Blue Shield Of California

Project Manager, Consultant (Enterprise Mandates Delivery)

Blue Shield Of California$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience required
  • 7+ years of direct Project Management experience, preferably in healthcare payer operations
  • Experience handling healthcare mandates
  • Hands-on project/program resource planning and budgeting experience
  • Experience with Agile methodology
  • Health care experience in Commercial, Individual, Family, Medicare, or Medi-Cal lines of business required
  • PMP Certification and familiarity with Planview and Microsoft 365 tools preferred

Responsibilities

  • Manage large-scale, high-complexity projects with diverse stakeholders to implement mandates
  • Develop project charters and integrated project plans
  • Motivate and lead high-performance cross-functional teams
  • Estimate and scope proposals
  • Utilize automation tools like Microsoft Copilot for planning and reporting
  • Communicate project status and updates to management and stakeholders
  • Evaluate project trade-offs in terms of size, cost, and risk

Benefits

  • Hybrid workplace model with in-office collaboration
  • Supportive workplace environment that upholds company values
  • Recognition as a Best Company to Work for by U.S. News
  • Top 100 Inspiring Workplace recognition
  • Commitment to community engagement and ethical standards
Full Job Description
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.

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:
  • 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.

About the Team

About Blue Shield of California

As 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.

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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