Blue Shield Of California

Program Manager, Senior

Blue Shield Of California$108K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience required
  • 5+ years of relevant experience needed
  • Preferred experience in Health Plan and Pharmacy Operations
  • Experience in establishing new processes and training teams
  • Demonstrated leadership and project management skills
  • Exceptional verbal and written communication capabilities
  • Proficiency in Excel, PowerPoint, Project; experience with SharePoint and Lucid preferred

Responsibilities

  • Direct small-scale, complex programs/projects with multiple stakeholders
  • Manage development and implementation of departmental projects
  • Develop integrated program plans, resource plans, and contingency plans
  • Validate financial forecasts and reconcile program expenditures
  • Define and track program milestones with an integrated delivery plan
  • Create and maintain a process for tracking billable work requests
  • Lead weekly calls with Pharmacy leadership to review projects and funding needs
  • Oversee vendor credit tracking and manage submission processes

Benefits

  • Hybrid working model with in-office collaboration
  • Flexible in-office schedule for remote employees when applicable
  • Opportunity to lead and manage projects with cross-functional teams
  • Engagement with senior leadership and stakeholders
  • Develop and implement new processes within the financial scope
Full Job Description
Job Description

Your Role

The Pharmacy Finance Support team supports Pharmacy Strategy and Operations in managing impacts to the Pharmacy portfolio budget, ensuring proper approvals, and validating invoices from strategic vendors prior to payment. The Program Manager, Senior will report to the Manager of Pharmacy Finance Support. In this role, you will lead internal meetings; partner with Pharmacy and other cross-functional leaders and subject matter experts to review the work requests, assign priority, and identify items with associated costs; track internal and external billable work requests, credit and performance guarantee payments; and validate invoices from strategic vendors in accordance with company policies and procedures. This position works closely with the Pharmacy Strategy and Operations team, Pharmacy Finance, Global Business Services, and other external vendor partners.

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
  • Develop the program, integrated program plan, resource plan, contingency plan, and related project management artifacts
  • Validate financial forecasts and provide on-going reconciliation of resources and other related program expenditures
  • Define and track program milestones while developing, maintaining, and reporting on an overall integrated delivery plan
  • Create, implement, and maintain a process to review, approve, and track internal and/or external billable work requests impacting the Pharmacy portfolio
  • Lead weekly calls with BSC Pharmacy leadership to review new, current, and future projects and initiatives; identify efforts that require funding; provide project updates; capture next steps; prioritize monthly work; and communicate decisions to key stakeholders
  • Own and manage the vendor credit tracking log and credit request/submission process
  • Serve as a backup for the financial reconciliation process for Pharmacy Funding and/or Pharmacy Service Provider Administrative Invoice Payment Validation
  • Perform other duties as assigned


Qualifications

Your Knowledge and Experience
  • Requires a bachelor's degree or equivalent experience
  • Requires at least 5 years of prior relevant experience
  • Health Plan and Pharmacy Operations experience preferred
  • Experience standing up new processes as well as training team members and stakeholders on the new process
  • Demonstrated leadership, project management, and executive level reporting experience
  • Excellent verbal and written communication skills that exhibit a solution-oriented approach
  • Intermediate to Advanced Microsoft Office tools including Excel, PowerPoint, and Project; SharePoint; and Lucid preferred


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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