Manager Performance Hub Medicaid
Job Summary
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.
This position ensures enterprise understanding of contract requirements operational readiness and implementation accountability and partners with Compliance to maintain regulatory alignment. This role is accountable for operational accuracy proactive risk identification and outcomes supporting Medicaid P&L performance.
- Direct end-to-end Medicaid procurement and contracting activities including RFP strategy and execution contract negotiations implementation planning and contract modifications.
- Provides operational and administrative support to Medicaid accounts throughout the contract lifecycle ensuring accuracy and timeliness.
- Ensure ongoing contract readiness and accountability by maintaining required documentation overseeing contract data integrity and leading annual contract obligation attestations.
- Overseeing team workload and delivery to ensure objectives supporting Medicaid P&L performance are met.
- Facilitating coordination across internal and external stakeholders to support Medicaid account execution.
- Partnering with Government Liaison and Medicaid Program Health teams to identify risks resolve issues and leverage data insights to inform proactive decision-making.
- Contributing to Medicaid and enterprise education efforts to ensure understanding of Medicaid programs and contract requirements.
- Accountable for the full associate lifecycle including workforce decisions performance and talent management employee relations policy compliance and cost control.
- Performs additional responsibilities consistent with the scope and level of the role as assigned.
- 5 years of progressive Medicaid experience with 1 staff team lead or project lead experience.
- Bachelors degree; in lieu of a degree an additional two years of relevant experience beyond the qualifications listed above may be accepted.
- Masters degree in related field.
- Knowledge of government healthcare programs regulations and compliance requirements.
- Knowledge of health plan operations products and business practices.
- Experience improving processes workflows or operational performance.
- Ability to communicate expectations and priorities clearly to team members actively listen to resolve issues and remove barriers and drive alignment across teams and stakeholders.
- Ability to analyze department challenges guide team decision-making and collaborate across teams to drive resolution and next steps.
- Ability to effectively organize team work balance priorities across projects and manage time and resources to ensure timely delivery and coordination.
Role designation definition:
- Teleworking is working full time remote.
- Hybrid is a minimum of 2 days onsite.
- Onsite is full-time onsite.
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.
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.
At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.
Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:
Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Required Experience:
Manager