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Program Manager, Consultant - CalPERSnew

Blue Shield of California · Insurance

  • All Program Manager jobs
  • Insurance & Actuarial
  • El Dorado Hills, CA, United States
  • CA, United States
  • Long Beach, CA, United States
  • Lodi, CA, United States
  • Oakland, CA, United States
  • Rancho Cordova, CA, United States
  • Redding, CA, United States
  • San Diego, CA, United States
  • Woodland Hills, CA, United States
  • Professional · Full time

Your Role

The Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the Select Markets lines of business ensuring the delivery of high-quality, affordable healthcare services to our members. The CalPERS Program Manager, Consultant will report to the Director of Select Business Solutions. In this role you will lead the ongoing monitoring and management of HMO and PPO trend and operating income performance variances by identifying emerging issues, maintaining initiative and action plan inventories, tracking ownership and key milestones, coordinating cross-functional stakeholders, and providing regular reporting on progress, risks, and outcomes to ensure accountability and drive performance improvement. Additional responsibilities may include data warehouse analysis and coordination.

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 Work

In this role, you will:

  • Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation 
  • Develop resourcing strategies to ensure optimum support for projects and for the day-to-day operational activities 
  • Monitor and analyze HMO and PPO performance variances, identifying emerging trends, risks, and opportunities for improvement
  • Maintain a comprehensive inventory of performance variances and associated mitigation initiatives across business and operational functions
  • Facilitate recurring stakeholder reviews to assess progress, validate priorities, and identify new actions needed to address performance gaps
  • Track initiative ownership, key deliverables, milestones, dependencies, and target completion dates to ensure accountability
  • Coordinate with cross-functional business leaders to develop and implement strategies addressing identified variances

Your Knowledge and Experience

  • Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree 
  • Requires 7 years of prior relevant experience 
  • Requires experience with financial performance metrics, variance analysis, and reporting
  • Requires experience with cross-functional business operations and healthcare administration
  • Requires experience with development and maintenance of tracking logs, dashboards, and scorecards
  • Requires experience with executive reporting and presentation development

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