Program Manager Clinical, Principal
6 days ago
Your Role
The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on execution to drive and accelerate improvements in primary care for all patients. This role will report to the Regional Medical Director.
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’s strategic goals
- Consult with all levels (including senior management) making recommendations and influencing 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
- Perform data analysis for all lines of business: Analyze data in collaboration with Regional Medical Director for trends, drivers, and key initiatives. Incorporate the analysis into meaningful discussions with Group/IPA
- Identify opportunities around utilization, quality, and clinical initiatives: Work side by side with internal and external partners in the design and launch of clinical programs focused on high-risk members, hospital initiatives, and behavioral health as well as internal innovation programs
- Partner with medical groups to co-create programs encompassing a full spectrum of initiatives around disease management, complex care management, transitions of care and site of service; ensuring optimal utilization, access, and quality of care for members
- Lead with a collaborative approach and an understanding of existing resources and relationships between/among partner organizations while moving them towards constructive change
- Work cross functionally with Blue Shield of California internal teams to provide support both ad hoc and for recurrent initiatives
Your Knowledge and Experience
- Requires a current, active California RN, NP, or PA license
- Requires a bachelor’s degree; advanced degree is preferred
- Requires a minimum of 10 years of prior relevant clinical or job related experience
- Experience in case utilization, quality improvement and disease management; MediCal experience is a plus.
- In-depth understanding of the managed care delegated model and associated efficiency and quality measures. Health plan experience is preferred
- Excellent verbal and written communication style to drive positive outcomes
- Strong data analytic skills and advanced knowledge in Microsoft 365, especially in Excel and PowerPoint applications
- Ability to be resourceful and collaborative; a team collaborator with strong listening skills and the ability to offer creative solutions to drive consensus
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
-
Program Manager Clinical, Principal
1 month ago
Long Beach, United States Blue Shield of California Full timeYour Role The Blue Shield Behavioral Health Clinical Strategy and Programs team works with internal and external business and clinical partners to develop, execute, and evaluate Blue Shield of CA’s strategy for behavioral health and addiction medicine, which we refer to as “Behavioral Health, Re-Imagined.” This Program Manager Clinical, Principal role...
-
Program Manager Clinical, Principal
4 weeks ago
Long Beach, United States Blue Shield of California Full timeProgram Manager Clinical, Principal at Blue Shield of California summary: The Program Manager Clinical, Principal at Blue Shield of California leads the development, execution, and evaluation of strategies for behavioral health and addiction medicine. This role collaborates with cross-functional partners to ensure alignment with strategic goals, manage...
-
Program Manager Clinical, Principal
2 months ago
Long Beach, United States Blue Shield of California Full timeYour Role The Blue Shield Behavioral Health Clinical Strategy and Programs team works with internal and external business and clinical partners to develop, execute, and evaluate Blue Shield of CA’s strategy for behavioral health and addiction medicine, which we refer to as “Behavioral Health, Re-Imagined.” This Program Manager Clinical, Principal role...
-
Program Manager Clinical, Principal
2 months ago
Long Beach, United States Blue Shield of California Full timeYour Role The Blue Shield Behavioral Health Clinical Strategy and Programs team works with internal and external business and clinical partners to develop, execute, and evaluate Blue Shield of CA’s strategy for behavioral health and addiction medicine, which we refer to as “Behavioral Health, Re-Imagined.” This Program Manager Clinical, Principal role...
-
Program Manager Clinical, Principal
2 months ago
Long Beach, United States Blue Shield of California Full timeYour Role The Blue Shield Behavioral Health Clinical Strategy and Programs team works with internal and external business and clinical partners to develop, execute, and evaluate Blue Shield of CA’s strategy for behavioral health and addiction medicine, which we refer to as “Behavioral Health, Re-Imagined.” This Program Manager Clinical, Principal role...
-
Program Manager Clinical, Principal
1 month ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the...
-
Program Manager Clinical, Principal
1 month ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the...
-
Program Manager Clinical, Principal
1 month ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the...
-
Program Manager Clinical, Principal
1 month ago
Long Beach, United States Blue Shield of California Full timeYour Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the...
-
Program Manager Clinical, Principal
1 month ago
Long Beach, CA, United States Blue Shield of California Full timeYour Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the...
-
Senior Clinical Research Dermatologist
1 day ago
Long Beach, California, United States Long Beach Clinical Trials Full timeDermatology Sub-Investigator or Principal Investigator PositionWe are seeking a highly skilled and detail-oriented Dermatology Sub-Investigator or Principal Investigator to join our team at Long Beach Clinical Trials.Responsibilities and Requirements:Collaborate with the Principal Investigator to oversee clinical trials and research studies.Conduct patient...
-
Program Director, Clinical Strategy
6 days ago
Long Beach, CA, United States Blue Shield of California Full timeJob OverviewThe Clinical Program Manager, Principal role at Blue Shield of California is a strategic position that collaborates with the Regional Medical Director and internal teams to transform healthcare delivery, ensuring best-in-class care for all members.This involves delivering on the Quadruple Aim, focusing on execution to drive improvements in...
-
Strategic Program Lead
6 days ago
Long Beach, CA, United States Blue Shield of California Full timeAbout the OpportunityWe are seeking a Strategic Program Lead - Clinical Excellence to join our team at Blue Shield of California. In this role, you will work closely with regional teams to develop and implement clinical programs that drive improved patient outcomes.Key ResponsibilitiesDevelop and execute clinical program strategies aligned with company...
-
Long Beach, California, United States Blue Shield of California Full timeTransformative Clinical Program Management OpportunityAbout the Role:We are seeking a seasoned Clinical Program Manager, Principal to join our team at Blue Shield of California. This strategic business leader will collaborate with Regional Medical Directors and internal teams to drive transformative change in healthcare delivery, ensuring best-in-class care...
-
Long Beach, CA, United States Blue Shield of California Full timeAbout the JobThis is an exciting opportunity to join Blue Shield of California as a Principal Healthcare Transformation Specialist. You will play a critical role in developing and implementing clinical programs that improve patient outcomes and drive operational excellence.Key ResponsibilitiesLead the development and implementation of clinical program...
-
Principal Environmental Consultant
4 weeks ago
Long Beach, California, United States Roux Associates Full timeAbout the RoleRoux Associates seeks a highly skilled Principal Environmental Consultant to join our team. As a seasoned professional, you will be responsible for generating annual net revenue, directing projects, and overseeing key client relationships.Essential Duties:Generate annual net revenue exceeding $750,000 at 20%+ profit.Direct projects and oversee...
-
Long Beach, California, United States Blue Shield of California Full timeAbout the RoleThe Program Manager Clinical, Principal at Blue Shield of California is a senior leadership position that oversees the development, execution, and evaluation of strategies for behavioral health and addiction medicine.This role collaborates with cross-functional partners to ensure alignment with strategic goals, manage complex projects, and...
-
Medical Dermatologist Position
1 day ago
Long Beach, California, United States Long Beach Clinical Trials Full timeJob Details: We are looking for a highly qualified Medical Dermatologist to lead our clinical trials and research studies related to dermatology. The successful candidate will have a strong background in dermatology and research, excellent communication and interpersonal skills, and a passion for advancing clinical research.Key Responsibilities: Conduct...
-
Healthcare Strategist Clinical Leadership
5 days ago
Long Beach, California, United States Blue Shield of California Full timeJoin a dynamic team at Blue Shield of California where innovation meets healthcare excellence. We are seeking an experienced Program Manager Clinical, Principal to drive our Behavioral Health Clinical Strategy and Programs forward.We operate in a rapidly changing healthcare landscape, and our team is dedicated to developing, executing, and evaluating...
-
Senior Clinical Nurse Case Manager
3 weeks ago
Long Beach, California, United States Blue Shield of California Full timeJob Title: Senior Clinical Nurse Case Manager - Federal Employee ProgramOverview:The Blue Shield of California team seeks an experienced and skilled Senior Clinical Nurse Case Manager to join our Federal Employee Program. As a Senior Clinical Nurse Case Manager, you will be responsible for conducting comprehensive assessments, developing care plans, and...