Blue Cross Blue Shield of Massachusetts

Sr. Program Manager, Clinical Quality

BOSTON, MAPosted 30+ days ago

Job summary

  • Job post source

    This job is directly from Blue Cross Blue Shield of Massachusetts

  • Job overview

    The Sr. Program Manager, Clinical Quality leads and manages clinical quality improvement projects and accreditation compliance within Blue Cross Blue Shield of Massachusetts, impacting healthcare quality and member care.

  • Responsibilities and impact

    The role involves developing and coordinating quality improvement projects, supporting NCQA accreditation, collaborating with internal and external partners, analyzing quality data, overseeing delegates, and educating team members to enhance clinical quality.

  • Compensation and benefits

    The salary range is $117,900 to $144,100 with eligibility for variable pay. Benefits include paid time off, medical/dental/vision insurance, 401(k), and wellness programs.

  • Experience and skills

    Requires an RN with 6+ years clinical and managed care experience, 2-3 years supervisory experience, 3-5 years in quality improvement related to NCQA or CMS compliance, strong project management skills, and preferred CPHQ certification.

  • Career development

    The company is committed to investing in employee development and providing resources for career growth within an inclusive and rewarding workplace.

  • Work environment and culture

    Blue Cross Blue Shield of Massachusetts promotes an inclusive culture valuing diversity, work/life balance, and employee wellbeing with hybrid work options.

  • Company information

    Blue Cross Blue Shield of Massachusetts is a healthcare organization focused on transforming healthcare quality and member care through innovative programs and accreditation standards.

  • Team overview

    The Sr. Program Manager works under the Director of Clinical Quality and collaborates closely with the Clinical Quality team and other departments within Health and Medical Management.

  • Job location and travel

    The position is located in Boston and Hingham, Massachusetts with hybrid work expectations of two days in office per week for local candidates.

  • Unique job features

    The role involves leading NCQA accreditation activities, using continuous quality improvement tools, and driving cross-functional initiatives in a major healthcare insurer.

Company overview

Blue Cross Blue Shield of Massachusetts (BCBSMA) is a leading health insurance provider offering a range of healthcare plans to individuals, families, and businesses. They generate revenue through premiums paid by policyholders and reimbursements from healthcare services. Founded in 1937, BCBSMA has a long history of providing quality healthcare coverage and is known for its commitment to community health initiatives and innovative care solutions. The company is part of the larger Blue Cross Blue Shield Association, which operates nationwide.

How to land this job

  • Position your resume to highlight your expertise in clinical quality improvement, NCQA accreditation standards, and your ability to manage cross-functional healthcare projects effectively.

  • Emphasize skills such as data analysis, stakeholder engagement, project leadership, and knowledge of clinical quality initiatives along with your experience in continuous quality improvement and compliance management.

  • Apply through multiple platforms including Blue Cross Blue Shield of Massachusetts' official corporate career site, LinkedIn, and other job boards to maximize your application visibility.

  • Connect on LinkedIn with professionals in the Health and Medical Management division or Clinical Quality team at Blue Cross Blue Shield of Massachusetts; use ice breakers like commenting on recent quality initiatives they’ve led or expressing genuine interest in their role in transforming healthcare.

  • Optimize your resume for ATS by incorporating keywords such as 'NCQA accreditation,' 'clinical quality improvement,' 'population health management,' 'project management,' and 'quality compliance' to ensure it passes automated screenings.

  • Utilize Jennie Johnson's Power Apply feature to automate tailored applications, identify relevant job portals, and generate meaningful LinkedIn connections, allowing you to focus your energy on preparing for interviews and professional growth.

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