Job Information
Independence Blue Cross, LLC Manager Government Markets Stars - 240282 in Philadelphia, Pennsylvania
Manager Government Markets Stars - 240282
DESCRIPTION/RESPONSIBILITIES: Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Manager Government Markets Stars manages the GM Stars team. Projects generally are high profile with considerable impact on corporate systems and business processes. Responsibilities include: * Manages the Government Market's Stars team by developing policies and procedures, reviewing and prioritizing work, assigning tasks, and monitoring performance against goals * Provide feedback on Stars reporting dashboards, data analytical activities supporting Stars Optimization. * Manage efforts to maximize Star Rating in collaboration with organizational stakeholders. * Develop performance improvement strategies, including development and analysis of reports. * Manage the team implementation of new initiatives to improve Star ratings. * Manage and lead multiple initiatives and cross functional stakeholder engagement. * Actively collaborate with external entities CMS, BCBSA, ACO and provider communities. * Actively engage/lead in various strategic and innovative program development to influence star ratings, risk accuracy and overall plan performance. * Work with Government Markets (GM) financial data sets and budgets to produce budgets, cost/benefit analyses, ROI analyses, financial reporting, and other types of reporting and analyses related to Stars initiatives. * Evaluates, plans, and designs project budget and timelines for complex projects assigned by management. * Assesses business plans financial impact statements and implements appropriate solutions where needed. * Evaluates business outcomes and monitors work solutions from financial and compliance perspectives. * Assures that new procedures are implemented and understood by staff and external departments that may be affected.
Qualifications * Bachelor's degree in business or healthcare related field or equivalent experience. * 8 years' prior related experience; 3 years management experience preferred. * Considerable knowledge of compliance and audit practices, specifically those related to Medicare plans. * Considerable knowledge of Medicare, CMS, Stars Technical Specifications * Demonstrated ability to define business solutions, make decisions, identify problems, coordinate resources and implement changes. * Must be detail oriented and understand corporate objectives. Ability to follow through on project life cycle while maintaining target deadlines. * Must be able to work independently on projects and demonstrate strong and effective leadership skills. * Must have advanced analytical and problem solving skills. * Understanding of Finance, Accounting, Budgeting, and forecasting preferred * Ability to work in a multi-task environment. * Strong technical knowledge of Microsoft office products, Tableau and SQL required. * Advanced project and time management skills needed. * Demonstrated strong oral and written communication skills necessary. * Must have advanced understanding of the business environment. * Must have in-depth knowledge of the unit's business systems. * Ability to manage multiple projects and maintain target objectives.
Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania
REQUIRED SKILLS: Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will rec ive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.