Demo

Program Manager, Principal

Blue Shield of California
Long Beach, CA Full Time
POSTED ON 2/7/2025
AVAILABLE BEFORE 5/5/2025

Job Description

Your Role

The Medical Care Programs team is responsible for managing vendor-delivered programs to manage care and deliver benefits for our members. The Program Manager, Principal will report to the Senior Manager, Medical Care Programs. In this role, you will manage transportation benefits for Blue Shield of California. You will be a member of a small team responsible for managing the vendor that provides transportation to members. You will be responsible for driving value, managing performance, and maintaining regulatory compliance.

Responsibilities

Your Work

In 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
  • Be responsible for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes
  • Participate in RFP's and vendor contracting
  • Oversee delivery of services by vendor
  • Perform, monitor and sustain compliance activities to ensure audit readiness at all times
  • Be accountable for performance outcomes, particularly in reducing cost of health care and improving member and provider experience
  • Monitor and research performance trends, identify issues and drive appropriate process improvement opportunities

Qualifications

Your Knowledge and Experience

  • Requires a bachelor's degree or equivalent experience
  • Requires at least 10 years of prior relevant experience
  • Health care or health plan experience preferred
  • Program or vendor management experience preferred
  • Transportation benefits experience desired
  • Medi-Cal, Department of Health Care Services (DHCS) & regulatory knowledge and experience desired
  • Finance acumen and medical claims experience desired
  • Strong analytical, problem solving, communication, and presentation skills
  • Project Management certification desired
  • Pay Range

    The pay range for this role is : $ 136400.00 to $ 204600.00 for California.

    Note

    Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

    LI-EB1

    About the Team

    Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. 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 fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

    Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. 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 be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
  • 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, 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 :
  • Member-facing and approved out-of-state roles remain remote.

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

    Salary : $136,400 - $204,600

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Program Manager, Principal?

    Sign up to receive alerts about other jobs on the Program Manager, Principal career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $138,649 - $191,575
    Income Estimation: 
    $182,502 - $249,036
    Income Estimation: 
    $207,946 - $249,343
    Income Estimation: 
    $175,165 - $219,883
    Income Estimation: 
    $182,642 - $260,237
    Income Estimation: 
    $138,649 - $191,575
    Income Estimation: 
    $182,502 - $249,036
    Income Estimation: 
    $207,946 - $249,343
    Income Estimation: 
    $175,165 - $219,883
    Income Estimation: 
    $182,642 - $260,237
    Income Estimation: 
    $125,870 - $158,705
    Income Estimation: 
    $156,108 - $190,447
    Income Estimation: 
    $131,105 - $151,214
    Income Estimation: 
    $172,510 - $244,152
    Income Estimation: 
    $191,286 - $252,215
    Income Estimation: 
    $182,642 - $260,237
    Income Estimation: 
    $235,645 - $292,423
    Income Estimation: 
    $175,165 - $219,883
    Income Estimation: 
    $200,471 - $254,173
    Income Estimation: 
    $101,775 - $148,346
    Income Estimation: 
    $133,494 - $170,282
    Income Estimation: 
    $131,105 - $151,214
    Income Estimation: 
    $128,269 - $173,633
    Income Estimation: 
    $157,111 - $225,157

    Sign up to receive alerts about other jobs with skills like those required for the Program Manager, Principal.

    Click the checkbox next to the jobs that you are interested in.

    • Contract Negotiation Skill

      • Income Estimation: $130,764 - $217,954
      • Income Estimation: $138,662 - $205,512
    • Fit/Gap Analysis Skill

      • Income Estimation: $73,819 - $101,080
      • Income Estimation: $76,041 - $97,265
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Blue Shield of California

    Blue Shield of California
    Hired Organization Address Oakland, CA Full Time
    Job Details Your Role Blue Shield of California is looking for a consultant-level Application Developer to join our Oper...
    Blue Shield of California
    Hired Organization Address Los Angeles, CA Full Time
    Your Role Provider Partnerships manages the holistic relationship of the Blue Shield of California contracted risk-barin...
    Blue Shield of California
    Hired Organization Address Oakland, CA Full Time
    Job Details Your Role The Individual Pricing team is responsible for forecasting, ratemaking, financial reporting, produ...
    Blue Shield of California
    Hired Organization Address Long Beach, CA Full Time
    Job Details Your Role The Risk Adjustment Prospective Program team focused on transforming health care by making it more...

    Not the job you're looking for? Here are some other Program Manager, Principal jobs in the Long Beach, CA area that may be a better fit.

    Program Manager, Principal

    Hispanic Technology Executive Council, Long Beach, CA

    Area Clinical Manager - Perfusion - Torrance, CA - $50,000 Bonus

    SpecialtyCare Associate Referral Program, Torrance, CA

    AI Assistant is available now!

    Feel free to start your new journey!