Senior Program Manager, Care Management job Rancho Cordova California
Senior Program Manager, Care Management job Rancho Cordova California
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Senior Program Manager, Care Management Job

Employer Name: SpiderID: 13198016
Location: Rancho Cordova, California Date Posted: 1/25/2023
Wage: Negotiable Category: Insurance
Job Code: 17002EB-2191

Job Description:
Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California's Mission is to ensure all Californians have access to high-quality care at an affordable price. Blue Shield is focused on improving health care delivery by working closely with providers and making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution.

We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.


Senior Program Manager, Shield Support, Shield Concierge and Health Advocate

We are seeking a Senior Program Manager for Shield Support, Shield Concierge and Health Advocate. Our flagship care management and customer service programs are offered to Blue Shield members to assist them in understanding, accessing and receiving care.

The Senior PM will be responsible for the oversight and delivery of these programs that touch hundreds of thousands of Blue Shield members. This position provides the opportunity to be lead vital aspects of program strategy and to collaborate with departments across the organization as well as with vendors.

Responsibilities include program measurement, continuous quality improvement, relationship management, analysis, client support and leading interdepartmental communications and collaboration.


  • Lead program design in collaboration with key stakeholders

  • Oversee program delivery in partnership with operational leaders

  • Prepare sales collateral and member materials

  • Conduct sales and account management training

  • Develop goals and metrics; monitor program performance including client performance guarantees

  • Critically review reports on process metrics, utilization and cost savings and initiate continuous improvement

  • Quality check and deliver quarterly client reporting

  • Liaison with account management to support client reporting and custom requests

  • Present programs in client meetings as needed

  • Write specifications and document workflows

  • Prepare business cases and write project charters

  • Assist with budget planning and monitoring

  • Demonstrate impact and influence beyond area of responsibility

  • Troubleshoot and problem solve on a daily basis

  • Represent programs in corporate initiatives

  • Interact with senior leaders, incorporate business strategies and influence decision-making

  • Identify key business issues, develop effective action plans and implement interventions to achieve outcomes

  • Continuously monitor marketplace and maintain competitive intelligence



  • Bachelor degree required, Master's degree preferred, in Public Health, Business Administration or equivalent plus 8-10 years of experience

  • Extensive program or project management experience in multi-disciplinary setting required

  • Proficiency with project management tools and methodologies required; PMP certification a plus

  • Excellent interpersonal, verbal, written and presentation skills required

  • Experience in product management, sales and marketing required

  • Experience in clinical programs required

  • Call center of customer service experience desired

  • Strong math, analytical and problem-solving skills required

  • Significant business experience and financial modeling expertise required

  • Health care experience, familiarity with health care data and the health care delivery system in California desired

  • Knowledge of basic statistical terms and working knowledge of outcomes study design desired

  • Experience with writing technical specifications, test plans and conducting QA desired

  • Proficiency in MS Outlook, Word, Excel, PowerPoint and Visio required

Supervisory Responsibilities:

  • Collaborate with functional managers on goals for individual team members and regularly provide feedback on their performance

Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:

Contact Information:
Contact Name: Blue Shield of California Company Type:
Company: Blue Shield of California

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