Job DescriptionYour RoleThe Program Manager Principal, Program Development and Operations, Provider Performance Enablement supports the design, development, and implementation of solutions to support provider and health systems performance enablement. The Program Manager Principal reports to the Director, Program Development and Operations, Provider Performance Enablement. In this role, you will work with the Director and other Blue Shield of California (BSC) business leaders to identify issues and design, develop, and implement work within the Provider Performance teams (to improve provider performance across BSC). The Program Manager Principal will collaborate with stakeholders to define program objectives and develop detailed project plans, ensure adherence to timelines and resource allocation strategies. This role involves building strong relationships with stakeholders and facilitating effective communication among cross-functional teams.
The Program Manager identifies and mitigates risks, conducts data analysis to measure program effectiveness, and prepares comprehensive reports for key stakeholders. They contribute to process optimization and the development of best practices, while also conducting implementation science research studies to examine factors influencing the adoption and implementation of evidence-based interventions.
The Program Manager assesses organizational readiness, provides consultation and training to enhance implementation competence, and engages with diverse stakeholders to ensure the relevance and feasibility of implementation efforts. Monitoring and evaluation, dissemination of findings, and staying informed of current literature and advancements in implementation science are also crucial aspects of this role.
ResponsibilitiesYour WorkIn this role, you will:
- Operate at a strategic business level to ensure projects/programs are in line with Blue Shield of California strategic goals
- Consult with all levels including senior management, make recommendations, and influence decision-making
- Leverage cross-functional internal and external relationships to drive initiatives forward
- Plan and implement multiple and extremely complex projects/programs spanning across business areas
- Determine key business issues, develop effective action plans and implement to successful conclusion
- Conduct data analysis and evaluation to identify insights and recommendations for program improvement. Prepare comprehensive reports and presentations to communicate program status, outcomes, and recommendations to key stakeholders and leadership
- Engage and collaborate with stakeholders, including network management, health plan product, provider network, provider performance and relations to ensure the relevance and feasibility of implementation efforts
- Develop and manage project portfolio including integrated risks, resources, budgets and scheduling
QualificationsYour Knowledge and Experience- Requires a bachelor's degree or equivalent experience. Master's degree is preferred. PMP and/or CSM certification are also preferred
- Proven experience as a program manager with 10+ years of hands-on experience or education and experience, preferably in a pilot or implementation setting.
- Strong understanding of project management methodologies and tools.
- Excellent organizational and time management skills, with the ability to manage multiple projects simultaneously.
- Effective communication and interpersonal skills, with the ability to collaborate with cross-functional teams and build strong relationships with stakeholders.
- Analytical mindset, with the ability to interpret data and draw meaningful insights.
- Strong problem-solving and decision-making skills.
- Attention to detail and ability to work in a fast-paced, dynamic environment.
- Proficiency in project management software and tools including; MS Office applications Word, Excel, PowerPoint, Outlook and Teams. Proficiency in JIRA, Power BI and Tableau preferred.
- Demonstrated experience in data analysis is required.
- Strong theoretical and practical knowledge of implementation science frameworks, theories, and methodologies.
- Familiarity with behavior change theories and quality improvement principles is desirable.
About the TeamAbout Blue Shield of CaliforniaAs 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.
