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Program Manager Clinical, Consultant

Blue Shield of California | San Diego, CA, US

Job Type: Full TimeSalary Range:$133,000 – $174,000 Salary range estimated by Zippia

Posted an hour ago

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Your Role

The Health Trend Solutions team partners with and supports business units across the organization to drive initiatives that result in cost savings with the goal to keep the health plan accessible and affordable to all members. The Program Manager Clinical, Consultant will report to the Senior Manager, Program and Project Management Clinical. In this role you will manage a portfolio of complex projects and programs, developing project summaries, implementation plans, business cases and other program artifacts while facilitating assigned business units’ initiatives that drive cost of healthcare savings from ideation through implementation.

Your Work

In this role, you will:

Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation
Provide steady leadership in the face of uncertainty, change, and aggressive deadlines common to a rapidly growing company with an evolving business model
Lead ideation and trend analysis efforts for assigned programs and lines of business
Review program budget variance and scope change requests, and participate in the budget-resolution process
Lead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders
Support and coach project managers within the program, while providing technical and clinical expertise in planning, execution, and leadership of programs, projects, and initiatives
Provide ongoing program and project status updates and other presentations to all levels of leadership across the organization
Manage program-level risks and interdependencies
Your Knowledge and Experience

Requires a bachelor’s degree or equivalent experience
Requires at least 7 years of prior relevant experience
Master’s degree preferred
Advanced knowledge of project management principles (Agile, Lean Six Sigma, etc.)
Project Management certification preferred
Requires active and unrestricted clinical licensure in the State of California (LVN, RN, NP, PA)
Requires strong professional level of knowledge including but not limited to clinical evaluation, medical record review, clinical standards of care, and pharmacy and therapeutics standards
Requires advanced computer skills including knowledge of Microsoft Office (Excel, PowerPoint). Proficiency with PowerBI preferred

Pay Range: The pay range for this role is $109,120.00 to $163,680.00 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.

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.%6327897% %%medinfo%%
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