Program Manager
Blue Shield of California
Program Manager
Blue Shield of California
California nonprofit health insurance provider
Your Role
The Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the Select Markets lines of business ensuring the delivery of high-quality, affordable healthcare services to our members. The CalPERS Program Manager, Consultant will report to the Director of Select Business Solutions. In this role you will lead the ongoing monitoring and management of HMO and PPO trend and operating income performance variances by identifying emerging issues, maintaining initiative and action plan inventories, tracking ownership and key milestones, coordinating cross-functional stakeholders, and providing regular reporting on progress, risks, and outcomes to ensure accountability and drive performance improvement. Additional responsibilities may include data warehouse analysis and coordination.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
Your Work
In this role, you will:
Pay Range for California: $111540.00 to $167420.00
Pay Range for Bay Area: $125736.00 to $188728.00
California nonprofit health insurance provider
Blue Shield of California is a nonprofit health plan provider that offers medical insurance options for individuals, families, and employers within California. It operates as a mutual benefit corporation and maintains a broad network of healthcare professionals and facilities, enabling members to access care and manage claims through an online portal. Its services include preventive care programs and digital health coaching, with prior authorization required for certain medical, surgical, and some prescription drugs to control costs and ensure medical necessity. The company draws a substantial portion of its membership from CalPERS and focuses on delivering stable, affordable access to care within the state. Its goal is to provide members with reliable health coverage, a wide provider network, and tools to manage their health and expenses efficiently.
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