FEP Supplemental Benefit Senior Program Manager (Dental Program)

Health Insurance Program ManagerThis role manages all aspects of a large health insurance program. Leads all aspects of contracting and implementation with the vendor partner and Office of Personnel Management (OPM). Responsible for developing the strategic business objectives to advance the program. Leads the vendor partner and internal staff to develop and implement a work plan to ensure the strategic objectives are met. Manages all aspects of contract oversight for two contracts, the vendor partner and OPM. Leads all aspects of the annual benefit development. Leads and serves as the subject matter expert for program education including the daily relationships with all parties involved in the program, facilitating education materials, as well as attending and presenting at events throughout the year.Why TeamBCBSA? This is a highly exciting role because the person has the opportunity to truly own the entire dental operations from a program perspective. They won't just be managing the day-to-day operations, but will also be shaping key areas like claims oversight, grievance and appeals, provider credentialing, customer service, and utilization management. It's a unique opportunity to drive the overall health plan operations for dental and to have a real impact on how we serve our members.The posting range for this position is:$103,677.00-$149,129.62Qualifications: EducationRequired Bachelor's Degree College Degree or equivalent work experienceExperienceRequired 5+ Years health insurance industry and/or health care knowledge and experienceKnowledge Skills and AbilitiesKnowledge and demonstrated skills in developing, planning, directing, and execution of strategic business plans.A proven record of measurable accomplishment in developing and administering strategic business plansEffective relationship skills with the ability to interact effectively and work collaboratively with internal and external staff, participate or take the lead in Plan visits, increasing awareness and understanding of BCBSA and the program value.Knowledge and demonstrated skills in contracting and contract oversightAbility to identity and quantify the appropriate metrics to determine strategic direction and success.Ability to translate technical and complicated information into member friendly communications.Knowledge and understanding of customer service processesAbility to ensure that complex computer systems are programmed to adjudicate claims correctly.Ability to work well under pressure, with demonstrated success at working under deadlines with tight time frames.Analytical and problem solving skillsOrganizational and leadership skillsDecision making skills in complex situationsStrategic thinking skillsOutstanding written and verbal communications skills –in particularSolid writing skills with ability to craft comprehensive and persuasive communicationsAbility to create and deliver presentations to meet the need of the client (Plan, Agency, Member, OPM, etc.)We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.