Job DescriptionYour Role The Healthcare Quality and Affordability team responsible for ensuring appropriate strategic planning and oversight over Clinical Quality, including artificial intelligence deployment and vendor oversight and management. The Program Manager, Consultant will report to the Sr. Manager, Clinical Quality. In this role you will be responsible for strategic alignment and integration across projects/programs in support of Clinical Quality and administrative efficiency. Define projects and initiatives required to support teams to ensure on-time implementation, within budget, and with benefits realized. Assist in the planning and direction of budgets. Manages program(s) from initiation through delivery and monitors for continuous improvement. Organizes interdepartmental activities and may perform operational responsibilities. Participates cross-functionally in business planning to support Clinical Quality outcomes. Responsible for guiding teams, assigning, and monitoring the work of team members, and providing guidance and leadership.
In person, hybrid schedule includes 5 - 8 days per month in office.ResponsibilitiesYour WorkIn this role, you will:
- Lead large, complex programs spanning multiple business areas to deliver strategic initiatives and measurable business value
- Establish program structure, governance, and execution approach to ensure alignment with organizational priorities
- Manage program-level risks, interdependencies, financial performance, and resource strategies to ensure successful outcomes
- Influence stakeholders and senior leaders to align priorities, resolve conflicts, and drive execution decisions
- Coach project managers and strengthen delivery capability through structured methodologies and best practices
- Be responsible for planning and implementation of programs spanning across business areas which include encompassing multiple projects, and initiatives, and where analysis requires evaluation of intangible variance factors
QualificationsYour Knowledge and Experience - Bachelor's degree or high school/GED and 4 years of additional relevant experience in lieu of a degree
- 7 years of prior relevant experience required
- Requires experience working at a health plan (managed care, government payer, or academic)
- Requires a deep understanding of project and resource management, strong business acumen, team focus, experience working in a complex project delivery environment, as well as an advanced understanding of an enterprise project and portfolio management tools
- Strong analytical and problem-solving skills
- Previous project/program management experience required
- Master's degree (MPH, MHA, MSW) preferred
- Project Management Professional (PMP) Certified preferred
- Proficiency with Cozeva application highly desired
HybridThis 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.
About the TeamAbout Blue Shield of CaliforniaAs of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values: - Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
- Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
- Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
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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