Program Manager, Principal

Job Description

Your Role

The Business Operations team is responsible for ensuring appropriate strategic planning and oversight over Clinical Quality. The Strategic Planning and Performance Program Manager will report to the Director, Clinical Quality. In this role, you will be responsible for strategic alignment and integration across projects/programs in support of Clinical Quality and administrative efficiency. Define projects and initiatives required to support teams to ensure on-time implementation, within budget, and with benefits realized. Assist in the planning and direction of budgets. Manages program(s) from initiation through delivery and monitors for continuous improvement. Organizes interdepartmental activities and may perform operational responsibilities. Participates cross-functionally in business planning to support Clinical Quality outcomes. Responsible for guiding teams, assigning, and monitoring the work of team members, and providing guidance and leadership.

Responsibilities

Your Work

In this role, you will:

• Be responsible for planning and implementation of programs spanning across business areas which include encompassing multiple projects, and initiatives, and where analysis requires evaluation of intangible variance factors.
• Ensure the strategic direction of the program is in line and designs strategies for alignment with goals and objectives.
• Assist with budget planning as part of the annual budget cycle.
• Drives collaboration within the Clinical Quality teams to maximize effectiveness and efficiency.
• Ability to interact with all levels including senior management and influence decision-making with proven ability to determine key business issues, develop effective action plans, and implement to a successful conclusion.
• Works with the Director and leadership to establish and monitor unit KPI's and metrics to actual and plan targets; includes developing reports, and distribution metrics.
• Leads execution for all-hands meetings, team meetings, employee engagement, etc.
• Provides support to vendor management oversight.

Qualifications

Your Knowledge and Experience

• Requires a bachelor's degree (master's degree preferred) or equivalent experience
• Requires at least 10 years of prior relevant experience
• Requires working experience in Quality Improvement for HEDIS and/or clinical measures and understanding of regulatory or accreditation requirements within a health plan setting (DHMC, DHCS, CMS, NCQA, etc.)
• Prefers demonstrated experience as a chief of staff or with strategic planning and project and program management
• Strong skills in assembling presentations for executive audiences, including guiding teams to gather pertinent information, determining what story to tell and how to tell it, and understanding what format will work best for various audiences
• Excellent verbal and written communication skills, including the ability to speak comfortably and extemporaneously to diverse audiences, capable of self-management and exhibits a self-starter attitude
• Familiarity with financial planning and modeling preferred

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:

At Blue Shield of California, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

• Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:
  
  • Member-facing and approved out-of-state roles remain remote.
  • Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
  • 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.
• On-Site: Work from a business unit-approved office an average of four (4) or more days a week.

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.

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.