Healthcare Quality & AI Programs Manager

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

Job summary

Blue Shield of CA seeks an experienced Program Manager, Consultant to oversee Clinical Quality initiatives within the Healthcare Quality and Affordability team. You will align projects, manage budgets, and guide teams to deliver on-time results with measurable benefits.

The role supports a hybrid schedule, with in-person days and collaboration requirements. Prior health plan experience and PMP certification are highly valued.

Qualifications

• Requires a bachelor’s degree or equivalent experience and 7 years of relevant work in health plans or managed care.
• Strong business acumen, budgeting, and cross-functional collaboration skills.
• Experience leading projects/programs in a complex delivery environment; PMP preferred.
• Proficiency with enterprise project and portfolio management tools; Cozeva desired.

Responsibilities

• Define projects and initiatives to support Clinical Quality outcomes.
• Plan budgets and manage programs from initiation to delivery.
• Guide teams, assign work, and monitor progress for results.
• Collaborate across departments to ensure on-time implementation and benefits realization.

Skills

Analytical thinking

Problem solving

Project management

Leadership

Team orientation

Education

Bachelor's degree

Master's degree preferred

PMP Certification preferred

Tools

Cozeva

Job description

Blue Shield of CA seeks an experienced Program Manager, Consultant to oversee Clinical Quality initiatives within the Healthcare Quality and Affordability team. You will align projects, manage budgets, and guide teams to deliver on-time results with measurable benefits.

The role supports a hybrid schedule, with in-person days and collaboration requirements. Prior health plan experience and PMP certification are highly valued.