Healthcare Quality & AI Program Lead

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 120,000 - 160,000; Full time

Job summary

Blue Shield of California's Healthcare Quality and Affordability team is seeking a Program Manager, Consultant to drive strategic alignment across Clinical Quality initiatives, including AI deployment and vendor oversight. The role focuses on defining projects, managing budgets, enabling on-time delivery, and realizing benefits across programs.

The role requires strong leadership, deep experience in healthcare program management, and an ability to guide teams in a complex delivery environment.

Qualifications

• Bachelor's degree or high school/GED with 4 years of additional relevant experience in lieu of a degree
• 7 years of prior relevant experience required
• Experience working at a health plan (managed care, government payer, or academic)
• Deep understanding of project and resource management and enterprise project & portfolio tools
• Strong analytical and problem-solving skills
• Previous project/program management experience required
• Master's degree preferred (MPH, MHA, MSW)
• PMP Certification 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
• Manage program from initiation through delivery and monitor for continuous improvement
• Organize interdepartmental activities and perform operational responsibilities
• Participate cross-functionally in business planning to support Clinical Quality outcomes
• Guide teams, assign work, and provide leadership

Skills

Strong analytical and problem-solving

Project and program management

Education

Bachelor's degree or equivalent

Master's degree preferred (MPH, MHA, MSW)

PMP Certification preferred

Tools

Cozeva application

Job description

Blue Shield of California's Healthcare Quality and Affordability team is seeking a Program Manager, Consultant to drive strategic alignment across Clinical Quality initiatives, including AI deployment and vendor oversight. The role focuses on defining projects, managing budgets, enabling on-time delivery, and realizing benefits across programs.

The role requires strong leadership, deep experience in healthcare program management, and an ability to guide teams in a complex delivery environment.