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 High School Diploma/GED plus 4 years of relevant experience in lieu of a degree
  • At least 5 years of related experience
  • LCSW, LMFT, LPCC, PsyD or similar certification required
  • 2 years of experience working with Medi-Cal
  • 1 year of experience with a Managed Care Plan preferred
  • Experience collaborating with provider groups and community resources
  • Project and vendor/provider management experience
  • Strong administrative skills, particularly in Excel and Microsoft Office applications

Responsibilities

  • Direct small-scale, complex programs/projects with multiple stakeholders
  • Oversee the development and implementation of internal/external programs
  • Assign and monitor team members' tasks, providing guidance and leadership
  • Develop integrated program plans, resource plans, and contingency plans
  • Define, track, and report on program milestones
  • Manage overall program aspects including budget, contract, and reporting
  • Develop strategies for optimal project support and operational activities
  • Lead cross-functional meetings to resolve issues and foster collaboration

Benefits

  • Hybrid work model with in-office collaboration two days a week
  • Opportunity for personal, professional, and financial growth
  • Engagement in leadership development programs
  • Access to resources for continuous learning
  • Supportive workplace culture encouraging creative thinking and teamwork
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.

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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