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Member Engagement Manager

1 month ago

Meridian, United States Blue Cross of Idaho Health Service, Inc. Full time

Blue Cross of Idaho is looking for a Member Engagement Manager to implement and administer programs, typically consisting of multiple projects or sub-projects within the Risk Adjustment Department focused on member engagement. This role will report to the Senior Director and will partner across the organization to align major components of multiple projects in order to drive and implement strategies for the business unit. This role is responsible for planning, governance, and oversight of the successful delivery of the programs.

The ideal candidate will have a sharp business mind and proven ability to strategize and implement high-level program initiatives.

The position is located in Meridian, Idaho. Hybrid work schedule is supported. #LI-Hybrid

To be considered for this opportunity, you have:

Experience: 5 years' health related, business process and analysis, project management or related experience

Education: Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

To be successful in this role you have:

  • Exceptional skills in leadership, time management, facilitation/presentation and organization.
  • Executive presence
  • Knowledge of change management principles and performance evaluation processes
  • Ability to develop and maintain effective working relationships at all levels
  • Ability to work in a complex and dynamic team environment
  • Lead complex, segment-oriented initiatives through cross-functional areas
In this role, we will ask you to:
  • Work directly with members and/or brokers to improve health outcomes through incentivize, rewards, and education.
  • Provide support directly to members to help them get the best possible care, in-line with risk adjustment parameters and rules.
  • Provide support directly to members to help them get the best possible care, in-line with risk adjustment parameters and rules.
  • Direct and prioritize resources to members most in need, including things like in-home assessments and transportation if necessary.
  • Organize large events and campaigns for members to learn about and take advantage of the benefits available to them, and to hear about how to improve BCI.
  • Partner with other BCI employees who also work directly with members to coordinate and optimize all internal efforts, and to make it feel like a single unified company to our members.
  • Have direct responsibility for ongoing policy development, interpretation, enforcement, and/or application analyses.
  • Work closely with project sponsor(s), cross-functional teams, and assigned project managers to develop the scope, deliverables, required resources, work plan, budget, and timing for new initiatives.
  • Handle communications and decisions related to the Program and other functions, as applicable.
  • Oversee mandates/initiatives related to Program initiatives, operations, financial settlements, membership, attribution, and reporting.
  • Oversee Programs performance measurements and ensures action plans are in place, as needed.
  • Evaluate program efficiency by collecting and analyzing data in support of key performance metrics.
  • Ensure that activities are in compliance with organizational policies and relevant external regulations.
  • Provide reports and updates to senior management or other partners.
  • Perform other duties and responsibilities as assigned.


Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.