Sr. Manager, Program and Project Management (Network Strategy)

Blue Shield of CA; San Diego (CA); Hybrid; USD 150,000 - 210,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Blue Shield of California currently seeks a Senior Manager, Program Management to lead operational readiness, governance, and continuous improvement capabilities across provider and enterprise initiatives.

This role connects strategy to execution, partnering across Quality & Affordability, Markets, Network Management, Finance, Analytics, Digital, Technology, and provider groups to ensure measurable outcomes and financially sustainable improvements.

Qualifications

• Bachelors' degree or higher with relevant experience in healthcare, operations, or program management.
• Experience designing operating models, governance, and performance management systems.
• Proven track record leading cross-functional healthcare transformation initiatives.
• Experience establishing executive reporting, scorecards, KPI frameworks, and performance monitoring.

Responsibilities

• Oversee operational readiness and governance of continuous improvement capabilities.
• Lead performance monitoring, issue escalation, and benefit realization initiatives.
• Partner with multiple functions to align initiatives with strategic business outcomes.
• Influence executive stakeholders and drive alignment in a matrixed organization.

Skills

Operating model design

Governance frameworks

Performance management

Cross-functional leadership

Executive stakeholder management

Data-driven decision making

Education

Bachelor's degree or equivalent

Master's degree preferred

Job description

Your Role

The Network Strategy and Provider Performance team leads the design, implementation, governance, and continuous improvement of strategies, capabilities, and operating models that improve provider performance, quality, affordability, operational effectiveness, and provider experience across Blue Shield of California.

The SR Manager, Program Management reports to the Director, Network Strategy and is responsible for leading the operational readiness, performance management, and governance of continuous improvement capabilities that support enterprise and provider-facing initiatives. This role serves as a key connector between strategy and execution, partnering across Healthcare Quality & Affordability, Markets, Network Management, Finance, Analytics, Digital, Technology, and provider organizations to ensure initiatives are aligned, measurable, operationally sustainable, and capable of achieving desired business outcomes.

The Sr. Manager develops and oversees operating model capabilities that improve transparency, accountability, readiness, performance monitoring, issue escalation, benefit realization, and cross-functional decision making. This leader proactively identifies risks and opportunities, facilitates organizational alignment, and drives measurable improvements in provider performance and business results.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Requires at least 8 years of prior relevant experience, including 4 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports.
• Master's degree in Healthcare Administration, Business Administration, Public Health, or related field preferred.
• Experience designing and implementing operating models, governance frameworks, and performance management systems.
• Demonstrated success leading complex cross-functional healthcare transformation initiatives.
• Experience establishing executive reporting, scorecards, KPI frameworks, and performance monitoring programs.
• Strong understanding of provider organizations, provider operations, value-based care, healthcare affordability, quality improvement, and health plan operations.
• Experience conducting readiness assessments, organizational change management, and implementation planning activities.
• Experience developing business cases, benefit realization plans, and outcome measurement strategies.
• Strong analytical capabilities with experience leveraging data to inform decision making and strategic planning.
• Demonstrated ability to influence executive stakeholders and drive alignment in highly matrixed organizations.

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.