Senior Clinical Programs Manager Social Services Compliance

Blue Shield of CA; San Diego (CA); Hybrid; USD 90,000 - 150,000; Full time

Job summary

Blue Shield of California is seeking a Senior Program Manager, Clinical to lead administrative and operational support for Social Programs, ensuring compliance and contract adherence while delivering member-centered services.

This hybrid role requires collaboration with provider groups, Medi-Cal experience, and strong analytical, communication, and vendor management skills to drive results. You will report to the Senior Manager, Social Programs Management.

Qualifications

• Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Requires at least 5 years of prior relevant experience.
• Requires LCSW, LMFT, LPCC, PsyD or similar by the Board of Behavioral Sciences.
• Requires at least 2 years prior relevant experience working with Medi-Cal.
• Preferred at least 1-year prior relevant experience working with a Managed Care Plan.
• Requires experience collaborating with provider groups, community resources, and agencies.
• Requires program, project, and vendor/provider management experience.
• Requires strong administrative skills including proficiency in Excel, Microsoft Word, and Microsoft Outlook and the ability to multitask and track multiple projects/deliverables at one time.
• Requires strong analytical, problem solving, and communication skills.

Responsibilities

• Provide administrative and operational organization, compliance oversight, updates, and contract adherence.
• Support the Social Programs team in alignment with member-centered services in communities.
• Collaborate with providers, communities, and agencies to coordinate services.

Skills

Administrative skills

Analytical skills

Communication skills

Multitasking

Project management

Vendor management

Provider collaboration

Education

Bachelor's degree

High School Diploma/GED with 4 years relevant experience in lieu of degree

Tools

Excel

Microsoft Word

Microsoft Outlook

Job description

Blue Shield of California is seeking a Senior Program Manager, Clinical to lead administrative and operational support for Social Programs, ensuring compliance and contract adherence while delivering member-centered services.

This hybrid role requires collaboration with provider groups, Medi-Cal experience, and strong analytical, communication, and vendor management skills to drive results. You will report to the Senior Manager, Social Programs Management.