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AL
BAS/BMS Controls Engineer
Automated Logic Contracting Sv
Glen Allen, VA
- $64,500 to $129,500 USD / year
Career Pathways and Leadership Opportunities: Opportunities to advance into roles such as Project Engineer, Technical Manager, or Operations Lead, as well as mentor junior staff and…
Added 1 min ago
AI
General Manager
Aaron's, Inc.
Woodbridge, VA
- $55,000 to $115,000 USD / year
As a General Manager, you will be responsible for driving and managing the overall P&L of the store. General Manager candidates must be successful in various facets of store management…
Added 1 min ago
Senior Manager Distribution Engineering & Technology
Ethicon Inc. Legal Entity
Raritan, NJ · Memphis, TN
The Senior Manager, Distribution Engineering & Technology – Americas Deliver Excellence provides strategic leadership, governance, and technical oversight for the end-to-end distribution…
Added 1 min ago
Manager, Managed Markets & Specialty Ops
Johnson & Johnson HCS Inc. Legal Entity
Raritan, NJ
Johnson & Johnson Health Care Systems Inc. (HCS) is currently recruiting for a Manager, Managed Markets & Specialty Contract Operations, in the Enterprise Contract Management (ECM)…
Added 1 min ago
Human Resources Business Partner
MCNAUGHTON MCKAY GROUP
Fort Worth, TX · Austin, TX · Farmers Branch, TX
Operating within a centralized HR structure, the HRBP reports to the HR Manager and partners with subject matter experts within Total Rewards to deliver high-quality HR services to the…
Added 2 mins ago
Branch Manager; Tuscaloosa, AL (Indian Hills)
The Huntington National Bank
Tuscaloosa, AL
…customers, our bank, and our communities for the better. As a Branch Manager, you are responsible for management of the branch; leading all facets of sales, service and operations of the…
Added 2 mins ago
KC
Executive Secretary/Assistant I
King County
Seattle, WA
- $43.78 to $55.49 USD / hour
…exercise delegated authority to manage daily administrative operations, coordinate special projects, and ensure Division leadership is informed of ongoing initiatives, emerging issues, and…
Added 2 mins ago
BA
OR Equipment Tech
Brigham and Women's Faulkner Hospital, Inc.
United States
- $19.31 to $28.69 USD / hour
…works in collaboration with the Nurse in Charge / Throughput manager / Operations Manager/Nursing Director/ Biomed in managing the day-to-day activities as determined by the operating room…
Added 2 mins ago
VL
Part-Time Apartment Grounds & Sanitation Lead Porter – Daytime - Truck Required
Valet Living LLC
Corona, CA
- $22 USD / hour
- Part-time
We're hiring a Part-Time Lead Field Service Technician to help maintain high-quality service, safety, and operational excellence across assigned multifamily communities. Reporting to the…
Added 2 mins ago
VL
Part-Time Apartment Grounds & Sanitation Lead Porter – Daytime - Truck Required
Valet Living LLC
United States
- $22 USD / hour
- Part-time
We're hiring a Part-Time Lead Field Service Technician to help maintain high-quality service, safety, and operational excellence across assigned multifamily communities. Reporting to the…
Added 2 mins ago
Manager, Operations CPD
Massachusetts Eye and Ear Infirmary
United States
…we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and…
Added 3 mins ago
Associate Director Commercial Solutions
CRIUS CREO Influencer LLC
NY · Charlotte, NC
7-9 years of progressive experience in commercial finance, hold co agency operations, pricing, resource management, campaign operations, or client service, including ownership of complex…
Added 3 mins ago
TG
Clinical Research Coordinator II
The General Hospital Corporation
United States
- $24.28 to $39.43 USD / hour
…we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and…
Added 4 mins ago
Practice Manager
AEG Vision
Austin, TX
The Practice Manager leads through people, process, service, technology, and business execution. This includes supporting patient flow, reinforcing service expectations, coaching team…
Added 4 mins ago
Senior Director, Program Lead - Infectious Diseases
Merck Sharp & Dohme LLC
NJ · PA
…direct global, cross-functional teams in end-to-end clinical development activities (strategic planning through post-marketing approval). You will apply project management and…
Added 5 mins ago
Team Leader
Lippert
Elkhart, IN
…power of our winning team culture to deliver unrivaled customer service, award-winning innovation, and premium products to all of our customers. Why We are Different: At Lippert, Everyone…
Added 5 mins ago
Engineering Tech IV (Generator)
Chugach Government Solutions
ANNAPOLIS JUNCTION, MD
Under the direction of the Deputy Operations Manager, the Generator Engineering Technician acts as the Subject Matter Expert (SME) for Generator related issues. The Generator Engineer will…
Added 5 mins ago
PG
SVP, Talent
Publicis Groupe Holdings B.V
New York, NY
- $180,215 to $299,637 USD / year
Evolve continuing education and development programs to meet business needs, strengthen manager capability, and support talent competitiveness.
Added 6 mins ago
4V
Cannabis Logistics Associate - Driver
4Front Ventures
Matteson, IL
- $17 USD / hour
…and retailer headquartered in Phoenix, Arizona with active operations in Massachusetts, Illinois, and Washington. Focusing on Excellence, People, Integrity, and Courage, 4Front Ventures is…
Added 6 mins ago
TC
Fulfillment Center Manager
Taylor Communications, Inc.
Jeffersonville, IN
- $94,000 to $95,000 USD / year
Taylor Corporation is looking for a Fulfillment Center Manager to lead our Jeffersonville, IN operation. This position oversees a complex fulfillment center supporting multiple customers…
Added 6 mins ago
J
Assistant Director of Appeals (Statewide)
Austin, TX
- $8,000 to $9,500 USD / month
- Plan and direct staff development and training to enhance morale and to maximize quality customer service.
Added 6 mins ago
Technical Program Manager – Cluster Build and Operations
Advanced Micro Devices, Inc
Austin, TX
As the Cluster Build and Operations Program Manager, you are the accountable leader for the cluster from concept through delivery and into steady-state service. You partner with engineering…
Added 6 mins ago
Senior Director, Program Lead - Infectious Diseases
Merck
Rahway, NJ · Upper Gwynedd, PA
…direct global, cross-functional teams in end-to-end clinical development activities (strategic planning through post-marketing approval). You will apply project management and…
Added 6 mins ago
HE
Daytime Care Staff Supervisor - The Commons
Hilltop Employment
Grand Junction, CO
- $20.35 to $21.37 USD / hour
…management, and responsibilities, and, as assigned, daily department operations. Must be able to perform all duties of care staff including protective oversight of residents, hospitality,…
Added 7 mins ago
Production Planning Scheduling & Control Manager
Electrolux Consumer Products, Inc
United States
The Production Planning/Scheduling & Control (PPC) Manager leads end-to-end production planning, scheduling, and execution for a high-volume manufacturing facility. This role ensures…

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.

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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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