Share this Job

Gov Markets County/Community Liaison Pr Job

Date: Jan 23, 2019

Location: Eagan, Minnesota, US, 55122

Company: Blue Cross and Blue Shield of Minnesota

About Blue Cross



At Blue Cross and Blue Shield of Minnesota, we are developing industry-leading strategies every day that make a healthy difference in people’s lives. Blue Cross has a legacy of improving health through innovation because we believe that everyone should have the opportunity to live the healthiest life possible. Chartered in 1933 as the state’s first health plan, we’ve been serving the health care needs of Minnesotans for more than 80 years.



Blue Cross supports you with competitive pay and a comprehensive benefits package. Many Employee Resource Groups are active in the company, promoting inclusion and helping us meet the diverse needs of our workforce and our members. Join us, and enjoy a work environment where all employees are respected and valued — a workplace honored with a perfect score on the Human Rights Campaign Corporate Equality Index for 2017. Find your place at a company that cares.



 


Description Summary

This position will manage and monitor the contract language and expectations for the DHS Families and Children’s contract and be the primary behavioral health, public health and general county representative for committee/work group representation at county, other government and the Minnesota Department of Human Services. The incumbent will foster positive relationships with other external stakeholders through participation in community workgroups, and other appropriate venues. This position will actively identify opportunities to positively impact behavioral health, public health and general eligibility issues with the service provision of Minnesota Health Care Programs (MHCP) populations and develop collaboratives within Minnesota communities, leveraging the strengths of our health plan, community-based providers and other service providers. This position will be a thought leader and influence the strategies and initiatives of Blue Cross to compliment statewide directives and priorities.


Accountabilities


  1. Manage and lead complex, cross-functional initiatives within GP and the matrixed organization that deliver high quality solutions, contribute to the business performance results and meet state and federal requirements. Cross functional teams include Health Management, Service, Claims, Network Management, and Benefit set up.

  2. Lead solution efforts for defined issues, new benefits and legislative requirements including distribution of information to various Blue Cross divisions.

  3. Directs and/or consults with staff and cross-functional teams in analyzing current and new processes, system and interfaces analysis and information flows as they relate to implementations process and regulatory changes.

  4. Build and foster relationships with counties and external stakeholders related to the quality of behavioral health services and other health care benefits provided to MHCP members and the residents of Minnesota such as the Department of Human Services, MN Department of Health, county staff, advocacy groups, consumers and community service providers. Represent the organization’s behavioral health and general public health strategies and initiatives to community leaders and the general public and serve as a thought leader and expert on assigned program issues.

  5. Responsible for representing Blue Cross in all external stakeholder committees for behavioral health, public health, human services and other health care related issues including, MN Council of Health Plans, County Departments, DHS, and the MN Department of Health. Independently identify priority alliances and community collaboratives that advance the quality of health care services and facilitate the collaboration processes in concert with internal and external stakeholders.

  6. Build and maintain subject matter expertise regarding State and DHS regulations and clinical best practices specific to behavioral health, public health and other covered MHCP services. Represent and incorporate knowledge of health care state/community trends and needs into BCBSMN capabilities for discussion and implementation as appropriate.

  7. Lead, participate and represent behavioral health strategies and interests with internal workgroups specific to Government Programs Product initiatives and clinical workgroups. 

  8. Assess, develop and initiate new program services in response to documented need in accordance with adequate feasibility studies and implementation plans.

  9. Develop and maintain an understanding of State-based initiatives and processes for implementation at Blue Cross and within the community. Identify potential strategic opportunities and alliances to improve behavioral health services and bring differentiation in the market place; champion within BCBSMN.

  10. Represents GP product in strategy meetings.  This position ensures strategies being proposed are viable and attainable for GP and matrixed organization. Lead implementation team to coordinate downstream operational activities needed to ensure product strategy and regulatory changes are rolled out into production.

  11. Manages the benefit design and implementation of all new contract established health benefits.

  12. In partnership with Affordability of Care Staff assess, develop and initiate new program services in response to documented need in accordance with adequate feasibility studies and implementation plans.

  13. Manage program eligibility including; strategy, message development and delivery to counties regarding complex Medicaid eligibility issues.

  14. Participate in applicable strategic conferences and health fairs.

  15. Be a thought leader and influence the strategies and initiatives of Blue Plus to compliment statewide directives and priorities of our county and community partners.

  16. Potential supervision of staff assigned to GMS Medicaid strategic initiatives (future).


Requirements


  • Bachelor’s degree in business, human services or health care related field and 7 years of relevant health care industry experience or experience working with the county human service delivery system (social services, public health, or eligibility) or 9 years relevant health care industry experience in lieu of a degree.

  • 7 years of experience in leading complex health challenge solution generation within a multi-stakeholder and community-based collaborative framework.

  • Knowledge of behavioral health, human services or public health care delivery systems, other community-based services and Minnesota community standards.

  • Health insurance industry knowledge including managed care, reimbursement, provider services, care management, and medical and behavioral health benefits.

  • Strong relationship management skills to collaborate and effectively work with stakeholders to influence change.

  • Exceptional speaking and presentation skills; ability to manage communication and follow up in sometimes difficult customer relationships.

  • Excellent organizational, change management and time management skills.

  • Well-developed written and oral communication skills with the ability to explain complex information clearly and convincingly.

  • Effective independent leadership and facilitation capability, proven skills in critical thinking and ability to pursue goals with tenacity and sense of urgency.

  • Travel throughout Minnesota will be expected.

  • Demonstrated ability to manage multiple complex issues or initiatives.

  • Proven ability to work independently and in a team environment.


Preferred Requirements


  • Master’s Degree in Behavioral Health or Health Administration.

  • Holds an unconditional licensure in a Behavioral Health Practitioner Specialty.

  • Experience and in-depth knowledge of Minnesota Medicaid benefits and business models.

  • County experience in the human services field.


FLSA Status

Exempt


Blue Cross Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



Make a difference



Thank you for your interest in Blue Cross. Be part of a company that lets you be you — and make a healthy difference in people’s lives every day



Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association


Nearest Major Market: Minneapolis

Job Segment: Medical, Law, Claims, Public Health, Social Services, Healthcare, Legal, Insurance, Service