Program Manager, Consultant - Project Management

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

Your Role

The Healthcare Quality and Affordability team responsible for ensuring appropriate strategic planning and oversight over Clinical Quality, including artificial intelligence deployment and vendor oversight and management. The Program Manager, Consultant will report to the Sr. Manager, Clinical Quality. In this role you will be responsible for strategic alignment and integration across projects/programs in support of Clinical Quality and administrative efficiency. 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.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

In person, hybrid schedule includes 5 - 8 days per month in office.

Your Knowledge and Experience

• Bachelor's degree or high school/GED and 4 years of additional 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)

• Requires a deep understanding of project and resource management, strong business acumen, team focus, experience working in a complex project delivery environment, as well as an advanced understanding of an enterprise project and portfolio management tools

• Strong analytical and problem-solving skills
• Previous project/program management experience required
• Master's degree (MPH, MHA, MSW) preferred
• Project Management Professional (PMP) Certified preferred
• Proficiency with Cozeva application highly desired

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.