Job Description

Your Role

The Enterprise Mandates Delivery team is responsible for transforming new laws into audit-ready projects with defined ownership, scope, timelines, and funding, and oversees implementation through the full project lifecycle, including transition to operational owners. The Project Manager Consultant will report to the Senior Manager, Enterprise Mandates Delivery. In this role, you will take hands-on ownership of complex projects from initiation through delivery, actively managing execution, risks, dependencies, and project financials to achieve compliance objectives.

Responsibilities

Your Work

In this role, you will:

• Effectively manage large-scale, high-complexity projects/programs of diverse scope that may involve multiple internal and external stakeholders to implement Blue Cross Blue Shield (BCBSA), state, and federal mandates.
• Develop the project charter, integrated project plan, resource plan, contingency plan, and related project management artifacts.
• Manage project resources to meet deliverables, including forming, motivating high-performance, cross-functional Business and IT teams, which may include on and off-shore resources.
• Coordinate efforts to estimate and scope proposals.
• Utilize available automation and collaboration tools, including Microsoft Copilot, to support planning, reporting, and execution efforts.
• Provide regular communications and project status reports to management, stakeholders, and the project team.
• Evaluate trade-offs between project size and complexity, cost, urgency, risk, and stakeholder value.
• Validate financial forecasts and provide on-going reconciliation of resources and other related project expenditures by managing project costs within the approved capital and expense budgets, including trend analysis and appropriate communications and support should budget adjustments be warranted.
• Partner with business sponsors to define success metrics and criteria.
• Build, lead, and coach multiple project teams throughout project lifecycles.
• Facilitate all operational checkpoint activities throughout the lifecycle of projects.

Qualifications

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of direct Project Management experience, preferably within healthcare payer operations
• Requires experience working with and supporting healthcare mandates
• Candidate must have hands-on experience in project/program resource planning, reporting, prioritization, and budgeting with both on-shore and off-shore staff
• Hands-on experience with project financial planning and reconciliation
• Health Care experience with Commercial, Individual, Family, Medicare, or Medi-Cal lines of business required
• Experience using Agile methodology to deliver projects in a desired corporate environment
• PMP Certification and experience with Planview project management software and Microsoft 365 collaboration tools 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.

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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