Program Manager, Senior chez Blue Shield of California Group

Your Work 

In this role, you will: 

• Operate as the liaison overseeing the delivery of care and services to members eligible for Maternal, Child, Adolescent Health (MCAH) and Women, Infant and Child (WIC) programs to the extent such programs are offered by Local Health Jurisdictions in San Diego and Los Angeles Counties.
• Operate at a strategic business level to ensure alignment and integration across maternal, infant & child health equity projects/programs, from initiation through delivery, in support of business unit process and administrative efficiency.
• Participate cross-functionally in business planning to support business unit strategy exercising independent judgement in developing methods, techniques, and evaluation criterion for obtaining results. 
• Partner across business areas to ensure compliance with regulatory and accreditation requirements to provide the most equitable care and services offered in the market.
• Engage Medi-Cal birthing members for value-added service enrollment.
• Provide Medi-Cal birthing members with technical assistance with the aim of closing prenatal and postpartum care gaps.
• Track Medi-Cal birthing population service enrollment and engagement while developing, maintaining, and reporting on an overall and integrated delivery plan. 
• Analysis data driven improvements to address maternal, Infant & child health equity and maternal mortality.
• In partnership with multiple internal and external stakeholders, drive the implementation of member-centered and equity-focused initiatives to reduce biases in care. 
• Maintain project documentation, integrated, multi-year project plans, resource plan, contingency plan, and related program artifacts.

Your Knowledge and Experience 

• Requires a college degree or equivalent experience.

• Requires a minimum of 5 years of prior relevant experience.

• Experience developing effective work plans, organizing details, setting priorities, and meeting deadlines is preferred.

• Working operational knowledge of moving data into action alongside practices, payers, and community is preferred.

• Knowledge of promising practices and the latest theory for moving towards maternal & infant health equity is preferred.

• Knowledge of Medi-Cal programs and population service is preferred.

• Experience working in community, social services, public health, or Medicaid roles, with a focus on maternal, infant, and child health equity, and systems change related to population health improvements.
• Experience implementing and assessing strategies/interventions focused on reducing inequities among pregnant and postpartum individuals, babies, and children.
• Strong data entry and analysis skills; experience with data entry/Salesforce or other similar database software programs and proficiency.

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.