[Remote] Sr Project/Program Manager

Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is a health insurance provider that focuses on improving healthcare delivery. The Sr Project/Program Manager will lead the design of population health strategy initiatives to enhance care coordination and health outcomes, while collaborating with senior leadership to monitor effectiveness and identify areas for improvement.ResponsibilitiesLeads the development of population health strategies focused on advancing care coordination, improving health outcomes, and increasing program efficiencyGathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterpriseDevelops business cases, strategy concept designs and program requirements. Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiativesDevelops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plansIdentifies analyzes and understands target audiences and their specific program needs. Develops and deploys marketing strategy to increase member engagement in maternal health programsLeads vendor identification, evaluation, selection and contract negotiations for new vendor relationshipsWorks with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirementsMay work across multiple Line of Business and states to encompass program needs into population health strategiesEstablishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentationsOwns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverablesIncorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitoredSkillsBachelor's degree or advanced degree (where required)5+ years of experience in related field (strategic planning and program management for health plan)In lieu of degree, 7+ years of experience in related fieldPreference for a background in quality, public health, healthcare administration, business and/or clinical backgroundBenefitsMedical, dental, and vision coverage along with numerous health and wellness programsParental leave and support plus adoption and surrogacy assistanceCareer development programs and tuition reimbursement for continued education401k match including an annual company contributionAnnual Incentive Bonus*Paid Time Off (PTO)Competitive health benefits and wellness programsCompany OverviewIt's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. It was founded in 1933, and is headquartered in Durham, North Carolina, USA, with a workforce of 5001-10000 employees. Its website is https://www.bluecrossnc.com/.Company H1B SponsorshipBlue Cross NC has a track record of offering H1B sponsorships, with 2 in 2026, 4 in 2025, 1 in 2024, 2 in 2023, 5 in 2022, 13 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role.