Program Manager, Consultant
1 week ago
**Your Role**
The Rapid Quality Improvement team is responsible for the development and execution of targeted, quality improvement initiatives in support of the commercial medical groups, hospitals, and affiliated providers to close gaps in care for our members. The Program Manager, Consultant will report to the Senior Manager, Quality Improvement. In this role you will execute data improvement efforts, incentive strategies, and new improvement tactics to raise HEDIS, QRS, and CAHPS outcomes in partnership with select California providers. To do this, the Program Manager, Consultant is expected to coordinate with internal, cross-functional matrix teams, as well as with executive leadership and clinical staff in provider organizations. The Program Manager, Consultant will be responsible for participating in project teams and work with external vendors, assigning, and monitoring work of team members and providing guidance and leadership to ensure timely execution of deliverables, that are within budget.
**Your Work**
In this role, you will:
- Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation
- Impart steady leadership in the face of uncertainty, change, and aggressive deadlines common to a rapidly growing company with an evolving business model
- Lead internal and external cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders
- Support and coach project managers within the program, while providing technical expertise in planning, execution, and leadership of program, projects, and initiatives
- Be accountable for independently building strong, collaborative relationships with targeted provider organizations and with internal partners
- Educate and work with external partners and participating practices as needed to identify innovation opportunities and adopt improvement actions
- Manage programs from initiation/pilot phase through delivery/spread and monitor for continuous improvement
- Serve as a quality outcome (HEDIS, QRS, CAHPS) expert with internal and external constituents
- Facilitate data flow between our provider partners and the company’s data systems
**QUALIFICATIONS
Your Knowledge and Experience**
- Requires a bachelor’s degree or equivalent experience. Master’s degree or clinical licenses preferred
- Requires 7 years of prior relevant experience
- Requires strong interpersonal skills and demonstrated ability to build relationships in fast-paced environments
- Requires previous project/program management experience and ideally experience with Lean philosophies and tools
- Requires proven ability to drive quality outcomes in the face of resistance, to conduct complex negotiations, and to create and maintain structure
- Requires clinical work or non-clinical work in healthcare with provider partners working on quality improvements and process improvements for better patient outcomes
- Requires willingness and ability to perform a role in a high pressure, high expectation, results-driven environment
**Pay Range**:
The pay range for this role is: $109,120.00 to $163,680.00 for California.
**Note**:
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 a
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