Program Manager, Senior, Virtual Care

Blue Shield of California; California; Hybrid; USD 91.000 - 136.000; Vollzeit

Zusammenfassung

Blue Shield of California is seeking a Senior Program Manager for Virtual Care Programs to lead day-to-day operations and cross-functional execution across the virtual care portfolio. You will partner with internal stakeholders, strategic vendors, and healthcare providers to support successful implementation and ongoing performance.

You will bring strong business acumen and program management expertise, with an understanding of healthcare and digital health, to ensure programs meet member and

Qualifikationen

• Bachelor’s degree or higher; 4 years of relevant experience in lieu of degree.
• At least 5 years of experience in product management, program development, or related field.
• Experience supporting virtual care, digital health, or vendor-enabled healthcare programs.
• Proven ability to manage complex cross-functional programs with milestones, dependencies, risks, issues, and governance.
• Experience managing external vendors, strategic partners, or third-party providers.
• Strong analytical skills translating performance data into actionable recommendations.
• Excellent communication, organizational, and cross-functional leadership.

Aufgaben

• Manage day-to-day operations across Blue Shield’s virtual care portfolio.
• Lead cross-functional program execution across Product Strategy, Clinical, Operations, Digital, IT, Compliance, Sales, Customer Experience, Analytics, and strategic vendor partners.
• Develop and maintain program plans, launch timelines, implementation milestones, vendor deliverables, dependencies, issue logs, decision trackers, and executive status updates.
• Support virtual care program launches by coordinating benefit and eligibility readiness, digital experiences, operational workflows, customer support models, and go-to-market activities.
• Partner with vendors and internal teams to monitor utilization, access, appointment availability, member satisfaction, clinical quality, cost performance, service levels, and remediation plans.
• Support vendor governance through quarterly business reviews, contract deliverable tracking, performance reviews, escalation management, and resolution of risks and cross-functional barriers.
• Develop executive-ready portfolio updates, performance dashboards, launch summaries, risk assessments, decision briefs, and roadmap recommendations informed by member needs, market trends, and program performance

Kenntnisse

Analytical skills

Communication

Cross-functional leadership

Program management

Healthcare/digital health

Ausbildung

Bachelor’s degree or equivalent

MBA or MPH preferred

Jobbeschreibung

Your Role

The Health Plan Product Development team is responsible for supporting Blue Shield of California’s portfolio of virtual care solutions designed to improve member access, experience, and health outcomes. The Program Manager, Senior, Virtual Care Programs will report to the Director, Health Plan Product Development. In this role, you will manage the day-to-day operations and cross-functional execution of virtual care programs, partnering with internal stakeholders, strategic vendors, and healthcare providers to support successful implementation and ongoing performance.

Job Description

The Health Plan Product Development team is responsible for supporting Blue Shield of California’s portfolio of virtual care solutions designed to improve member access, experience, and health outcomes. The Program Manager, Senior, Virtual Care Programs will report to the Director, Health Plan Product Development. In this role, you will manage the day-to-day operations and cross-functional execution of virtual care programs, partnering with internal stakeholders, strategic vendors, and healthcare providers to support successful implementation and ongoing performance. You will bring strong business acumen, program management expertise, and an understanding of healthcare and digital health to help ensure virtual care programs meet member and business needs. 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.

Responsibilities

• Manage day-to-day operations across Blue Shield’s virtual care portfolio, including virtual primary care, specialty care, behavioral health, women’s health, healthcare navigation, and other vendor-enabled programs


• Lead cross-functional program execution across Product Strategy, Clinical, Operations, Digital, IT, Compliance, Sales, Customer Experience, Analytics, and strategic vendor partners


• Develop and maintain program plans, launch timelines, implementation milestones, vendor deliverables, dependencies, issue logs, decision trackers, and executive status updates


• Support virtual care program launches by coordinating benefit and eligibility readiness, digital experiences, operational workflows, customer support models, and go-to-market activities


• Partner with vendors and internal teams to monitor utilization, access, appointment availability, member satisfaction, clinical quality, cost performance, service levels, and remediation plans


• Support vendor governance through quarterly business reviews, contract deliverable tracking, performance reviews, escalation management, and resolution of risks and cross-functional barriers


• Develop executive-ready portfolio updates, performance dashboards, launch summaries, risk assessments, decision briefs, and roadmap recommendations informed by member needs, market trends, and program performance

Qualifications

• Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree; advanced degree (MBA, MPH) is preferred


• Requires at least 5 years of experience in product management, program development, program management, or a related field


• Requires experience supporting or managing virtual care, digital health, healthcare navigation, or other vendor-enabled healthcare programs


• Demonstrated experience managing complex cross-functional programs, including milestones, dependencies, risks, issues, stakeholder communications, and operational readiness


• Experience managing external vendors, strategic partners, or third-party providers, including deliverables, performance, service levels, escalations, and ongoing governance strongly preferred


• Strong analytical skills with demonstrated ability to translate program performance, member experience insights, and operational metrics into actionable recommendations and executive-ready materials strongly preferred


• Excellent communication, organizational, and cross-functional leadership skills, with demonstrated ability to influence and align stakeholders and decisionmakers within a highly matrixed organization

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.

About Us

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we’re going to do and by acknowledging and correcting where we fall short.


• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.


• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

• For most teams, this means coming into the office two days per week.


• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.


• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

JOB INFO

Job Identification : 20262275

Job Category : Business Operations

Posting Date : 2026-10-26T22:50:39+00:00

Job Schedule : Full time

Locations :

El Dorado Hills, CA, United States

CA, United States

Long Beach, CA, United States

Lodi, CA, United States

Oakland, CA, United States

Rancho Cordova, CA, United States

Redding, CA, United States

San Diego, CA, United States

Woodland Hills, CA, United States

Pay Range for California : $90860.00 to $136290.00

Pay Range for Bay Area : $102424.00 to $153636.00

Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Role can be filled by a candidate requiring sponsorship : No