Healthcare Quality Program Lead (Hybrid)

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

Job summary

Blue Shield of CA is seeking a program manager level professional to oversee Clinical Quality initiatives, including AI deployment and vendor oversight. You will define projects, manage budgets, and drive on-time delivery across departments, guiding teams with an emphasis on continuous improvement.

In-person work with hybrid scheduling, typically two days in the office, while balancing collaboration and flexibility. A strong background in health plans and program management is essential.

Qualifications

• Bachelor's degree or equivalent with 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).
• Deep understanding of project and resource management, strong business acumen, team focus, complex project delivery, and portfolio management tools.
• Strong analytical and problem-solving skills.
• Previous project/program management experience required.
• Master's degree (MPH, MHA, MSW) preferred.
• 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.
• Manage 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

Resource management

Analytical skills

Problem-solving

Team leadership

Communication

Education

Bachelor's degree or equivalent

Master's degree preferred

Tools

Cozeva

Job description

Blue Shield of CA is seeking a program manager level professional to oversee Clinical Quality initiatives, including AI deployment and vendor oversight. You will define projects, manage budgets, and drive on-time delivery across departments, guiding teams with an emphasis on continuous improvement.

In-person work with hybrid scheduling, typically two days in the office, while balancing collaboration and flexibility. A strong background in health plans and program management is essential.