[Remote] Integrated Health Advancement Program Manager

Note:The job is a remote job and is open to candidates in USA. Blue Cross and Blue Shield of Kansas City is seeking an Integrated HealthAdvancement Program Manager to lead an integrated behavioral health and health outcome strategy within their Population Health division. This role involves overseeing health outcome initiatives, managing behavioral health services, and collaborating with various stakeholders to enhance community health and resilience. Responsibilities• Develop and execute a unified behavioral health and health outcome strategy that advances Blue KC’s mission to improve the health of our members and communities.• Lead cross-functional efforts to embed behavioral health principles into population health management, product design, and beyond• Perform as a strategic advisor to internal leaders and external partners to align behavioral health and health outcome objectives with business and community goals• Manage behavioral health services, programs, and vendor relationships to ensure compliance with regulatory requirements, performance guarantees, and accreditation standards (e.g., NCQA, CMS). • Direct health outcome initiatives addressing systemic barriers to care, disparities in HEDIS and STAR measures, and drivers of social and behavioral health.• Oversee the Health Outcome Council, related accreditation work groups, and new pilots integrating behavioral health and community health strategies. • Collaborate with analytics teams to measure performance, identify disparities, and evaluate outcomes at population and subpopulation levels. • Build and sustain partnerships with providers, community-based organizations, and employer groups to advance integrated care delivery and equitable health outcomes. • Represent Blue KC in community and industry settings, driving visibility of behavioral health and health outcome leadership.• Partner with contracting, product, and network operations to align provider performance, incentives, and reporting structures with behavioral and health outcome goals. • Lead development and delivery of behavioral health and health outcome training programs for internal staff, providers, and community partners. • Champion cultural competence, trauma-informed care, and inclusive communication practices across departments. • Ensure compliance with all relevant state and federal health outcome and behavioral health regulations.• Track and report on key performance indicators related to access, utilization, clinical outcomes, and member experience or other related measures as driven by the business or vendor that improve quality• Manage grants and initiatives supporting behavioral health improvement, health outcome innovation, and community partnerships. Skills• Bachelor’s degree in Nursing, Social Work, Public Health, Psychology, or related field required• RN, LCSW, or equivalent professional license in MO and KS required.• 5+ years of experience in integrated care, managed care, or population health program management. • 3+ years of supervisory or leadership experience with multidisciplinary or clinical teams. • Prior experience leading behavioral health, health equity, or community impact initiatives for a payer, provider, or public health organization. • Master’s degree in Public Health, Health Administration, Psychology, Social Work, Nursing, or a related discipline. • Seven or more years of progressive experience in population health, behavioral health integration, or managed care strategy within a payer or provider organization• Prior success leading enterprise-wide initiatives that align behavioral health, health outcomes, and social determinants of health to improve clinical outcomes• Experience with value-based care and performance measurement, including design of incentive programs, HEDIS/STAR improvement efforts, and NCQA accreditation or Health Equity Accreditation• Proficiency in data analytics and interpretation, with ability to translate complex insights into actionable business and clinical strategies• Grant or partnership management experience with community-based organizations, health systems, or government agencies• Familiarity with state and federal regulations governing behavioral health, health insurance, and health outcome compliance• Strong presentation and communication skills, including experience representing organizational strategy to executive leadership, community stakeholders, and employer groups• Change-management and cross-functional leadership expertise, with a proven ability to influence across clinical, operational, and community domains• Passion for innovation and systems thinking—demonstrated ability to design scalable, data-driven programs that advance whole-person health and equityBenefits• Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute• Annual incentive bonus plan based on company achievement of goals• Time away from work including paid holidays, paid time off and volunteer time off• Professional development courses, mentorship opportunities, and tuition reimbursement program• Paid parental leave and adoption leave with adoption financial assistance• Employee discount programCompany Overview• Blue Cross and Blue Shield of Kansas City (Blue KC) is an independent licensee of the Blue Cross Blue Shield Association and a not-for-profit health insurance provider serving more than one million members in 32 counties in greater Kansas City and northwest Missouri and Johnson and Wyandotte counties in Kansas.It was founded in 1982, and is headquartered in Kansas City, Missouri, USA, with a workforce of 1001-5000 employees. Its website isCompany H1B Sponsorship• Blue Cross and Blue Shield of Kansas City has a track record of offering H1B sponsorships, with 2 in 2025, 4 in 2024, 3 in 2023, 3 in 2022, 3 in 2021, 5 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job