Program Manager Clinical, Consultant
Company: Blue Shield of California
Location: Oakland
Posted on: September 12, 2024
Job Description:
Your Role
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 Clinical 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 employer
client. 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.
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
- 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 expertise in planning, execution, and
leadership of program, projects, and initiatives
- Facilitate a cross-functional taskforce with specific cost of
healthcare commitments
- Research and recommend interventions; identify and drive
improvements and actions to significantly impact the cost of
healthcare
- Maintain detailed documentation of taskforce activities and
action items, as well as interventions, outcomes and
impacts
- Partner closely with analytics teams to develop, analyze and
distribute reporting
- Coordinate care directly with members, caregivers, providers
and facilities -
- Liaise with analytic and cost of healthcare groups across
enterprise to compare trends, share knowledge, and measure outcomes
-
Your Knowledge and Experience
- Requires a bachelor's degree or equivalent experience
- Requires at least 7 years of prior relevant experience
- Requires current California RN license
- Prefers familiarity with health care data and the health care
delivery system in California; health plan or provider experience
strongly desired -
- Prefers Utilization Management experience; Care/Case Management
experience also desired
- 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 desired
- MS Access database experience desired
-
Pay Range -
The pay range for this role is: $ 109120.00 to $ 163680.00 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.
-
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Keywords: Blue Shield of California, Berkeley , Program Manager Clinical, Consultant, Executive , Oakland, California
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