Program Manager, ACA & BHP (Hybrid)
CareFirst BlueCross BlueShield - Baltimore, MD
Hiring: Program Manager, ACA & BHP (Hybrid) Company: CareFirst BlueCross BlueShield Location: Baltimore, MD Job Posted Time: 2026-09-10 11:49:29 Employment Type: Hybrid Target Skills & Keywords : Program Management, Project Management About the job Experience: •8 years project management or program management experience. Required Skills: •Evaluates drivers of risk adjustment performance across ACA and BHP populations and identifies opportunities to improve risk score outcomes, transfer payment performance, and overall program effectiveness. Reviews performance against state, regional, and national benchmarks and recommends strategies to maintain or exceed market performance. •Leads a team utilizing a matrix management system. Qualifications: •Bachelor's Degree in Business Management or related field OR in lieu of a a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. •Certified Project Management Professional (PMP)-PMI. •Master's Degree •Project Management Professional Certification (PMP) •8+ years in managing risk adjustment programs and provider incentives •5+ years in value-based care for Commercial or ACA •5+ Provider Engagement or Provider Enablement in Commercial or ACA •Knowledge, Skills And Abilities (KSAs) •Demonstrated capacity to synthesize large complex data and analysis into clear, concise, executive level presentations that allow for rapid grasp of business problem or opportunity and understanding of feasible solutions. •Effective understanding of how functions integrate within the division and the strategic concept behind the corporate goals. Compensation: •$106,632 - $211,783 / year •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!