Senior Project Manager, Pharmacy Benefits & IT Programs

Blue Shield of CA; Springfield Meadows (CA); On-site; USD 150,000 - 190,000; Part time

Job summary

Blue Shield of CA is seeking a Principal Project Manager to own complex pharmacy benefits, claims, and network operations initiatives. You will coordinate across vendors, IT and business teams to plan, execute, and deliver IT-enabled projects in a highly regulated healthcare setting.

The role requires deep PM discipline knowledge, executive communication, and the ability to manage multiple initiatives while mitigating risks and dependencies.

Qualifications

• Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Requires 10 years of prior relevant experience.
• Requires extensive experience leading complex cross-functional programs and projects involving operations, technology, vendors, and business stakeholders, with demonstrated success delivering large-scale initiatives from planning through implementation.
• Requires proven ability to manage multiple concurrent initiatives, prioritize competing demands, identify risks and dependencies, and develop mitigation strategies in fast-paced and highly regulated environments.
• Requires deep knowledge of project management disciplines, including project planning, governance, stakeholder management, change management, issue resolution, executive communications, and resource coordination.
• Requires experience working with external vendors and internal business and technology teams to drive accountability, facilitate decision‑making, and ensure successful delivery of initiatives related to operational readiness, regulatory mandates, vendor assessments, and large‑scale implementations.
• Knowledge of the healthcare industry, particularly pharmacy operations, pharmacy benefit management, claims processing, formulary administration, network operations, and regulatory requirements, is strongly preferred to effectively navigate complex business and operational challenges, though not required for the role.

Responsibilities

• Provide end-to-end ownership of complex operational and technology initiatives, ensuring projects originating from vendor assessments, regulatory mandates, readiness efforts, and strategic priorities are planned, executed, and delivered successfully.
• Coordinate work across multiple vendors, IT teams, agile teams, and business stakeholders while proactively managing dependencies, risks, timelines, and communications.
• Translate business needs into technical requirements, challenge assumptions, assess impacts, and drive successful delivery of IT-related solutions.
• Support leadership development and contribute to building high-performing teams with a focus on results and continuous learning.

Skills

Project management

Vendor management

Regulatory compliance

Executive communication

Cross-functional leadership

Risk management

Education

Bachelor's degree or High School Diploma/GED

Job description

Blue Shield of CA is seeking a Principal Project Manager to own complex pharmacy benefits, claims, and network operations initiatives. You will coordinate across vendors, IT and business teams to plan, execute, and deliver IT-enabled projects in a highly regulated healthcare setting.

The role requires deep PM discipline knowledge, executive communication, and the ability to manage multiple initiatives while mitigating risks and dependencies.