Healthcare Program Manager – Quality, AI & Strategy

Blue Shield of CA; San Diego (CA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Blue Shield of CA is seeking a Program Manager, Consultant to oversee Clinical Quality-focused initiatives, ensuring strategic alignment, budget adherence, and on-time delivery. You will guide cross-functional teams, manage resources, and drive continuous improvement across programs in a health plan environment.

The role emphasizes leadership development, collaboration, and data-driven decisions, with in-person/hybrid work and regular in-office presence.

Qualifications

• Bachelor's degree or 4 years of relevant experience in lieu of a degree
• 7 years of prior relevant experience required
• Requires experience working at a health plan (managed care, government payer, or academic)
• Master's degree (MPH, MHA, MSW) preferred
• Project Management Professional (PMP) Certified preferred
• Proficiency with Cozeva application highly desired

Responsibilities

• Define projects and initiatives required to support teams to ensure on-time implementation, within budget, and with benefits realized.
• Assist in the planning and direction of budgets.
• Manages program(s) from initiation through delivery and monitors for continuous improvement.
• Organizes interdepartmental activities and may perform operational responsibilities.
• Participates cross-functionally in business planning to support Clinical Quality outcomes.
• Responsible for guiding teams, assigning, and monitoring the work of team members, and providing guidance and leadership.

Skills

Project management

Leadership

Budgeting

Cross-functional collaboration

Strategic thinking

Analytical thinking

Education

Bachelor's degree

Master's degree preferred

PMP Certification preferred

Tools

Cozeva

Job description

Blue Shield of CA is seeking a Program Manager, Consultant to oversee Clinical Quality-focused initiatives, ensuring strategic alignment, budget adherence, and on-time delivery. You will guide cross-functional teams, manage resources, and drive continuous improvement across programs in a health plan environment.

The role emphasizes leadership development, collaboration, and data-driven decisions, with in-person/hybrid work and regular in-office presence.