BlueCross BlueShield of Tennessee is hiring a Director of LTSS Service Operations and CHOICES. In this critical role, you’ll lead the development, coordination, implementation, and completion of large projects for BlueCare LTSS (Long Term Services & Supports) operations and CHOICES programs at BCBST. Our ideal candidate will serve as a thought leader and LTSS subject matter expert, bringing fresh perspectives on the ways we support our members and providers and translating enterprise objectives into program improvements.
Note: We are a remote-first organization, but this role will require at least quarterly travel across Tennessee (Nashville, Chattanooga). Additionally, qualified candidates will need to reside in Tennessee (or be open to relocation here).
Job Duties & Responsibilities
- Setting performance standards to meet goals of organization. Coaching team(s) to achieve performance goals and objectives.
- Providing mentoring and professional development for the department; developing procedures and policies to enhance and improve operational processes.
- Developing and implementing procedures to deliver effective service for internal and external customers, ensuring compliance with standards and contractual obligations, and monitoring customer satisfaction levels.
- Providing feedback to the organization regarding operational outcomes, effectiveness, and efficiencies. Ensuring project and initiatives for process improvement are successful.
- Manages all aspects of program implementation to ensure projects are implemented, accepted and accomplished within set deadlines.
- Organizes and coordinate processes and procedures for all project teams to follow within the program. Sets deadlines, assigns responsibilities, and monitors and summarizes progress of project/program.
Job Qualifications
Education
- Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment.
Experience
- 7 years - Experience in a project and/or program management role required.
- 5 years - Leadership experience managing multiple, cross-functional teams required
- 3 years - Experience with medical management systems, practice management systems or other related systems required.
- 3 years - Medicaid experience required.
Skills/Certifications
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- This individual must be comfortable with professionally challenging key stakeholders at all levels of the organization.
- Ability to lead and motivate cross-functional, interdisciplinary teams to achieve tactical and strategic goals.
- Ability to work independently on multiple tasks involving critical deadlines with little or no supervision as well as part of a team
- Excellent oral and written communication skills
- Strong interpersonal and organizational skills
- Outstanding negotiation, presentation, and facilitation skills.
- Ability to act as a mentor
Number of Openings Available
1
Worker Type:
Employee
Company:
VSHP Volunteer State Health Plan, Inc
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.