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Government Programs Partner Relations Consultant Job

Date: Mar 14, 2019

Location: Eagan, Minnesota, US, 55122

Company: Blue Cross and Blue Shield of Minnesota

 



About Blue Cross



 



Founded in 1933, Blue Cross and Blue Shield of Minnesota is the largest health plan in the state. We have more members, the largest network of providers and more products and services than any other plan in Minnesota. From the beginning, Blue Cross has been an innovator with a mission of making a healthy difference in people’s lives.



 



We understand the importance of finding a job that you truly enjoy — at a company that shares your values. We’ve made it easy to feel good about working at Blue Cross by encouraging volunteerism, valuing diversity and offering the flexibility you need to live a balanced life. We offer a suite of comprehensive medical and dental benefits as well as competitive pay, flexible work schedules and generous personal paid time off in addition to 20 hours of volunteer paid time off each year. We look forward to serving Minnesotans over the next 80 years and beyond. Join us and make a healthy difference through the work you do every day.


Description Summary

This position will oversee county and non-traditional provider relations that support government programs wide range of Medicare and Medicaid products. The position will lead the development of and provision of semi-annual delegate training, conducting annual care plan audits and ensuring post-audit follow up, serving as a regulatory and Blue Plus subject matter expert/resource and providing delegate oversight. The Lead is a subject matter expert as well as a coach, supporting employees, coaching them over time and providing performance feedback to the Manager.


Accountabilities


  1. Provide day to day support for Team members, mentoring, coaching, and fulfilling role of preceptor for staff. Provide performance feedback to Manager; the Lead role does not deliver performance management feedback to staff; this is the responsibility of the manager.

  2. Develop and maintain cross-functional business relationships with internal and external partners in order to effectively manage product lines, drive product-related process improvement and provide leadership of collaborative teams that cross departments and BCBSM business units, such as Network Management and Integrated Health Management, and community provider partners. Staff internal and external workgroups.

  3. Maintain technical and regulatory Government Programs product expertise and serve as product resource and expert to internal and external partners. Provide day to day product management oversight for operations and budget.

  4. Lead the development of training curriculum and provision of semi-annual delegate training both face to face or through webinar technology.

  5. Lead the planning and execution of annual care plan audits, including assisting in the development of the audit protocol and process design and required post audit follow up.

  6. Implement and maintain a comprehensive delegate oversight program to ensure that contracted entities adhere to contract and compliance requirements and, in consultation with Manager, impose corrective and/or disciplinary action plans when required. Foster effective delegate relationships through facilitation, coaching, mentoring, and teaching.

  7. Lead the development of delegate guidelines, forms, resources, and process improvement initiatives.

  8. Coordinate product related promotional activities such as conference booths, ad hoc trainings, and child and teen check-up/lead screening outreach activities.


Requirements


  • Bachelor's degree and 5 years relevant experience in health care, social services, or related field.

  • 3 years of working knowledge of current managed health care field and key competition.

  • Exceptional and demonstrated ability to build strong working relationships with vendor partners and internal and external business partners.

  • Demonstrated ability to work independently and handle a variety of responsibilities.

  • Exceptional and demonstrated organizational and time management skills with ability to shift priorities as business demands require.

  • Excellent and demonstrated facilitation and presentation skills.

  • Exceptional and demonstrated conceptual and analytical skills.

  • Exceptional and demonstrated ability to think and plan strategically; strong attention to detail.

  • Must be self-motivated with strong initiative to learn.

  • Exceptional and demonstrated effective verbal and written communication skills.

  • Demonstrated process and quality improvement experience.

  • Ability to travel.


Preferred Requirements


  • Registered Nurse, Public Health Nurse, or licensed Social Worker with current MN license.

  • Mentoring, coaching experience.

  • Health related auditing experience.


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

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