• Job Description

  Req#: RQ0017528

  Job Description

  Healthy Blue Care Together is Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve children and families through the Children and Families Specialty Plan (CFSP).
  This individual will serve as the primary contact for a regional grouping of County Division of Social Services (DSS) offices, including County Directors of Social Services and County Child Welfare Workers, to triage and escalate issues where County Child Welfare Workers are seeking to coordinate with CFSP care managers and Member specific and/or CFSP-related questions.
  Candidates for this position must live in one of the following North Carolina counties: Beaufort, Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Hyde, Martin, Pasquotank, Perquimans, Tyrrell, Washington

  *Candidates must currently live in one of the following North Carolina counties to be considered for this position: Beaufort, Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Hyde, Martin, Pasquotank, Perquimans, Tyrrell, Washington*

  What You’ll Do

  • Develop and execute strategic, community-focused initiatives that advance Blue Cross NC’s brand and business objectives, member outreach, retention activities, etc. Strategies will include but are not limited to maximizing accessibility and quality health care for community members.

  • Manage all escalation and troubleshooting for DSS county-level concerns and ensure appropriate resolution and follow up for

  • Lead the Member Advisory Committees and create appropriate follow up plan to ensure that member feedback guides policy changes, informs our investments in community resources, and supports process changes to align with community needs for the CFSP role in the System of Care.

  • Continuously improve our educational efforts through data-driven insights and local input that effectively capture and incorporate important nuances in the local System of Care.

  • Collaborate with other Healthy Blue Care Together and Healthy Blue teams to achieve business objectives.

  • This role will work closely with community organizations that serve children and families engaged with the child welfare system and will be responsible for representing Healthy Blue Care Together and Healthy Blue, our Medicaid Standard Plan, at community tabling events.

  • Manage policies and procedures, and oversee projects and program, ensuring deliverables and objects are met.

  What You Bring

  • Must have experience working with North Carolina DSS and knowledge of North Carolina’s child welfare system.

  • 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

  Bonus Points

  • Excellent written and verbal communication skills to effectively work with diverse groups.

  • Ability to identify, analyze and understand target audiences and their specific program needs.

  • Proven knowledge of policies and procedures to improve programs efficiency and effectiveness.

  • Ability to utilize reports and records of activities to ensure progress is being accomplished toward specified program objective and modify or change methodology as required to redirect activities and attain objectives.

  • Ability to own and make needed decisions to ensure the successful resolution of all issues, problems and changes within the program that do not alter or defer significantly from the agreed upon milestones and major deliverables.

  What You’ll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community

  • Work-life balance, flexibility, and the autonomy to do great work

  • Medical, dental, and vision coverage along with numerous health and wellness programs

  • Parental leave and support plus adoption and surrogacy assistance

  • Career development programs and tuition reimbursement for continued education

  • 401k match including an annual company contribution

  Salary Range

  At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

  *Based on annual corporate goal achievement and individual performance.
  

  $69,000.00 - $124,200.00

  Skills

  Communication, Community Development, Community Education, Community Events, Community Interaction, Community Investment, Community Organization, Community Outreach, Community Relations, Cultural Awareness, Media Relations, New Program Development, Policy Management, Public Affairs, Public Relations (PR), Stakeholder Management

• About the company

  Shop for health insurance plans for North Carolina. Blue Cross NC offers individual and family, Medicare, vision, and dental insurance plan options.

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