http://careers.bluecrossmn.com/feeds/Public-Health-Minneapolis-MN-jobs/ Custom RSS Feed for Public-Health-Minneapolis-MN-jobs Wed, 22 May 2013 21:16:23 GMT en-us http://careers.bluecrossmn.com/feeds/Public-Health-Minneapolis-MN-jobs/ 720 Description

Summary:

This position is responsible for performing account management functions from the health management perspective; serving as primary contact for Commercial Markets - Sales specific to presentations for key account consultation on medical issues and questions related to health management programs; serving as liaison between Sales, Health Economics and Health Management to analyze data and interpret information in preparation for meetings, site visits, and requests for proposals; and recommending program enhancements to Health Management Operations based on key account feedback and data trends and analysis.

Accountabilities:

1. Manages the clinical relationship with the key account for all Wellness and Care Management programs.
2. Primary clinical and Health Management contact for internal and external account/client meetings providing relevant and specific information, clinical outcomes and value of Wellness and Care Management programs.
3. Partner with account management to ensure excellent customer service and resolution for all clinical and/or program issues, drive to advance clinical outcomes and performance; partner with account management and Health Economics to review and analyze comprehensive account data including utilization and trend data to draw action oriented conclusions and recommendations.
4. Interface with IHM Sales Support, Sales and Account Managers to assess key account needs based on benefits and program enhancement opportunities.
5. Drive key internal stakeholders such as Health Economics, Medical Director, and IHM Clinical Design and Performance to identify health/cost management strategies and unique pilot opportunities.
6. Participate in the design of clinical performance guarantees for key account, third party integration of programs and any other clinical related items unique to the key account.
7. Cultivate strong working relationships with internal resources across the organization to promote successful execution of activities with key account
8. Facilitate Health Management responses to account needs; i.e. clinical summaries for high cost claimants, interpretation, reporting and packaging of information to support effective promotion of health management program.
9. Provide clinical insight for RFP responses.

Qualifications

Required Qualifications:

- Registered nurse with current MN license or LSW with no restrictions.
- 4+ years of clinical or behavioral health experience.
- Knowledge of a health plan, provider relations activity and business operations.
- Demonstrated relationship management skills with internal and external stakeholders.
- Persuasive oral, written and presentation skills which influence stakeholders to achieve desired outcomes.
- Demonstrated ability to lead, drive results and excel in a collaborative environment.
- Strong skills in planning, problem solving, conflict resolution, facilitation and consensus building.
- Analytic and data-driven decision making skills.
- Travel may be required.

Preferred Qualifications:

- Master’s degree in nursing, public health, health care administration, business or education.
- Experience in health care account management.
- Strong knowledge of wellness and care management programs, systems and outcomes.

Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action Employer, M/F/D/V. Blue Cross and Blue Shield of Minnesota is a drug free workplace. Candidates are required to pass a background check and drug test before beginning employment.

Primary Location: United States-Minnesota-Eagan]]>Fri, 17 May 2013 02:59:00 GMThttp://careers.bluecrossmn.com/job/Eagan-Clinical-Account-Manager-Job-MN-55120/2368494/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W%5FRSShttp://careers.bluecrossmn.com/job/Eagan-Clinical-Account-Manager-Job-MN-55120/2368494/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W%5FRSS Description

Summary:

This position plans and directs, as well as provides analytical and operational support for complex internal audit projects, Internal Controls over Financial Reporting (ICOFR) test work, and special projects. This position has significant project and reporting responsibilities. The Internal Audit Senior plans, directs, and coordinates several cross-departmental audit projects simultaneously to address foundational and intricate operational and internal control issues, risk mitigation, and issue resolution. This includes the successful delivery of complex assignments within scope, schedule, and quality commitments.

Accountabilities:

1. Plan, direct, and coordinate complex audit projects, ICOFR test work, and other special projects. Identify and analyze operational and internal control issues and risks and escalate both concerns and potential solutions appropriately. Prepare and present reports to senior management and the Audit Committee concerning relevant issues and recommendations in a concise and effective manner.
2. Network with business leadership as a resource on audit and internal control issues with enterprise impact.
3. Support internal and external audit efforts with NAIC regulations, statutory reporting requirements, and company policies. Maintain appropriate project documentation, review audit work papers, as well as supervise and provide meaningful feedback to audit staff.
4. Respectfully and collaboratively challenge business areas to embrace strong operational and internal control practices by establishing and maintaining positive working relationships with business areas.
5. Leverage organizational knowledge and business acumen to develop effective virtual teams, leading through influence and partnering with business owners to successfully complete projects.
6. Research and stay current on emerging business and audit regulations/issues/topics within the health care industry to continuously improve Company and department practices.
7. Collaborate with the Director of Internal Audit and other Internal Audit leadership to design and implement practices, processes, and tools that further the department’s vision and objectives.
8. Lead special projects as requested by management and the Audit Committee. Provide recommendations to management that improve the effectiveness of operations.
9. Provide leadership and analytical support for the corporate enterprise risk management (ERM) process, including the identification and monitoring of strategic/operational business risks, recommendations and reporting of results to executive leadership and regulatory entities.

Qualifications

Required Qualifications:

- Bachelor’s degree in Accounting, Finance or related field
- Certified Public Accountant (CPA), Certified Internal Auditor (CIA), or related designation
- 5 years of audit experience, preferably with a large health plan
- 1 years of experience providing guidance to staff internal auditors
- Ability to guide, direct and influence teams
- Creative problem solving skills, adapting approach as needed
- Proven ability to define problems, collect and analyze data, establish facts and draw valid conclusions
- Excellent relationship building and communication skills, including strong written and presentation skills, and demonstrated communication experience with diverse audiences and senior leadership
- Ability to work independently with excellent attention to detail

Preferred Qualifications:

- Strong knowledge of the health care and insurance industry, as well as internal audit standards
- Experience in a public accounting firm
- Proficient in the use of data analytics tools (e.g. ACL, IDEA) and strong Excel, Word, PowerPoint, and Visio skills

Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action Employer, M/F/D/V. Blue Cross and Blue Shield of Minnesota is a drug free workplace. Candidates are required to pass a background check and drug test before beginning employment.

Primary Location: United States-Minnesota-Eagan]]>Thu, 16 May 2013 02:59:00 GMThttp://careers.bluecrossmn.com/job/Eagan-Internal-Audit-Sr-Job-MN-55120/2530356/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W%5FRSShttp://careers.bluecrossmn.com/job/Eagan-Internal-Audit-Sr-Job-MN-55120/2530356/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W%5FRSS