Program Manager, Principal

JOB DESCRIPTION
Your Role

The Medical Care Programs team is responsible for managing programs that support members with their health care, drive cost of healthcare savings, and improve quality. The Program Manager, Principal will report to the Senior Manager, Complex Care, Medical Care Programs. In this role you will oversee vendors who provide member-facing clinical programs. You will be responsible for program operations, budget, regulatory compliance and attainment of service levels. As a key manager and product owner on the Medical Care Programs team, you will play a central role in program design, evaluation, ongoing operations and cross-functional projects.

Your Work

In this role, you will:

• Operate at a strategic business level to ensures projects/programs are in line with Blue Shield of California strategic goals
• Consult with all levels including senior management, make recommendations, and influence decision-making
• Leverage cross-functional internal and external relationships to drive initiatives forward
• Plan and implement multiple and extremely complex projects/programs spanning across business areas
• Determine key business issues, develop effective action plans and implement to successful conclusion
• Seek out opportunities for continuous improvement in the programs, vendor relationships and internal processes; hold vendor accountable for contractual commitments, key performance indicators, accuracy and best-in-class client service
• Critically review program operational and performance reporting for accuracy and consistency; produce relevant reports on process metrics, utilization metrics and cost savings estimates for internal and external customers
• Create and review member, provider, and employer-facing program communications in partnership with Communications and Brand teams
• Manage operational budget including forecasting, variance reporting and financial outcomes
• As product owner, partner closely with technical/IT teams to document, implement and test enhancements, fixes, and new functionality; additionally partner with Sales and Markets to support program strategies and roadmaps to achieve membership growth and retention objectives

QUALIFICATIONS
Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires at least 10 years of prior relevant experience
• Requires familiarity with health care data and the health care delivery system in California; health plan or provider experience and master’s degree and clinical background strongly desired
• Requires excellent communication skills, both written and oral, and ability to have difficult conversations, manage stakeholders and tailor communications to varying audience levels
• Previous contracting and vendor management experience strongly desired
• Previous project management experience desired in cross-functional, cross-disciplinary, large-scale corporate/enterprise-wide projects; product development experience also a plus
• Previous experience working in Agile environment, defining business requirements, writing user stories, conducting User Acceptance Testing and familiarity with working in JIRA, Confluence and other systems for program enhancements and implementations

Pay Range:

The pay range for this role is: $ 136,400.00 to $ 204,600.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

ABOUT THE TEAM
Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. 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 fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving. 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 be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
• 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:

Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That’s why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.

Two ways of working: Hybrid (our default) and office

• Hybrid – In a business unit approved office a few times per year to 3 days per week, on average

• Office – In a business unit approved office 4+ days a week, on average. If the role you’re applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.