Senior Program Manager, Care Management

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care.

Blue Shield of California’s Mission is to ensure all Californians have access to high-quality care at an affordable price. Blue Shield is focused on improving health care delivery by working closely with providers and making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution.

We’re hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.

Senior Program Manager, Shield Support, Shield Concierge and Health Advocate
We are seeking a Senior Program Manager for Shield Support, Shield Concierge and Health Advocate. Our flagship care management and customer service programs are offered to Blue Shield members to assist them in understanding, accessing and receiving care. The Senior PM will be responsible for the oversight and delivery of these programs that touch hundreds of thousands of Blue Shield members. This position provides the opportunity to be lead vital aspects of program strategy and to collaborate with departments across the organization as well as with vendors.

Responsibilities

Lead program design in collaboration with key stakeholders

Oversee program delivery in partnership with operational leaders

Prepare sales collateral and member materials

Conduct sales and account management training

Develop goals and metrics; monitor program performance including client performance guarantees

Critically review reports on process metrics, utilization and cost savings and initiate continuous improvement

Quality check and deliver quarterly client reporting

Liaison with account management to support client reporting and custom requests

Present programs in client meetings as needed

Write specifications and document workflows

Prepare business cases and write project charters

Assist with budget planning and monitoring

Demonstrate impact and influence beyond area of responsibility

Troubleshoot and problem solve on a daily basis

Represent programs in corporate initiatives

Interact with senior leaders, incorporate business strategies and influence decision-making

Identify key business issues, develop effective action plans and implement interventions to achieve outcomes

Continue monitoring marketplace and maintain competitive intelligence

Qualifications
Experience

Bachelor degree required, Master’s degree preferred, in Public Health, Business Administration or equivalent plus 8-10 years of experience

Extensive program or project management experience in multi-disciplinary setting required

Proficiency with project management tools and methodologies required; PMP certification a plus

Excellent interpersonal, verbal, written and presentation skills required

Experience in product management, sales and marketing required

Experience in clinical programs required

Call center or customer service experience desired

Strong math, analytical and problem-solving skills required

Significant business experience and financial modeling expertise required

Health care experience, familiarity with health care data and the health care delivery system in California desired

Knowledge of basic statistical terms and working knowledge of outcomes study design desired

Experience with writing technical specifications, test plans and conducting QA desired

Proficiency in MS Outlook, Word, Excel, PowerPoint and Visio required

Supervisory Responsibilities

Collaborate with functional managers on goals for individual team members and regularly provide feedback on their performance

#J-18808-Ljbffr