Program Manager, Senior at Blue Shield of CA in rancho cordova, California

Job Description:

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Independently
manage and oversee ongoing operations between vendors and BSC, including all
complex data interfaces and end-to-end business processes. Identify problems
and develop improvements, modifications, and enhancements
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Plan
and direct project initiatives from initiation through delivery and monitor for
continuous improvement.
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Review
externally produced reporting critically and for consistency.
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Produce
relevant reports on process metrics, performance, and outcomes. Develop
strategies for vendor process improvements aligned with BSC strategic and
operational goals and objectives.
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Identify
key business issues, develop effective action plans and implement internal and
vendor interventions to achieve outcomes.
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Communicate
with internal and external stakeholders.
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Act
as business unit liaison to corporate initiatives and projects. Requires
knowledge of company products, functions, and service standards, policies, and
procedures.
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Manage
project scope and identify appropriate scope changes and direction.
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Coordinate
with cross-departmental team members; provide guidance.
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Provide
input into designing strategies for alignment with business unit goals and
objectives.
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Extensive
knowledge of health plan operations, such as claims, customer service, and
installation/membership required.
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Ability
to identify, analyze and resolve problems related to automated systems and
business operations.
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Ability
to provide subject matter expertise for IT services, review and approve
business requirements, system use cases and support testing and implantation of
new data interfaces.
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Ability
to build strong relationships across business units and interact with internal
and external senior leaders.
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Excellent
interpersonal, verbal and written communication skills, and presentation skills
required.
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Proficiency
in MS Outlook, Word, Excel, PowerPoint, Visio, project and One note
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Previous
project management experience required, including a proficiency with the key
components of project management (e.g., scope, time, cost, quality, human
resources, communication, risk, and integration).

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6 to 8 years related experience and/or training, or equivalent combination of education and experience

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At least four years of supervisor or management experience in health plan operations, such as claims, customer service, and installation/membership required.

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Previous project management experience required.

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Generally requires Bachelor's degree or equivalent 6-8 years of experience in Healthcare operations or program management.

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Knowledge of Medicare and Medi-cal preferred.

Additional Information

- Our Company: At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for - LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in - Join us!

- Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

- Equal Employment Opportunity: External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

- Requisition ID: 20002H1

- Posting Date: Nov 23, 2020

- Schedule: Full-time

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