Hybrid Program Manager Clinical Cost of Healthcare Insights

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

Job summary

Blue Shield of CA is seeking a Program Manager Clinical, Consultant (Line of Business) to analyze clinical and financial data, identify trends, and drive cost-reduction initiatives for employer-funded health plans in California.

You will lead projects, develop presentations, and facilitate meetings with stakeholders, shaping system-wide improvements and cost-management strategies across the CMO organization.

Qualifications

• Bachelor's degree or equivalent with 4 years of relevant experience required.
• At least 7 years of prior relevant experience.
• CA license: LVN, RN, NP, or PA.
• Familiarity with CA health care data and delivery system; health plan/provider exp desired.
• Strong organizational and project management skills with ability to self-start.

Skills

Project management

Cross-functional leadership

Data analysis

Communication

Cost of healthcare analysis

Root-cause analysis

Healthcare cost drivers

Stakeholder facilitation

Employer/self-insured populations

Education

Bachelor's degree or HS diploma with 4 years of relevant experience

Tools

Power BI

Job description

Blue Shield of CA is seeking a Program Manager Clinical, Consultant (Line of Business) to analyze clinical and financial data, identify trends, and drive cost-reduction initiatives for employer-funded health plans in California.

You will lead projects, develop presentations, and facilitate meetings with stakeholders, shaping system-wide improvements and cost-management strategies across the CMO organization.