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Added 4 mins ago
Production Leader - Nights
Mars Wrigley Conf. (MCNA)
United States
…Team to deliver area continuous improvement and Mars Supply Excellence (MSE) program implementation. The Production Leader is responsible for building an effective team on his/her shift and…
Added 4 mins ago
Sr. Customer Success Manager, Robotic Technical Services, Robotic Technical Services
Amazon.com Services LLC
Garner, NC · Nashville, TN · Arlington, VA · Wilmington, NC · Mt Juliet, TN
- 5+ years of leading large-scale, technical or engineering programs with a proven record of thought leadership, business case development, realizing customer benefits, and successful…
Added 4 mins ago
Administrative Asst II - State Hospital
TX-HHSC-DSHS-DFPS
HARLINGEN, TX
Communicates and distributes all necessary information regarding department business inquiries, activities and projects to team lead or manager. Ensures communication in the department to…
Added 4 mins ago
Administrative Asst II
TX-HHSC-DSHS-DFPS
VERNON, TX
Communicates and distributes all necessary information regarding department business inquiries, activities and projects to team lead or manager. Ensures communication in the department to…
Added 4 mins ago
Manager of Quality Improvement
Telligen
West Des Moines, IA
As the Manager of Quality Improvement, you will be responsible for operational management, account management, and business development for specific contracts. Operational management…
Added 5 mins ago
Account Manager - Commercial Lines
Relation Insurance Services, Inc. - RISI
Sacramento, CA · Fresno, CA · Stockton, CA
The Account Manager manages the overall client relationship by providing strategic advice on coverage, risk management and business needs, ensuring that the client's insurance program…
Added 5 mins ago
Account Manager - Commercial Lines
Relation Insurance Services, Inc. - RISI
Sacramento, CA · Fresno, CA · Stockton, CA
The Account Manager manages the overall client relationship by providing strategic advice on coverage, risk management and business needs, ensuring that the client's insurance program…
Added 5 mins ago
Contract Management Specialist
Vertiv
Westerville, OH
…Contract Management Specialist will report to the Commercial Manager. The successful candidate will hold a degree in a relevant subject, demonstrate strong contractual awareness, and…
Added 6 mins ago
Crane & Rigging Manager
Integra
Oklahoma City, OK
The Cranes & Rigging Manager is responsible for the field execution, implementation, and verification of Integra's Crane & Rigging Management System across assigned projects, regions,…
Added 6 mins ago
Senior Manager, Procurement
L3Harris
Greenville, TX
The Senior Procurement Manager is responsible for leading the procurement of materials, equipment, and services of low to high complexity and value for FAA, government, and commercial…
Added 7 mins ago
EH&S Delivery Manager
Dow
Seadrift, TX
…its community, and its license to operate. As EH&S Delivery Manager, you will be in a visible role across the site driving the next generation of EHS excellence across Seadrift Operations.…
Added 7 mins ago
Fulfillment Operations Coordinator
CVS Health
Farmers Branch, TX
Ability to balance strong business capabilities and high business ethics with a commitment to operational and service excellence
Added 7 mins ago
HR Generalist II
Cleveland Clinic
United States
…institute, division and/or hospital. You will serve as the Program Manager for one or more HR-specific programs, providing counsel and direction to management of HR functions. In this role,…
Added 8 mins ago
Patient Access Center Representative
Houston Methodist
Katy, TX
…of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to…
Added 8 mins ago
Patient Access Center Representative
Houston Methodist
Katy, TX
…of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to…
Added 8 mins ago
Patient Access Center Representative
Houston Methodist
Katy, TX
…of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to…
Added 8 mins ago
Patient Access Center Representative
Houston Methodist
Katy, TX
…of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to…
Added 8 mins ago
Patient Access Center Representative
Houston Methodist
Katy, TX
…of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing/quality review to…
Added 9 mins ago
Regional Sales Director
Triumvirate Environmental
New Braunfels, TX
…sales organization. Reporting directly to the Senior General Manager, this role oversees a team of Account Managers, Business Development Associates, and Business Development Managers -…
Added 9 mins ago
Manager, Business Readiness Change Management
American Airlines
Fort Worth, TX
As a member of the Next Gen Operations Program at the IOC, you’ll drive the business readiness strategy and lead a high-impact change management team, partnering with senior leaders across…
Added 10 mins ago
Manager, Demand Operations
Grant Thornton
Dallas, TX
The Manager uses buyer signals, industry triggers, persona-aligned messaging, account research, and sales intelligence tools to identify high-potential prospects, prioritize accounts,…
Added 10 mins ago
Regional Automation Engineer Manager, R2L/GSF
Amazon
Dallas, TX
As the Regional Automation Engineer Manager, you will lead teams of onsite and regional automation engineers in driving equipment reliability and operational excellence across our…
Added 10 mins ago
Assistant Project Manager-Data Center
CBRE
Dallas, TX · Garland, TX · Plano, TX · Richardson, TX
The Assistant Project Manager is accountable for effective project management and delivery of their projects. The APM will work with the extended site team and the PM to develop the program…
Added 10 mins ago
B&
Nursing Faculty Development Manager
Bryant & Stratton College
Orchard Park, NY · Wauwatosa, WI · North Chesterfield, VA · Akron, OH · Buffalo, NY
- $95,000 to $125,000 USD / year
The Nursing Faculty Development Manager is responsible for leading the development, onboarding, mentoring, and continuous professional growth of Nursing faculty across the College. Working…
Added 10 mins ago
Facilities Housekeeping Supervisor
Houston Methodist
Houston, TX
…unit/department staff, ensuring quality, productivity, functional excellence and efficiency. This position trains and supervises staff while maintaining adequate staffing levels and budget…

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

This opening has closed.

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.

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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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