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Manager, Client Population Health

Blue Cross Blue Shield of Massachusetts
Hingham, MA Full Time
POSTED ON 1/21/2025
AVAILABLE BEFORE 4/21/2025

Ready to help us transform healthcare? Bring your true colors to blue.

The RoleUnder the direction of the Associate Director of Client Population Health and working cross-functionally within the Health and Medical Management Division, this external-facing associate provides clinical consultation for account management functions to meet marketplace and business needs as well as manages account Health and Medical Management Performance Guarantees.

This position is eligible for the flex persona.

Key Responsibilities :

Account Management Responsibilities

  • Develop content for and present total population health / care management story at a variety of account meetings, including Finalist presentations and capabilities meetings
  • Interpret, aggregate, analyze, and present clinical account data and trends
  • Directly support accounts and sales by acting as a strategic clinical partner and point of contact / liaison for clinical inquiries and data reviews
  • Work closely with clinical subject matter experts, Health and Medical Management reporting and account informatics to support best-in-class account reporting and messaging on health management programs
  • Support the development of external-facing clinical program collateral and RFP responses
  • Serve as a subject matter expert for a variety of Sales support activities
  • Support trainings for new Account Executives about HMM programs
  • Provide relevant account feedback for internal audiences and workgroups
  • Keep abreast of local, regional, and national activity in the population health management / care management arena
  • Conduct ongoing environmental, business intelligence scanning and analysis in areas pertinent to health management

Performance Guarantee (PG) Responsibilities

  • Support account PGs by serving as PG lead for Health and Medical Management
  • Maintain a document of Health and Medical Management PG contractual terms
  • Collaborate with multiple stakeholders to maintain up-to-date metrics and track PG results
  • Lead the necessary updates of PG language annually
  • Assist in the strategic development of new PGs
  • Key Qualifications

  • Superior writing and public speaking skills and strong experience in presentations to diverse audiences
  • Analytical skills and ability to utilize and translate data and evidence based clinical research to support accounts and program design, and identifying clinical, quality and cost opportunities
  • Clinical expertise in variety of Health Management Programs, including Disease Management, Case Management, and population health programs
  • Excellent interpersonal skills for establishment of rapport with clinicians, business partners and accounts and for superb collaboration with internal key department leads throughout BCBSMA
  • Excellent ability to lead teams and work with diverse group of people including clinical, analytic, financial, and operations staff to meet deadlines and deliverables
  • Creative and tenacious problem-solving skills for matrix work across company and team building
  • Desire for ongoing professional development and willingness to respond to feedback
  • Ability to adapt and be flexible to change as priorities within this environment change constantly
  • Willingness to learn new skills from both a business and clinical perspective
  • Strong teamwork and communication skills as well as ability to be self-directive
  • Execution and results (ability to set goals, follow processes, meet deadlines, and deliver expected outcomes with appropriate sense of urgency)
  • Proficient in Excel, PowerPoint and Word
  • Education and Experience :

  • Bachelors degree in clinical / health related discipline required
  • Minimum of 5 years of clinical / health management practice experience, working knowledge of managed care industry, care management programs and health care policy, and further leadership experience in clinical realms
  • Licensed clinician (e.g. RN, RPh, etc.) preferred
  • Advanced degree such as MPH, MBA, MSN or MS preferred
  • Diverse clinically related experience and leadership roles preferred
  • LI-Hybrid

    Minimum Education Requirements :

    High school degree or equivalent required unless otherwise noted above

    LocationHinghamTime TypeFull time

    Salary Range : $100,890.00 - $123,310.00

    The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

    This job is also eligible for variable pay.

    We offer comprehensive package of benefits including paid time off, medical / dental / vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

    Note : No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law.

    WHY Blue Cross Blue Shield of MA?

    We understand that the confidence gap (https : / / www.theatlantic.com / magazine / archive / 2014 / 05 / the-confidence-gap / 359815 / ) and imposter syndrome (https : / / www.braintreepayments.com / blog / overcoming-imposter-syndrome / ) can prevent amazing candidates coming our way, so please dont hesitate to apply. Wed love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. Its in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

    As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https : / / careers.bluecrossma.org / us / en / culturepage) page. If this sounds like something youd like to be a part of, wed love to hear from you. You can also join our Talent Community (https : / / careers.bluecrossma.org / us / en / jointalentcommunity?applyType=JTC) to stay in the know on all things Blue.

    At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work / life balance is a key part of associate wellbeing. For more information on how we work and support that work / life balance visit our "How We Work (https : / / careers.bluecrossma.org / us / en / how-we-work) " Page.

    Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.

    Our Commitment to You

    We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.

    Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.

    Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

    Salary : $100,890 - $123,310

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