Job DescriptionYour RoleThe Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the Select Markets lines of business ensuring the delivery of high-quality, affordable healthcare services to our members. The CalPERS Program Manager, Consultant will report to the Director of Select Business Solutions. In this role you will lead the ongoing monitoring and management of HMO and PPO trend and operating income performance variances by identifying emerging issues, maintaining initiative and action plan inventories, tracking ownership and key milestones, coordinating cross-functional stakeholders, and providing regular reporting on progress, risks, and outcomes to ensure accountability and drive performance improvement. Additional responsibilities may include data warehouse analysis and coordination.
ResponsibilitiesYour WorkIn this role, you will:
- Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation
- Develop resourcing strategies to ensure optimum support for projects and for the day-to-day operational activities
- Monitor and analyze HMO and PPO performance variances, identifying emerging trends, risks, and opportunities for improvement
- Maintain a comprehensive inventory of performance variances and associated mitigation initiatives across business and operational functions
- Facilitate recurring stakeholder reviews to assess progress, validate priorities, and identify new actions needed to address performance gaps
- Track initiative ownership, key deliverables, milestones, dependencies, and target completion dates to ensure accountability
- Coordinate with cross-functional business leaders to develop and implement strategies addressing identified variances
QualificationsYour 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 7 years of prior relevant experience
- Requires experience with financial performance metrics, variance analysis, and reporting
- Requires experience with cross-functional business operations and healthcare administration
- Requires experience with development and maintenance of tracking logs, dashboards, and scorecards
- Requires experience with executive reporting and presentation development
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.
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