Project Manager, Consultant (Enterprise Mandates Delivery)

Blue Shield of California; California; Hybrid; USD 112,000 - 167,000; Full time

Job summary

Blue Shield of California is seeking a Project Manager Consultant to lead complex, audit-ready programs that translate new laws into actionable initiatives. You will own projects from initiation through delivery, manage risks and budgets, and collaborate with cross-functional teams to ensure compliance objectives are met.

The role emphasizes leadership, strategic thinking, and the ability to drive results in a healthcare payer environment.

Qualifications

• Requires 7+ years of direct Project Management experience, preferably within healthcare payer operations.
• Hands-on experience with project financial planning and reconciliation.
• Experience with healthcare mandates and reporting.
• Certified PMP preferred; proficient with budgeting, resource planning, and tracking.
• Experience with on-shore and off-shore teams.
• Bachelor’s degree or equivalent; 4 years of experience in lieu.

Responsibilities

• Manage large-scale, high-complexity projects/programs with diverse stakeholders to implement mandates.
• Develop the project charter, integrated project plan, resource plan, contingency plan, and related project management artifacts.
• Manage project resources to meet deliverables, including forming, motivating cross-functional teams (on and off-shore).
• Coordinate efforts to estimate and scope proposals.
• Utilize automation and collaboration tools, including Microsoft Copilot, to support planning, reporting, and execution.
• Provide regular communications and project status reports to management, stakeholders, and project team.
• Evaluate trade-offs between project size and complexity, cost, urgency, risk, and stakeholder value.
• Validate financial forecasts and provide ongoing reconciliation of resources and project expenditures within budgets.
• Partner with business sponsors to define success metrics and criteria.
• Build, lead, and coach multiple project teams throughout lifecycles.
• Facilitate all operational checkpoint activities throughout the lifecycle of projects.

Skills

Project management

Healthcare payer operations

Agile methodologies

PMP certification

Planview

Microsoft 365

Budgeting

Cross-functional leadership

Education

Bachelor’s degree or High School Diploma/GED with 4 years of additional relevant experience in lieu of a degree

Tools

Planview

Microsoft 365

Job description

Job Description

The Enterprise Mandates Delivery team is responsible for transforming new laws into audit-ready projects with defined ownership, scope, timelines, and funding, and oversees implementation through the full project lifecycle, including transition to operational owners. The Project Manager Consultant will report to the Senior Manager, Enterprise Mandates Delivery. In this role, you will take hands‑on ownership of complex projects from initiation through delivery, actively managing execution, risks, dependencies, and project financials to achieve compliance objectives.

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

In this role, you will:

• Effectively manage large-scale, high-complexity projects/programs of diverse scope that may involve multiple internal and external stakeholders to implement Blue Cross Blue Shield (BCBSA), state, and federal mandates.
• Develop the project charter, integrated project plan, resource plan, contingency plan, and related project management artifacts.
• Manage project resources to meet deliverables, including forming, motivating high-performance, cross-functional Business and IT teams, which may include on and off-shore resources.
• Coordinate efforts to estimate and scope proposals.
• Utilize available automation and collaboration tools, including Microsoft Copilot, to support planning, reporting, and execution efforts.
• Provide regular communications and project status reports to management, stakeholders, and the project team.
• Evaluate trade-offs between project size and complexity, cost, urgency, risk, and stakeholder value.
• Validate financial forecasts and provide on-going reconciliation of resources and other related project expenditures by managing project costs within the approved capital and expense budgets, including trend analysis and appropriate communications and support should budget adjustments be warranted.
• Partner with business sponsors to define success metrics and criteria.
• Build, lead, and coach multiple project teams throughout project lifecycles.
• Facilitate all operational checkpoint activities throughout the lifecycle of projects.

Qualifications

• Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires at least 7 years of direct Project Management experience, preferably within healthcare payer operations
• Requires experience working with and supporting healthcare mandates
• Candidate must have hands‑on experience in project/program resource planning, reporting, prioritization, and budgeting with both on‑shore and off‑shore staff
• Hands‑on experience with project financial planning and reconciliation
• Health Care experience with Commercial, Individual, Family, Medicare, or Medi‑Cal lines of business required
• Experience using Agile methodology to deliver projects in a desired corporate environment
• PMP Certification and experience with Planview project management software and Microsoft 365 collaboration tools preferred

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 Blue Shield of California

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

We believe in fostering a workplace environment that balances purposeful in‑person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in‑person interaction, collaboration, connection, creativity and flexibility:

• 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 : 20262226

Job Category : Business Operations

Posting Date : 2026-10-22T23:07:30+00:00

Job Schedule : Full time

Locations :

El Dorado Hills, CA, United States

Long Beach, CA, United States

Lodi, CA, United States

Los Angeles, CA, United States

Oakland, CA, United States

Rancho Cordova, CA, United States

Redding, CA, United States

Sacramento, CA, United States

San Diego, CA, United States

Pay Range for California : $111540.00 to $167420.00

Pay Range for Bay Area : $125736.00 to $188728.00

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