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Added just now
GI
Case Manager - No Weekends!
Goodwill Industries of South Central Wisconsin, Inc.
Madison, WI
- $21.5 USD / hour
Assists the Program Manager with the training and development of coaches.
Added just now
TM
Recreation/Park Facility Manager I (12989, Grade 20)
The Maryland-National Capital Park & Planning Commission
Wheaton-Glenmont, MD
- $57,747 to $102,275 USD / year
…opportunities for the community.The Recreation/Park Facility Manager I will serve on the Wheaton Ice Arena management team year-round and will support rink operations, including maintenance…
Added just now
Business Development Manager, Advertising
Expedia, Inc.
IL
Business Development Manager, Expedia Group Advertising (EGA)
Added 1 min ago
Food Service Director
Healthcare Services Group, Inc.
New Haven, IN
The Department Manager oversees the food service program at a single site, ensuring high food quality standards, inventory management, food safety, and customer service. This role requires…
Added 1 min ago
Operations Manager
Default Brand
Mesquite, TX
Ensure operational processes support quality standards and customer expectations
Added 1 min ago
Program Manager - Custodial Operations
Opportunity Center Inc.
United States
Participates in program evaluation by collecting and analyzing data in support of key performance matrix.
Added 1 min ago
Facilities Manager
ENFRA LLC
Remote, United States
The Asset Manager II will be responsible to work with a set of customers to review energy usage and strategies in order to implement the best practices. This will include directly managing…
Added 2 mins ago
HSE & Product Sustainability Specialist
Thales Group
Irvine
Support the HSE Manager and Product Policy Leader in implementing Product HSE strategy and governance.
Added 2 mins ago
Senior IT Program Manager
Qualtrics
Seattle, WA
We are looking for an experienced Senior IT Program Manager to play a critical role in driving the successful delivery of programs that align business priorities with technology strategy.…
Added 2 mins ago
Special Operations Cognitive Enhancement Practitioner (Coronado, CA)
KBR
Coronado, CA
Support psychophysiological, cognitive, and/or psychological performance research conducted under supervision of POTFF Program Manager/Coordinator or Government Lead.
Added 2 mins ago
Kitchen Manager
Kwik Trip
Redwood Falls, MN
…communities we serve. Our Food Managers are responsible for our food program. They prepare foods, delegate tasks, train coworkers, resolve customer complaints, set the example for excellent…
Added 2 mins ago
FH
Live-In Peer House Manager
Fora Health Inc
Portland, OR
- $41,600 to $47,840 USD / year
Fora Health is expanding to include Fora Home, a new transitional recovery housing program. As our Live-In House Manager, you’ll work with the Director of Peer Services and other Fora…
Added 3 mins ago
Case Manager
Equus
Eugene, OR
The Case Manager is responsible for maintaining an assigned caseload, meeting program performance expectations, ensuring accurate and timely documentation, and delivering services in…
Added 3 mins ago
Shipper I
Adventure Ready Brands
Littleton, NH
Support other areas of logistics (picking, packing or material handling) as needed and requested by Logistics Manager or Team Lead.
Added 3 mins ago
CN
Recreation Assistant (Community Rec)
Commander, Navy Installations Command
Washington Navy Yard, DC
- $21 to $23 USD / hour
Provides customer service, information and support of Community Recreation programs and activities. Service to MWR customers includes, but is not limited to: checking patron eligibility to…
Added 3 mins ago
BO
Construction Control Representative
Bureau of Reclamation
Farmington, NM
- $67,970 to $97,087 USD / year
Added 3 mins ago
VH
Advanced Medical Support Assistant
Veterans Health Administration
Reno, NV
- $58,187 to $75,642 USD / year
The Advanced Medical Support Assistant (AMSA) is assigned to the VA Sierra Nevada Health Care System (VASNHCS) Community Care (CC) Service to perform a full range of duties related to…
Added 3 mins ago
DC
SUPERVISORY COMPUTER ASSISTED ORDERING TECHNICIAN
Defense Commissary Agency
MacDill AFB, FL
- $50,460 to $65,599 USD / year
Maintains the Computer Assisted Ordering (CAO) system with current, accurate data to ensure optimal order quantities are calculated necessary to sustain customer demands.
Added 3 mins ago
VH
Medical Support Assistant (Advanced)
Veterans Health Administration
Benton Harbor, MI · Battle Creek, MI · Muskegon, MI · Lansing, MI · Wyoming, MI
- $52,065 to $67,684 USD / year
The incumbent serves as an Advanced Medical Support Assistant within the Battle Creek VA. The Battle Creek VA provides care in Battle Creek, Wyoming, Lansing, Benton Harbor and Muskegon…
Added 4 mins ago
Bagger
Festival Foods
Neenah, WI
Support: Our associates receive support for their total well-being; including 3 weeks of paid parental leave, a fitness reimbursement program offering savings off of fitness membership…
Added 4 mins ago
Manager, Strategic Partnerships
STACK Infrastructure US
Denver, CO
STACK Infrastructure is seeking a commercially minded, highly organized Manager to support the execution of complex customer transactions, strengthen strategic customer and partner…
Added 4 mins ago
GL
Cetaphil Brand Manager, Consumer
Galderma Laboratories, LP
United States
- $110,000 to $140,000 USD / year
We are looking for a strategic, detail-oriented, and consumer-first Brand Manager (BM) to support the U.S. commercialization plans and core portfolio management for Cetaphil Skincare. This…
Added 5 mins ago
Financial Center Manager Associate - Gainesville, FL
Fifth Third Bank, National Association
Gainesville, FL
The Financial Center Manager will participate in a comprehensive, customized on-boarding and education program. This includes rotations in Operations, Sales & Service, Lending, Small…
Added 5 mins ago
Personal Bank Associate I
Fifth Third Bank, National Association
Sterling Heights, MI
…Banker I after completing a 4-8 week on-boarding and education program that includes rotations in operations and Sales & Service. There will be a certification at the conclusion of the…
Added 5 mins ago
Global Payments Specialist II Wire M-F 9am-6pm
Fifth Third Bank, National Association
Cincinnati, OH
Troubleshoot file/batch exceptions that result from customer driven electronic transmission failures via direct customer or internal sales relationship manager consult; execute systemic…

Closed listing

Excellus BCBS

Quality Programs Manager

Rochester, NY, United States
Albany, NY, United States
Binghamton, NY, United States
Buffalo, NY, United States
Dewitt, NY, United States
Jamestown, NY, United States
Utica, NY, United States

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The original listing is kept below for reference.

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Job details

Posting language: English
Posted: Nov 4, 2026

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Original job description

Archived listing. The details below describe a past opening.

Job Description:

Under the guidance of assigned management, this position manages related complex programs/projects as well as provides higher level operational and technical solutioning that reflects a more holistic or end-to-end approach to quality performance, i.e. accreditation, regulatory (CMS/DOH), member experience and health plan performance.

This position is an integral part of the team serving as the primary contact to internal and external stakeholders in all matters related to program. The Program Manager provides leadership and direction to ensure the program submissions are delivered according to specifications and deadlines along with ongoing monitoring of results.

Essential Accountabilities:

Performs elevated program management duties; specifically, provides focus on measures/outcomes and operational optimization/efficiencies, manages multiple projects, manages change in business strategies and priorities and maintains an organizational / enterprise lens to all activities.
Manages day-to-day operations to assess the organizations compliance with program standards.
Communicates effectively with users/customers, colleagues, sponsors, project teams and across a range of disciplines, and all levels of management to review project scope/progress and resolve program issues/barriers, as often as necessary to ensure timely completion of the program.
Plans, schedules, monitors, and reports on activities related to the program.
Creates and makes formal presentations of trending reports throughout program cycle to keep executive management apprised of current status and completion.
Provides leadership to develop program plan, monitors progress and timeliness to ensure deadlines are met.
Acts independently to oversee, assess and monitor high visibility projects/activities to drive program including but not limited to managing scope, problem identification, developing potential solutions, implementing them and evaluating outcomes involving various staff as needed.
Responsible for troubleshooting and using all resources to find needed answers. This includes assessing when to elevate issues and doing so as needed
In collaboration with Quality Measurement, develops, maintains progress reports (dashboards) to determine impact of interventions relative to goals, evidence compliance and status of program.
Participates in relevant committees and work groups; represents program, makes advanced presentations, prepares reports, data or other materials for committee presentation including but not limited to Quality Committee’s.
Act as an ambassador/subject matter expert for program and quality as well as socialize organizational importance and awareness for the program including how program relates to quality rating programs and corporate goals.
Build strong collaborative relationships with project managers, divisional and cross functional leads through-out the organization on multiple levels.
Serves as primary contact for external and internal inquires related to program. Manages applicable vendor/auditor/regulator relationships, inclusive of calls, site visits, audits, consultants and preparation of staff.
Coordinates collection and submission of evidence required to meet program requirements and assesses compliance.
Oversees development, contracting process, implementation and compliance of delegation/vendor agreements related to program. In collaboration with business areas, define content, oversight activities and reporting. Monitors agreements to ensure compliance is maintained.
Provides governance and oversight to program team rooms, artifacts and schedules.
Organize, coordinate and facilitate regular program reviews/meetings with other team members and cross functional stakeholders to foster coordination and communication. Provides oversight to ensure consistency in approach.
Plans, directs and coordinates matrixed team(s) activities to manage and implement interrelated projects/activities from contract/proposal initiation to final operational stage.
Determines, monitors, and reviews all program economics to include costs, operational budgets, staffing requirements, resources, and risk.
Formulates contingency plans to address schedule revisions, manpower adjustments, fund allocations and work requirements.
Controls program requirements, scope, and change management issues.
Facilitates management communication, focusing on critical path issues, risks and mitigation approaches.
Selects and applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed policies. Produces work plans according to required standards. Works with colleagues to produce/recommend/develop short term and long-term plans.
Establishes appropriate metrics for measuring key program criteria and monitors results to those metrics.
Conduct ongoing competitive intelligence and best practices in collaboration with other internal departments and evaluates for potential implementation. Maintains currency on emerging technologies, project management techniques, regulatory/accreditation requirements related to program. Attend classes, training seminars, and conferences relevant to program. Provide training and guidance to staff. Implement plans to incorporate new requirements into all impacted regions of the Corporation.
Provides education, assistance and coaching to staff involved in quality improvement (QI) and accreditation activities using the latest quality improvement methods, measurement, analysis and performance tracking. Trains and mentors’ stakeholders on requirements.
Coaches and counsels members of cross-functional teams to accomplish activities, meet established schedules or resolve technical/operational issues.
Monitors and evaluates quality of performance and product from all work within scope of responsibility.
Fosters an environment of continuous improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs.
Advance a culture of excellence rooted in CX guiding principles.
Ensures confidentiality of information used consistent with New York State Education Law and Public Health Law.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
Regular and reliable attendance is expected and required.
Performs other functions as assigned by management.

Minimum Qualifications:

Bachelor’s degree in Nursing, Business or Healthcare Administration, Analytics, Project Management or related fields with a minimum of 5 years of related work experience. Master’s degree preferred.
In lieu of degree, a minimum of 11 years of related work experience.
Minimum of 3 years of project management. PMI/PMP certification preferred.
Applied knowledge of quality improvement, accreditation and regulatory compliance.
Demonstrated leadership skills, quality principles, proficiency in problem solving and quality tools/techniques.
Knowledge of basic statistical concepts and survey design skills preferred.
Demonstrated skills in forming and fostering high performance, cross-functional teams.
Strong communication skills required, including ability to effectively communicate verbally and in writing, internally and externally and across the organization.
Strong coaching and facilitation skills to drive improvement and matrix ownership and change.
Communicates effectively with users/customers and colleagues across a range of disciplines and all levels of management.
Strong understanding and application of vendor management skills.
Very strong analytical and business process development skills.
Demonstrated success in working in a fast-paced environment.
Demonstrated competence in staff leadership and project leadership tasks.
In-depth knowledge of application delivery, management structures and reporting procedures.
Demonstrated experience in integrating enterprise applications.
Demonstrated experience managing teams executing under multi-phased and multi-deployment project schedules.
Demonstrated experience communicating with senior management in various formats, informal discussions, written reports, scheduled meetings and executive level presentations.
Knowledge and experience working in the healthcare, health insurance or similar industry.
Knowledge of federal, state, and accreditation standards including NCQA, CMS, IHI, AHRQ, NQF and NYSDOH Reporting Requirements. Maintains current and thorough understanding of federal and state regulations for all lines of business as it relates to job responsibilities preferred.

Physical Requirements:

Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.
Typical office environment including fluorescent lighting.
Ability to work in a home office for continuous periods of time for business continuity.
Ability to travel across the health plan service regions as needed.
Ability to lift, carry, push or pull 15 pounds or less.
Manual dexterity including fine finger motion required.
The ability to hear, understand and speak clearly while using a phone, with or without a headset.

************

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

E6: $79,068 - $142,322

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

About employer

More about this job

Skills

CMS
Leadership
Program management
Regulatory compliance
Presentation skills
Troubleshooting
Collaboration
Reporting
Communication skills
Change management
Project management
Provide training
Coaching
Process improvement
Confidentiality
Education law
PMP
Problem solving
Vendor management
Business processes

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