Blue Cross of Idaho Dual Eligible Program Manager in Meridian, Idaho

To manage the implementation of new products and to ensure that all contractual obligations to the State of Idaho and CMS are met timely and accurately. Serve as the primary point of contact to the state on all regulatory requirements and guidance.

QUALIFICATIONS: (Minimum qualifications required for the job)

  • Experience: Three years’ in Medicare/Medicaid industry

  • Education: Bachelor’s degree (Business, Healthcare Administration preferred); OR equivalent work experience (Two years’ work experience is equivalent to one year college)

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

  • Medicaid and Medicare state and federal regulations

  • State regulatory processes and program requirements

  • Health insurance industry

  • Managed Care operations in cross-functional business segments and their integrated influences and relationships

  • Unique aspects of providing services to a dual eligible population

Skills:

  • Excellent written and verbal communication

  • Strong analytical, organizational and planning skills

  • Ability to successfully lead program execution

  • Microsoft Office Suite including working knowledge of SharePoint

Ability to:

  • Work effectively in a team environment

  • Work under general direction

  • Collaborate with internal business owners to resolve complex problems in a matrixed organization

  • Promptly evaluate and escalate any identified potential regulatory risks to the organization

  • Implement and manage an internal reporting structure to ensure the organization is meeting all regulatory obligations in a compliant manner

  • Track and analyze new and revised State and Federal regulations to ensure compliance

  • Participate in the development of company strategies and long range plans necessary to ensure the success of BCI’s Medicare and Medicaid programs

Preferred Requirements:

  • Master’s degree in related field

Position reports to: Director, Dual Eligible Programs Salary Grade: 19 Internal Job Posting Dates: 4/4/2018 - 4/12/2018 External Job Posting Dates: 4/4/2018 - until filled

Job ID #: 1767

Location: Meridian, ID (Corporate Headquarters)

Job Category: Government Programs

Education Required: Bachelors Degree

Employment Type: Full Time

Experience Required: 3 - 5 Years