Program Manager, Consultant

at  Blue Shield of California

QUALIFICATIONSYOUR KNOWLEDGE AND EXPERIENCE

• Requires a bachelor’s degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Prefers familiarity with health care data and the health care delivery system in California; health plan or provider experience strongly desired
• Prefers experience related to member- or provider-facing programs, such as Utilization Management or Care/Case Management
• Strong organizational and/or project management skills, consistent ability to “self-start” and take ownership of end-to-end taskforce activities
• Excellent written and oral communication skills, ability to facilitate cross-functional discussions, lead teams through influence to drive actions and outcomes
• Experience in cost of health care analysis, population health outcomes, and/or program evaluation desiredMS Access database experience desired

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.

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, Consultant will report to the Senior Manager, Medical Care Programs. In this role you will manage a critical, cross-functional cost of healthcare taskforce, focused on a specific market segment. You will be responsible for impacting the cost of healthcare trend by direct intervention and by identifying and driving improvements at the macro and micro level.