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Blue Shield of California

California nonprofit health insurance provider

Program Manager - Consultant

Program ManagementConfirmed live in the last 24 hours
Full-time$111.5k - $188.7kIn-person

About the Job

Requirements

  • A bachelor's degree, or a high school diploma/GED plus four years of additional relevant experience in lieu of the degree.
  • Seven years of prior relevant experience.
  • Experience with financial performance metrics, variance analysis, and reporting.
  • Experience with cross-functional business operations and healthcare administration.
  • Experience developing and maintaining tracking logs, dashboards, and scorecards.
  • Experience with executive reporting and presentation development.

Responsibilities

  • Provide overall program leadership and guidance, managing all aspects of a program, including requirements gathering, business case creation, and implementation.
  • Develop resourcing strategies to ensure optimum support for projects and day-to-day operational activities.
  • Monitor and analyze HMO and PPO performance variances, identifying emerging trends, risks, and opportunities for improvement.
  • Maintain a comprehensive inventory of performance variances and associated mitigation initiatives across business and operational functions.
  • Facilitate recurring stakeholder reviews to assess progress, validate priorities, and identify new actions needed to address performance gaps.
  • Track initiative ownership, key deliverables, milestones, dependencies, and target completion dates to ensure accountability.
  • Coordinate with cross-functional business leaders to develop and implement strategies addressing identified variances.

About the Company

Blue Shield of California

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.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
United States
Founded
1939

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