Blue Shield Of California

Program Manager Clinical, Senior

Blue Shield Of California • $95K — $115K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or 4 years of relevant experience in lieu of a degree
  • At least 5 years of prior relevant experience
  • LCSW, LMFT, LPCC, PsyD, or similar certification required
  • Minimum 2 years experience with Medi-Cal
  • Preferred 1 year experience with Managed Care Plans
  • Experience with provider groups and community resources
  • Proficient in Excel, Word, Outlook, with multitasking capabilities

Responsibilities

  • Direct complex programs/projects with multiple stakeholders
  • Manage development and implementation of departmental and cross-functional projects
  • Assign and monitor team members' work, providing leadership
  • Develop comprehensive program and resource plans
  • Define and track program milestones and delivery plans
  • Oversee contract, budget, and operation management
  • Lead cross-functional meetings to enhance collaboration

Benefits

  • Hybrid workplace model with in-office requirements two days a week
  • Flexibility to adjust in-office time based on distance and role
  • Commitment to reasonable accommodations for employees with medical conditions
  • Focus on personal, professional, and financial growth for employees
  • Emphasis on building high-performing teams and fostering continuous learning
Full Job Description
Job Description

Your Role

The Social Programs team is responsible for the support, oversight and administration of Social Programs benefits and services ensuring that our eligible members receive appropriate services in-line with benefits and services that is member-centered and in the communities where our members seek care. The Program Manager Clinical, Senior will report to the Senior Manager, Social Programs Management of direct manager. In this role you will primarily provide administrative and operational organization, compliance oversight, updates, and contract adherence.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Responsibilities

Your Work

In this role, you will:
  • Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholders
  • Manage the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products
  • Be responsible for assigning and monitoring the work of team members and providing guidance and leadership
  • Develop the program, integrated program plan, resource plan, contingency plan, and related project management artifacts
  • Define and track program milestones while developing, maintaining, and reporting on an overall integrated delivery plan
  • Provide overall program leadership, guidance, and manage all aspects of a given program, including contract, budget, reporting, operations, and vendor/provider oversight
  • Develop strategies to ensure optimum support for projects and for the day-to-day operational activities
  • Lead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders
  • Write and maintain processes and procedures to ensure compliance
  • Perform other assigned duties, as required


Qualifications

Your Knowledge and Experience
  • Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
  • Requires at least 5 years of prior relevant experience
  • Requires LCSW, LMFT, LPCC, PsyD or similar by the Board of Behavioral Sciences
  • Requires at least 2 years prior relevant experience working with Medi-Cal
  • Preferred at least 1-year prior relevant experience working with a Managed Care Plan
  • Requires experience collaborating with provider groups, community resources, and agencies
  • Requires program, project, and vendor/provider management experience
  • Requires strong administrative skills including proficiency in Excel, Microsoft Word, and Microsoft Outlook and the ability to multitask and track multiple projects/deliverables at one time
  • Requires strong analytical, problem solving, and communication skills


Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
  • For most teams, this means coming into the office two days per week.
  • Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
  • For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

About Blue Shield Of California

Blue Shield of California is a not-for-profit health plan provider that has been providing Californians with access to high-quality healthcare for over 80 years. The company offers a range of health insurance products and services to individuals, families, and employers. Blue Shield of California is committed to improving the health and wellbeing of its members and the communities it serves. The company is also committed to sustainability and has implemented a number of initiatives to reduce its environmental impact.
Learn more about Blue Shield Of California
Size
7,000 employees
Industry
Founded
1981

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