At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for managing one or more highly complex or enterprise-wide program(s) consisting of multiple projects. Being accountable for end-to-end delivery of a complex program (could include multiple projects), including managing the cost / budget, schedule & dependencies, resources, scope, quality, and risk. Developing the program strategy, supporting business case and various enterprise-wide high-level project plans. Providing a strong blend of technical and business acumen to drive the design, development and implementation of strategic programs. Building a sufficient level of knowledge of it products and lob to enable targeted probing of delivery feasibility and conflicts with other projects. Ensuring integration of program and corresponding sub-projects and adjusting program scope, timing, and budgets as needed, based on the needs of the business. Responsible for driving deliverables and activities with pdl and it product managers by removing barriers, escalating risk/issues, building consensus, and driving decisions, as well as tracking key program milestones and recommending adjustments to program leadership and team. Responsible for two major initiatives: PEAQ (Provider Efficiency, Appropriateness, and Quality) is HCSC’s framework for measuring provider performance across cost efficiency, appropriateness, and quality outcomes. HDE (Health Data Exchange) enables the secure exchange of healthcare data across providers, partners, and systems to improve interoperability, care coordination, and access to timely clinical information. Lead the development and prioritization of the PEAQ and HDE roadmaps, including business cases, analyses, funding requests, and executive-level presentations. Partner with Strategy, Finance, Actuarial, business owners, and operational stakeholders to evaluate investment opportunities, manage governance through the Steering Committee, and ensure high-priority enhancements, methodology changes, data exchange initiatives and connections are aligned with enterprise objectives and delivered effectively. Bachelor degree and 6 years of Health Care industry and/or IT work experience OR 7-10 years managing projects and some experience managing complex programs. In-depth knowledge of business area and/or industry/technology included in scope. Leadership experience in multi-discipline, high-performance work teams/groups. Ability to work both independently or in a team environment on multiple initiatives in a fast paced environment. Experience in developing and reviewing program/project budgets and cost/expense information. Experience delivering action plans to allocate resources across programs. Experience in negotiations and managing conflict; organizational / political savvy. Experience in facilitation skills, with strong verbal and written communication. Experience in project management lifecycle, project/program management, and portfolio management methodologies and tools. Good judgment and quick business decisions. Ability to influence (direct / indirect reports, project stakeholders, and leaders) and manage in a matrix organization Ability to handle ambiguity, with the agility and flexibility to adapt to constantly changing priorities Structured, organized and methodical in execution; takes ownership and accountability for outcomes, drives for results and drives certainty in delivery Develops trusted relationships and demonstrates deep Interpersonal skills Experience with the entire software development lifecycle from inception to development to testing to production deployment and maintenance; deep understanding of common software delivery models – OWF, Scrum, XP Knowledge of Clarity PPM system and expertise in Microsoft Suite, including Excel, PPT, Word, Project Preferred Job Qualifications: Expertise in business case development, including financial analysis, value creation strategies, and executive-level recommendations. Financial modeling and ROI analysis, payback period, and scenario modeling. Experience evaluating and prioritizing strategic initiatives, operational transformations, and healthcare business opportunities. Strong understanding of healthcare economics, payer/provider operations, value-based care, and health insurance business models. Experience developing market assessments, growth strategies, and go-to-market plans for new products, or capabilities. Consulting experience with a demonstrated ability to structure ambiguous problems and drive data-driven decisions. Proficiency in business analytics, and decision-support methodologies. MBA, MHA, CFA, or equivalent strategic, financial, or healthcare business experience preferred. #LI - RR1 #LI - Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law. Base Pay Range $112,200.00 - $202,600.00 Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Sr Program Manager - PEAQ & HDE - Flex.

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