Program Manager, Principal en Blue Shield of California Group

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, implement and execute to successful conclusion.    

• Validate financial forecasts and provide on-going reconciliation of resources and other related program expenditures.   

• Responsible for the overall relationship and tracking performance results of assigned providers. Hold internal BSC teams accountable to ensure provider satisfaction. Drive to provider performance among tactical team. Responsible for follow up on appropriate action items from meetings, serving as liaison between applicable departments; document updates and next steps.

• Manage a set of provider relationships to achieve Blue Shield of California goals in the areas of financial sustainability, Quality performance, membership growth, provider satisfaction, communication, and data integration, equating to overall programmatic success.   Responsible for understanding the day-to-day operations of each Provider group's impact on the strategic goals for all LOB. Day-to-day relationship management and ensuring continuous process improvements to meet the needs of the providers. Provide timely reporting to hold providers accountable for their performance

• Act as the primary point of contact for assigned groups, addressing the provider's holistic needs while navigating complex and matrixed internal workflows and relationships to improve assigned provider’s experience with the Plan.   

Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience

• At least 10 years of Project and/or program management experience in a Health Plan or healthcare system

• 10 years of Provider Relations and/or Network Management or Health Plan Operations experience

• Proficient in Microsoft Excel, with the ability to use pivot tables, formulas, and visual functions to display data. Proficient in Microsoft Word and PowerPoint, with the ability to draft documents that will be presented externally and to executive leadership

• Demonstrated understanding of utilization and quality metrics

• Excellent oral communication and presentation skills

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.