Senior Program Manager - Quality Improvement

Senior Program Manager - Quality Improvement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

Blue Cross and Blue Shield of Minnesota is hiring a Senior Program Manager to support our Quality Improvement program in Eagan, MN. This role leads strategic initiatives to improve health care delivery and member outcomes, with a primary focus on Medicaid product lines. It is responsible for implementing and evaluating quality improvement programs, ensuring compliance with regulatory requirements, and managing key processes such as data analysis, survey design, performance monitoring, and reporting. The Senior Program Manager collaborates with internal and external stakeholders to align program execution with market, member, and provider needs. It supports business decision-making through data-driven insights, manages multiple concurrent initiatives, and oversees communication plans to ensure transparency and progress. This role also contributes to national metric tracking, supports NCQA and other regulatory programs, and helps shape strategic priorities through cross-functional collaboration.

Ideal candidates will have a clinical background, bring experience in large-scale quality improvement efforts, regulatory compliance, and program management within complex health care environments.

Your Responsibilities

Drive the development and documentation of design, requirements and implementation of multiple strategic programs.

Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design.

Support the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored.

Support the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence.

Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.

Continually update program or project plans, timelines and deliverables while coordinating multiple sub-processes to expand and / or improve programs.

Manage multiple communication plans in conjunction with leadership and to support initiatives, including status and progress updates.

Stay abreast of changes in the rapidly evolving health care marketplace.

May perform other duties as assigned.

Required Skills and Experience

5+ years of related professional experience.

Demonstrated organizational relationship management skills.

Ability to thrive in ambiguity.

Strong critical thinking skills and problem solving / conflict resolution skills.

Excellent written and verbal communication skills with strong facilitation, negotiation and presentation skills, adapting approach as needed.

Attention to detail and time management skills.

Self-motivated, ability to work independently, and demonstrated ability to work under tight time frames.

Knowledge of the health care industry, payer business models, business segments and products.

Proven ability to handle a variety of assignments in a fast paced and complex business environment.

Proven ability to define problems, collect and analyze data, establish facts and draw valid conclusions.

Preferred Skills and Experience

Bachelor's and / or Master's degree.

Advanced knowledge of regulatory agencies, including NCQA, CMS, and DHS.

CPHQ certification a plus.

Clinical Nursing and Behavioral Health license preferred.

Experience identifying and leading end to end process and quality improvements cross-functionally; background in Lean, Six Sigma or other methodologies preferred.

Proven experience leveraging data to drive strategic decisions and craft compelling narratives that translate complex insights into actionable recommendations for diverse stakeholders.

Demonstrated ability to influence and drive cross-functional collaboration by leading initiatives and teams without direct authority, building trust, aligning stakeholders, and delivering results through strategic relationship management.

Content expertise in the reduction of health risk behavior.

Experience working in / with diverse racial or ethnic groups and nations.

Ability to combine traditional health education approaches with policy or other advocacy tactics.

Compensation and Benefits

Pay Range : $88,600.00 - $146,200.00

Annual Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include : Medical, dental, and vision insurance Life insurance 401k Paid Time Off (PTO) Volunteer Paid Time Off (VPTO) And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Equal Employment Opportunity Statement

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at : talent.acquisition@bluecrossmn.com.

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.