Senior Quality Improvement Program Manager | Hybrid LA

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 120,000 - 170,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Blue Shield of California seeks a Senior Program Manager, Quality Improvement to lead Medi-Cal quality initiatives, designing interventions, toolkits, and analytic insights that drive measurable performance improvements across rating systems.

You will partner with internal Quality Program Managers, clinical leadership, provider organizations, vendors, and community groups to execute improvement strategies and align QI programs with long-term goals in a hybrid Los Angeles-area role.

Qualifications

• Bachelor's degree or GED with 4 years relevant experience in lieu of a degree.
• Minimum 5 years of healthcare quality improvement/quality management experience.
• Experience with IPAs, medical groups, FQHCs, or Medi-Cal providers.
• Previous project/program management experience required.
• Knowledge of HEDIS/NCQA/DHCS desired.
• Proficiency with Cozeva highly desired.
• Tableau for quality reporting is preferred.

Responsibilities

• Design, develop, and manage quality interventions, toolkits, and clinic days.
• Provide analytic insights to support measurable quality improvements.
• Collaborate with internal teams, provider organizations, external vendors, and community groups.
• Align current and future QI programs with long-term organizational goals.
• Support and lead cross-functional quality improvement initiatives.

Skills

Quality improvement

Project management

Healthcare experience

Data analysis

IPAs experience

Education

Bachelor's degree or GED with 4 years relevant experience

Tools

Cozeva

Tableau

Job description

Blue Shield of California seeks a Senior Program Manager, Quality Improvement to lead Medi-Cal quality initiatives, designing interventions, toolkits, and analytic insights that drive measurable performance improvements across rating systems.

You will partner with internal Quality Program Managers, clinical leadership, provider organizations, vendors, and community groups to execute improvement strategies and align QI programs with long-term goals in a hybrid Los Angeles-area role.