**Job Description** Healthy Blue Care Together (HBCT) is partnering with the North Carolina Department of Health and Human Services to operationalize the Children and Families Specialty Plan (CFSP). CFSP is a single, statewide Medicaid Plan designed to provide seamless, integrated, and coordinated care to enrolled infants, children, youth, young adults, and families served and previously served by the child welfare system. HBCT is outcomes-driven and focused on ensuring that all members have access to quality services and benefits across North Carolina, addressing their physical health, behavioral health, pharmacy, intellectual/developmental, long-term services and supports, unmet health-related resource, and care management needs. Job Profile Summary The Senior Program Manager, in collaboration with the Principal Business Operations Advisor, will support monitoring and evaluation of key aspects of HBCT Plan execution, focusing on: Plan-based and delegated staffing and performance; clinical, care management, medication monitoring, psychosocial, and specialty program implementation; and provider network and service access equity and quality. The Senior Program Manager will support the development of data management and reporting strategies aligned with our Continuous Quality Improvement framework and Monitoring and Evaluation plan. The Senior Program Manager will collaborate with the Outcomes Monitoring and Evaluation Team to support population- and member-level outcomes monitoring and evaluation. **What You'll Do** + Develop project plans and recommendations in support ofPlanobjectivesandleadsimplementation; tracks and reports on the status of the project.Mustascertain,categorizeand manage projects in relation toPlanpriorities. + Coordinate data sharing and integration across systems to enable comprehensive performance analysis. + Use dashboards, team reporting, regulatoryreportsand other artifacts to develop Plan-level insights on Plan functions within Care Management, Provider Network, and Cross-collaboration teams. + Track headwinds and tailwindsimpactingoverall program performance. + Ensure data accuracy and usability for decision-making. + Ensuretimelyexecution of improvement plans andmonitorprogress against defined goals. Delegatesassignments and monitoring progress asrequiredtoensureatimelycompletion of deliverables. + Coordinatedevelopment and implementation of policies and procedures as well as development ofmonitoring and evaluation benchmarks. + Controlandmonitorproject effectiveness, updateprojectplansas necessary. Ensurecompliance with necessary audit requirements. + Assistwith analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met. + Developescalation process to channel issues and concerns toappropriate parties. + Evaluateproject risks, developcontingencyplansandrespondto change in risk as the project progresses. + Developeffective business process improvement initiatives and communication plans. + Performanalytic functions andcoach staff inanalytical production, technical and other areas. + Documentand presentproject management results through the development of criteria, issue analysispapersand reports + Trackbudgets, operatingplansand financial cost forecasts to support theobjectivesof the project. ​ **Hiring Requirements** + Bachelor's degree or advanced degree (where required) + 5+ years of experience in related field. + In lieu of degree, 7+ years of experience in related field. **Bonus Points** + Strong Project Management experience working across multiple teams within a larger organization + Understanding of IT systems within Managed Care and how these systems support on-going functionality across multiple teams + Strong skills inin excel, tableau and/or other data management tools + Experience with Child Welfare systems **What** **You’ll** **Get** + The opportunity to work at thecutting edgeof health care delivery with a teamthat’sdeeply invested in the community  + Work-life balance, flexibility, and the autonomy to dogreat work  + Medical, dental, and vision coverage along withnumeroushealth and wellness programs + Parental leave and support plus adoption and surrogacyassistance  + Career development programs and tuition reimbursement for continued education + 401k match including an annual company contribution   + Learn more (https://careers.bluecrossnc.com/global/en/benefits)    **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._ $89,174.00 - $142,679.00 **Skills** **About Us** It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. **Authorization to Work in the United States** We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español. **Request Accommodations** Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com . **For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:** Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming