance to more than 3.7 million customers in North Carolina. BCBSNC offers a variety of health insurance plans, including individual and family plans, Medicare Advantage plans, and employer-sponsored plans. The company also offers wellness programs and resources to help customers manage their health. BCBSNC was founded in 1933 and has since grown to become one of the largest health insurance providers in North Carolina.
Learn more about Blue Cross Blue Shield of North Carolina
Size
5,000 employees
Industry

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