Job Description

Your role.

The Evaluation Program Manager, Consultant will report to the Senior Manager, Measurement & Evaluation. In this role you will lead the planning and execution of evaluations, with the help of Principal Evaluators, related to Blue Shield of California's Healthcare Quality and Affordability (HQA) efforts and more broadly for priority initiatives across the company.

Responsibilities

Your work.

In this role, you will:

Support mixed methods program evaluations using both quantitative and qualitative approaches
Conduct qualitative and quantitative data collection, analysis, and visualization
Translate evaluation findings into actionable recommendations to identify promising solutions and improve programs
Lead conversations with stakeholders to influence program design and drive evaluation strategy forward
Support evaluation of multiple, complex programs across business areas, at times simultaneously
Apply statistical methods and predictive models to analyze large, complex datasets, identify trends, and support data-driven decision-making
Conduct root cause analysis using advanced statistical techniques
Bring innovative analysis techniques to drive creative measurement strategies and assist in development of new tools and indices
Support advanced analyses related to prospective evaluation of potential high-impact opportunities for tailored solutions
Act as thought partner in methodology discussions to align with partner analytical and actuarial teams, and drive analysis, interpretation, and reporting
Help the team operate at a strategic business level to ensure alignment with Blue Shield of California's strategic goals
Support team and department leadership in optimizing data and measurement practices across the organization
Consult with leaders at all levels, including both senior management and executive leadership, to make recommendations and influence decision-making
Build and leverage collaborative relationships across Blue Shield of California and with external partners to drive initiatives forward and to support the identification, development, and implementation of key business opportunities

Qualifications

Your Knowledge and Experience

Requires a bachelor's degree or equivalent experience
Requires at least 7 years of prior relevant experience
Requires experience with statistical methods and survey analysis in contexts such as a dissertation, thesis, business application, etc. Hands-on experience using software such as R, Python, SAS, or Stata preferred
Requires experience in program evaluation, including both qualitative and quantitative data collection methods and performing evaluations of healthcare-related innovations.
Experience in program evaluation across areas such as Care Management, Risk Adjustment, and Community Health is preferred. - (healthcare experience is preferred; not required)
Requires the ability to independently and creatively design and execute evaluation data strategies, including mixed methods approaches and statistical analysis planning
Requires ability to lead statistical/quantitative analysis with some assistance, and to simplify interpretation of findings for business audience and decision-makers
Requires experience disseminating evaluation findings in ways that are meaningful to diverse audiences and stakeholders, supporting data-driven decision-making.
Desired high comfort level with managing cross-functional relationships, contributing to a wide range of concurrent work across the organization, establishing and maintaining collaborative relationships with key stakeholders, working in a fast-paced environment with a culture of learning and innovation, and following through on projects with some but not extensive oversight

About the Team

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model:

At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:

o Member-facing and approved out-of-state roles remain remote.

o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.

o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

On-Site: Work from a business unit-approved office an average of four (4) or more days a week.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Blue Shield of California

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