Shire Jobs

Job Description

Responsible for overseeing and directing the operational and tactical aspects of various projects, initiatives, and ongoing business tasks to align with organizational objectives. Identifies and resolves issues impacting project deliverables, collaborates with project team members, stakeholders, and sponsors to drive successful project implementation. Assesses project risks, develops mitigation strategies, and ensures projects have necessary resources to meet milestones. Leads and coordinates cross-functional teams to achieve project goals.

What You'll Do

• Support Pharmacy Quality Team initiatives and work on Medicare Part D Patient Safety measure gap closure.

• Monitor the progress of program components to ensure the overall goals, schedules, and benefits of the program will be met.

• Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project. Must ascertain, categorize and manage projects in relation to corporate priorities.

• Negotiates for resources to staff projects effectively with appropriate skill sets, aligning skills to the needs of the project. Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation.

• Coordinates development and implementation of policies and procedures as well as development of compliance measurements. Controls and monitors project effectiveness; updates project plans as necessary. Ensures compliance with necessary audit requirements.

• Represents BCBSNC in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors.

• Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.

• Develops escalation process to channel issues and concerns to appropriate parties.

• Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses.

• Develops effective business process improvement initiatives and communication plans.

• Performs analytic functions and coaches others in analytical production, technical and other areas.

• Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (i.e. Cost/Benefit Analysis, Flowcharting, etc.).

• Documents and presents project management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals.

• Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project.

• Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training.

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree (where required)

• 5+ years of experience in related field.

• In lieu of degree, 7+ years of experience in related field.

Nice to Have (Hiring Preferences)

• Experience with Medicare Part D.

• Proficiency in Microsoft Office suite, particularly Word, Excel, and PowerPoint.

• Strong time management skills.

• Ability to write various business documents like statements of work, business proposals, or business justification/case scenarios.

• Excellent communication skills.

• Attention to detail and strong organizational abilities.

Salary Range

$75,900.00 - $136,600.00

About Us

It'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. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.

For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming

Much more than a paycheck

The total value of working at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks (https://careers.bluecrossnc.com/global/en/benefits) that help you thrive, such as competitive health benefits, bonus plans based on performance, 401(k) with employer match, paid time off (plus two well-being days), and a variety of career development and wellness programs.