Senior Behavioral Health Programs & Strategy Lead

Blue Shield of CA; San Diego (CA); Híbrido; USD 140.000 - 190.000; Jornada completa

Descripción de la vacante

Blue Shield of California is seeking a Principal Program Manager, Clinical to lead a portfolio of behavioral health strategy and programs. You will collaborate with internal partners and external clinical stakeholders to develop, execute, and evaluate the behavioral health and addiction medicine ecosystem across lines of business.

The role emphasizes continuous quality improvement, NCQA/regulatory alignment, and delivering measurable member/provider experience improvements.

Formación

• Requires unrestricted CA license (RN, PA, LCSW, LMFT, LPCC, or PsyD).
• At least 10 years of prior relevant experience including service quality programs and/or service products, health plan operations, or equivalent.
• Experience with behavioral healthcare from multiple perspectives: vendor, payer/plan, MBHO, clinical, provider relations, products, program evaluation, IPA or medical group, hospital, etc.

Responsabilidades

• Own portfolio of work and lead projects with internal partners for continuous quality improvement activities (e.g. meeting requirements for NCQA, regulatory/mandate programming).
• Support Blue Shield's behavioral health quality and integrated medical/behavioral health initiatives across all lines of business.
• Drive sustainable change across multiple stakeholders and stakeholders focused on continuous quality improvement initiatives & strategies.

Conocimientos

CA license

Behavioral health

Quality improvement

Stakeholder management

Vendor management

Educación

Bachelor’s degree or HS diploma

Descripción del empleo

Blue Shield of California is seeking a Principal Program Manager, Clinical to lead a portfolio of behavioral health strategy and programs. You will collaborate with internal partners and external clinical stakeholders to develop, execute, and evaluate the behavioral health and addiction medicine ecosystem across lines of business.

The role emphasizes continuous quality improvement, NCQA/regulatory alignment, and delivering measurable member/provider experience improvements.