Health & Clinical Engagement Unit Manager
Overview
Department Overview
The Health and Clinical Engagement division provides valuable health and wellness services to help people maximize their health and quality of life. Health Management is one of the most critical issues Blue Cross and Blue Shield of Alabama faces in fulfilling its responsibility to be a superior administrator of health care benefits. Our goal is to provide the highest quality benefits and services while we effectively control health care costs.
Primary Responsibilities
The incumbent will organize, direct and manage Health Management activities to ensure maximization of the value customers receive for their health investment. Demonstrate support for organizational changes needed to enhance the effectiveness of the division is a core function. The incumbent should provide clear direction and educate staff on program(s) or business requirements to ensure guidelines are followed. These responsibilities require managers to monitor the performance and workflow of staff to ensure deadlines are met and quality is maintained.
Summary of Qualifications
Bachelor's degree
Registered Nurse under the Alabama Board of Nursing; or three years of experience in a health related setting such as research, population management, healthcare administration or healthcare analysis
Effective verbal and written communication skills
Excellent conflict management and interpersonal skills
Experience monitoring and interpreting data
Excellent critical thinking and decision making skills
Organizational and time management skills
Leadership experience
Experience making formal presentations
Graduate degree in Business, Nursing, or Healthcare Administration preferred
Management experience preferred
Working knowledge of utilization and medical cost management principles preferred
Demonstrated knowledge and understanding of applicable accrediting organizations such as the National Committee for Quality Assurance (NCQA) preferred
Commission for Case Manager Certification (CCMC) or willingness to obtain CCMC preferred
Clinical experience as a Registered Nurse strongly preferred
Management experience in a corporate environment a plus
Terms and Agreements
By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.
We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.
Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association
Realize Full Potential
Apply Now
Department Overview
The Health and Clinical Engagement division provides valuable health and wellness services to help people maximize their health and quality of life. Health Management is one of the most critical issues Blue Cross and Blue Shield of Alabama faces in fulfilling its responsibility to be a superior administrator of health care benefits. Our goal is to provide the highest quality benefits and services while we effectively control health care costs.
Primary Responsibilities
The incumbent will organize, direct and manage Health Management activities to ensure maximization of the value customers receive for their health investment. Demonstrate support for organizational changes needed to enhance the effectiveness of the division is a core function. The incumbent should provide clear direction and educate staff on program(s) or business requirements to ensure guidelines are followed. These responsibilities require managers to monitor the performance and workflow of staff to ensure deadlines are met and quality is maintained.
Summary of Qualifications
Bachelor's degree
Registered Nurse under the Alabama Board of Nursing; or three years of experience in a health related setting such as research, population management, healthcare administration or healthcare analysis
Effective verbal and written communication skills
Excellent conflict management and interpersonal skills
Experience monitoring and interpreting data
Excellent critical thinking and decision making skills
Organizational and time management skills
Leadership experience
Experience making formal presentations
Graduate degree in Business, Nursing, or Healthcare Administration preferred
Management experience preferred
Working knowledge of utilization and medical cost management principles preferred
Demonstrated knowledge and understanding of applicable accrediting organizations such as the National Committee for Quality Assurance (NCQA) preferred
Commission for Case Manager Certification (CCMC) or willingness to obtain CCMC preferred
Clinical experience as a Registered Nurse strongly preferred
Management experience in a corporate environment a plus
Terms and Agreements
By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.
We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.
Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association
Realize Full Potential
Apply Now