Network Process Manager

Position Description

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”

This position organizes teams, develops plans, and facilitates project execution to achieve organizational goals. The incumbent is expected to, run a variety of projects small to very large, with a range of budget $50,000 to multi -million dollars and team sizes, across different areas of the organization with ease. Ability to see big picture and convert strategies into workable initiatives is critical to success. Our mission is to propel the department forward by developing creative solutions to everyday problems with the goal of maximizing resources, minimizing costs, and advancing quality through a cycle of continuous process improvement. This position will work as part of a high-performance contributor collaborating with all levels across the organization. The incumbent will contribute to the team's success by assisting with gathering and analyzing data using reporting capabilities and methodologies. This position will be key in fostering an environment of critical thinking along with identifying and engaging key business and technical resources

Responsibilities and Qualifications

• Project Management primary project lead on all Network led and participant projects. Implement projects for all Network projects with a sense of urgency and due diligence regarding on time and on budget. Drive projects forward leading and modeling behaviors, focusing on collaboration, accuracy, and raising issues and risks. Be the first line of contact to project lead, taking action to mitigate risks or resolve critical issues. Follow corporate project life cycle and masterful meeting guidelines holding others accountable to those guidelines. Understand and follow Agile practices where appropriate.

• Governance provide effective organization and support to project teams, while completing required deliverables in a complete and accurate fashion. Secure acceptance of deliverables from appropriate leads. Be a steward and role model of project management and all levels of governance. Use Change Management guidelines to drive PMT and Drive Team approval regarding the use of resources (human and financial). Ensure projects are consistently closed within 45-60 days of go-live. Make continuous improvement a priority and apply these principles to project work. Consistently maintain focus on project budget and resources throughout the project life and ensure budget reconciliation is completed monthly. Utilize the enterprise resourcing report to ensure that resources are appropriately captured, and actuals are being tracked in attempt to drive better resource management capabilities. Engage business reengineering where appropriate to ensure solutions are enhancing existing processes. Work seamlessly with vendors to ensure that projects move forward according to schedule. Work with the team to develop and monitor Key Performance Indicators and Cost-Benefit Analysis to foster savings and alignment of project deliverables to strategic goals. Ensure communication plans consider all stakeholders. Monitoring all BCBSA deliverables within Network, managing the Acquisition/Mergers within the network team and monitoring all audit activity to ensure we are meeting accuracy and timeliness within the regulatory requirements.

• Business Excellence Identifies and utilizes appropriate reporting tools and methodologies in support of assigned responsibilities. Identifies and adapts these methodologies to fit business needs in support of assigned responsibilities; Builds scorecards, dashboards, and reports with respect to project deliverables and process controls; Participates in working sessions to discover and document current business state with respect to both work and data flows; Aids in the gathering and analysis of data. Design, develop, and deliver complete, accurate, and timely reports, dashboards, scorecards, process flows, value stream maps, etc. Manages multiple project assignments concurrently and under tight time constraints with minimal oversight; Manages multiple projects concurrently and under time tight time constraints with minimal oversight; Analyzes data, creates accurate data/information visualization diagrams, and develops effective solutions with respect to current business problems; Assists in creating baseline metrics, and plans with respect to data collection, pilots, quality controls, and training.

Skills:

• Strong interpersonal and communication skills with proven ability to deliver reports and presentations; ability to influence colleagues to build relationships; guide and inspire team members to deliver project work on time on budget, in accordance with internal guidelines and governance.

• Ability to lead discussions with vague details or little direction with the expectation to identify ideal states and conduct gap analysis.

• Self-motivated, quick and assertive.

• Strong written and verbal communication skills.

• Extremely detailed oriented and organized.

• Ability to multi-task, and work under pressure in an ambiguous environment. Remain comfortable with change and complexity in dynamic environments.

• Ability to prioritize tasks and shift readily between the “big picture” and small-but-critical details, knowing when to concentrate on each.

• Demonstrated ability to balance people, process, and technology factors and analyze complex business relationships to develop appropriate solutions in a timely responsive nature.

• Access Reporting skills

• BCBSA Network regulatory requirements knowledge

Knowledge:

• Project management knowledge

• Proficiencies in MS Office applications, MS Project, Visio, Adobe, Crystal Reports, SAS, etc.

• Stays abreast of current project management, insurance industry trends, and technology through professional associations, trade journals, networking, and associated training and seminars

Experience:

• 5 yrs Project Management work and/or Network System development experience

• Experience working on cross-functional teams strongly desired.

• Experience leading significant initiatives requiring change management leadership desired.

Education and Certifications:

• Bachelor’s degree preferred.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.

Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law. (https://careers-capbluecross.icims.com/jobs/4974/network-process-manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336057040)

Software Powered by ICIMS

Job LocationsUS-PA-Harrisburg

Workplace Remote

Employment Type Full Time

ID 2026-4974

Min USD $75,400.00/Annually

Max USD $140,020.00/Annually