Health Management Unit Manager Job Opening

Health Management Unit Manager

Blue Cross and Blue Shield of Alabama

Birmingham, Alabama
Category: Case Manager


Department Overview

The Health Management Division provides valuable health and wellness services to help people maximize their health and quality of life. Health Management is one of the most critical issues Blue Cross and Blue Shield of Alabama faces in fulfilling its responsibility to be a superior administrator of health care benefits. Our goal is to provide the highest quality benefits and services while we effectively control health care costs.

Primary Responsibilities

The incumbent will organize, direct and manage Health Management activities to ensure maximization of the value customers receive for their health investment. Demonstrate support for organizational changes needed to enhance the effectiveness of the division is a core function. The incumbent should provide clear direction and educate staff on program(s) or business requirements to ensure guidelines are followed. These responsibilities require managers to monitor the performance and workflow of staff to ensure deadlines are met and quality is maintained. This incumbent will also be responsible for vendor management.

Summary of Qualifications

  • Bachelor’s degree
  • Commission for Case Manager Certification (CCMC) or willingness to obtain CCMC
  • Registered Nurse under the Alabama Board of Nursing; or three years of experience in a health related setting such as research, population management, healthcare administration or healthcare analysis
  • Effective verbal and written communication skills
  • Excellent conflict management and interpersonal skills
  • Experience monitoring and interpreting data
  • Excellent critical thinking and decision making skills
  • Organizational and time management skills
  • Leadership experience
  • Experience making formal presentations
  • Graduate degree in Business, Nursing, or Healthcare Administration preferred
  • Management experience preferred
  • Working knowledge of utilization and medical cost management principles preferred
  • Demonstrated knowledge and understanding of applicable accrediting organizations such as the National Committee for Quality Assurance (NCQA) preferred

Terms and Agreements

By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.

Our Company provides equal employment opportunities to minorities, females, veterans, and disabled individuals, as well as other protected groups.