Program Manager, Senior, Network Operations chez Blue Shield of California Group
Blue Shield of California Group · Woodland Hills, États-Unis d'Amérique · Hybrid
- Senior
- Bureau à Woodland Hills
Your Role
The Network Operations team is responsible for working with cross-functional teams to shape and execute the strategic vision for Network Management ensuring financial stewardship, driving transformative initiatives to optimize network performance, enhance provider and member experience and strengthen governance across multiple lines of business. The Program Manager, Senior, Network Operations will report to the Senior Manager, Network Operations. In this role you will be responsible for working with the Senior Manager and Vice President, Network Operations to manage the resources that support the overall strategy and objectives of the Network Transitions and Operations team. This work includes, but is not limited to, the creation and management of processes and procedures, workflows while working with cross-functional teams to ensure effectiveness and efficiency throughout the organization
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.
Responsibilities
Your Work
In this role, you will:
- Contribute to process improvement initiatives across departmental functions and oversee documentation for new processes and operating procedures
- Responsible for the maintenance and management of the Network Transition SharePoint site which includes all related dashboards, documents and resources pertaining to potential network terminations, ensuring the site is well-organized and easy to use for applicable users
- Ensure applicable data has been requested and tracked to support management of affected population for associated termination
- Provide necessary support for meeting efficiency including agendas, minutes and documenting accountable parties for deliverables
- Management and maintenance of the Network Transition calendar which includes provider renewal dates with associated regulatory requirements, operational timelines, ensuring pre-work and meetings are scheduled
Demonstrate proficiency in transforming raw data sets into clear, actionable analytics for use in presentations and other communication channels
- Support Network Transition team by creating and refining PowerPoint decks for internal meetings, effectively translating complex project updates into concise, visually compelling presentations for executive stakeholders
- Organize interdepartmental activities ensuring completion of projects within the program are on schedule and meet organizational goals
- Work with Sr. Manager, Network Operations to define and track program milestones while developing, maintaining, and reporting on a comprehensive integrated delivery plan
Qualifications
Your Knowledge and Experience
- Bachelor’s degree in business administration, Healthcare Administration, or a related field is required
- Minimum of five years of relevant experience in managed care operations, provider relations or provider contracting
- Previous experience in healthcare program or project management
- Technically proficient in Microsoft Office suite (including Word, Excel and PowerPoint) with ability to compile presentations for leadership and data sets
- Must be a critical thinker, detail-oriented, exhibit exceptional communication skills in writing with the ability to track performance and deliverables understanding
- Proven capability to manage and prioritize multiple tasks and objectives simultaneously
- Skilled in handling highly confidential information and serving as a liaison between business leaders and various internal and external stakeholders.
- Able to collaborate and work strategically in a team setting with various professional, technical, and administrative staff, integrating resources in a timely and organized manner
About Company
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.
