Senior Pharmacy Programs & Projects Manager

Blue Shield of California; Long Beach (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

The Sr. Manager, Program and Project Management at Blue Shield of California leads end-to-end pharmacy production stabilization initiatives, coordinating with cross-functional teams and external vendors to ensure timely, accurate resolutions and executive-level reporting.

The role drives readiness activities and builds capable teams focused on affordable care. This hybrid position requires in-office collaboration two days per week, with flexibility and strong stakeholder management to achieve

Qualifications

• Requires a Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Requires 8 years of prior relevant experience.
• Requires 4 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports.
• Advanced knowledge of pharmacy operations at the health plan level.
• Experience driving strategic projects and partnering cross-functionally as well as with external vendor partners to achieve successful outcomes.
• Excellent verbal and written communication skills that exhibit a solution-oriented approach.
• Excellent analytical and problem-solving skills.
• Demonstrated leadership, project management, and program evaluation skills.

Responsibilities

• Partner with business drivers to execute on sub-portfolio delivery including schedule, scope, resource management, financials, benefit tracking, knowledge of emerging technologies and issue/risk management to ensure successful completion of all projects and programs in support of the business strategies
• Partner with managers to manage intake, ROM estimation and demand/capacity to ensure projects within the program meet cost, resource, environment, schedule, and other constraints within their domain
• Provide oversight and direction of all the projects and releases within the sub portfolio (schedule, issues/risks, budget, resources, and PPM/PWA adherence)
• Oversee and manage Program Managers, Project Managers, and Analysts in support of the delivery of the sub portfolio
• Be accountable for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes, results, and deliverables
• Provide direction, ownership, and oversight over the end-to-end BSC production stabilization process, including BSC and vendor specific incidents to assure that production stabilization issues that are partially or fully caused by contracted vendors and affiliated companies are resolved timely and accurately
• Own intake, assignment, direction, and resolution on pharmacy production stabilization issues and solutions that affect the BSC book of business, including collaboration with stakeholders at all levels, identification of downstream impacts to ensure that issues are fully remediated without unintended negative consequences and identifying production stabilization issue trends, operational improvement opportunities, and providing expert recommendations to stakeholders and vendors
• Assure that all production stabilization incidents have complete documentation from root cause analysis, impact reports, solution alternatives, decisions, communication plan, and implementation
• Oversee and manage activities related to supporting the Pharmacy Annual Readiness and Command Center (RxARCC) team
• Oversee and manage activities related to maintaining the pharmacy business continuity plan including annual reviews and audits
• Oversee and manage activities related to Quality Assurance and Testing to ensure accurate benefit implementation
• Perform other duties as assigned

Skills

Leadership

Project management

Communication

Analytical

Problem solving

Cross-functional collaboration

Vendor management

Education

Bachelor's degree or HS diploma with 4 years experience

Job description

The Sr. Manager, Program and Project Management at Blue Shield of California leads end-to-end pharmacy production stabilization initiatives, coordinating with cross-functional teams and external vendors to ensure timely, accurate resolutions and executive-level reporting.

The role drives readiness activities and builds capable teams focused on affordable care. This hybrid position requires in-office collaboration two days per week, with flexibility and strong stakeholder management to achieve