Clinical Leadership Executive, Program Development

5 days ago


Long Beach, California, United States Blue Shield of California Full time
Transformative Clinical Program Management Opportunity

About 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 for members.

Key Responsibilities:

  • Strategic Business Planning: Develop and implement projects/programs aligned with Blue Shield's strategic goals, ensuring seamless execution and acceleration of improvements in primary care.
  • Cross-Functional Collaboration: Foster strong relationships with internal and external partners to drive initiatives forward, leveraging data analysis and creative solutions to drive consensus.
  • Complex Project Management: Plan and implement multiple, complex projects spanning business areas, identifying key business issues, developing effective action plans, and driving successful conclusions.
  • Data-Driven Decision Making: Analyze data in collaboration with Regional Medical Directors to inform trends, drivers, and key initiatives, incorporating findings into meaningful discussions with Group/IPA stakeholders.
  • Opportunity Identification: Identify opportunities around utilization, quality, and clinical initiatives, working closely with internal and external partners to design and launch programs focused on high-risk members, hospital initiatives, and behavioral health.
  • Partner Engagement: Collaborate with medical groups to co-create programs encompassing disease management, complex care management, transitions of care, and site of service, ensuring optimal utilization, access, and quality of care for members.
  • Collaborative Leadership: Lead with a collaborative approach, understanding existing resources and relationships between/among partner organizations, and move them towards constructive change.

About You:

  • Experience: Requires a minimum of 10 years of prior relevant clinical or job-related experience, with a current, active California RN, NP, or PA license.
  • Educational Background: Requires a bachelor's degree; an advanced degree is preferred.
  • Skills: In-depth understanding of the managed care delegated model and associated efficiency and quality measures, excellent verbal and written communication style, strong data analytic skills, and proficiency in Microsoft 365 applications, especially Excel and PowerPoint.
  • Personal Qualities: Ability to be resourceful and collaborative, a team player with strong listening skills, and the ability to offer creative solutions to drive consensus.

Compensation: The estimated salary range for this role is $136,400 - $204,600 per year, based on factors including candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.



  • Long Beach, California, United States Blue Shield of California Full time

    About 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...


  • Long Beach, California, United States Homeless Health Care Los Angeles Full time

    Job SummaryWe are seeking an experienced Clinical Director to lead our behavioral health programs at Homeless Health Care Los Angeles.This leadership role will oversee the day-to-day operations, including clinical and administrative oversight of all behavioral health programs, development of clinical protocols, ensuring compliance with regulatory standards,...


  • Long Beach, California, United States Blue Shield of California Full time

    At Blue Shield of California, we're committed to delivering innovative solutions that transform the lives of our members. We're seeking a seasoned Program Manager Clinical, Principal to lead our behavioral health initiatives and drive sustainable change across multiple stakeholders.Your RoleCollaborate with cross-functional teams to develop and execute...

  • Nurse Care Coordinator

    24 hours ago


    Long Beach, California, United States Blue Shield of California Full time

    About the Role:This Senior Care Manager opportunity at Blue Shield of California is a clinical leadership position that requires extensive experience in nursing, healthcare or related fields. The role involves coordinating care for patients in an outpatient setting and ensuring delivery of quality and cost-effective healthcare services.Key...


  • Long Beach, California, United States Kurz Solutions Full time

    We are seeking an Internal Medicine Physician to join our team at Kurz Solutions in Long Beach, California. This is a permanent position with a competitive salary of $300,000 - $400,000 per year.Job SummaryThe successful candidate will be responsible for providing clinical leadership and expertise as a Hospitalist / Nocturnist. The role involves working...


  • Long Beach, California, United States College Internship Program Inc Full time

    **Overview of the Student Advisor Role at College Internship Program Inc.The Student Advisor is a critical position within our organization, responsible for partnering with students, their families, and referring professionals to facilitate their path towards independence. This role requires exceptional communication skills, precise attention to detail, and...


  • Huntington Beach, California, United States Love 2 Learn Consulting LLC Full time

    At Love 2 Learn Consulting LLC, we are committed to delivering exceptional services in the field of Applied Behavior Analysis (ABA) and education. Our team of experts thrives on building strong relationships with our clients, colleagues, and community partners.About UsWe are a clinician-owned, award-winning agency that has been proudly serving Southern...


  • Long Beach, California, United States SCAN Full time

    About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues facing older adults in the United States. As the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, we serve over 285,000 members across California, Arizona, Nevada, and Texas. Our mission has...


  • Long Beach, California, United States MemorialCare Health System Full time

    At MemorialCare Health System, we are committed to increasing access to patient-centric, affordable, and high-quality healthcare. Our Organizational Development Specialist will play a crucial role in supporting our mission by designing and implementing organizational talent initiatives that align with our strategic objectives.The ideal candidate will have a...


  • Long Beach, California, United States College Internship Program Inc Full time

    Student AdvisorA key member of our team, the Student Advisor plays a pivotal role in supporting students as they navigate their academic and professional journey.About the RoleThe Student Advisor will work closely with students, their families, and referring professionals to facilitate their path towards independence. This position operates in a highly...


  • Long Beach, California, United States Clinical Management Consultants Full time

    About the OpportunityWe are seeking a seasoned Radiology Operations Manager to join our Clinical Management Consultants team. As a Medical Imaging Supervisor, you will play a key role in ensuring the smooth operation of our Diagnostic Imaging department.This is an exceptional opportunity for an experienced professional to leverage their expertise and passion...


  • Long Beach, California, United States Blue Shield of California Full time

    Job Summary:We are seeking a skilled Clinical Coordinator to join our Federal Employee Program team at Blue Shield of California. As a key member of the team, you will play a vital role in ensuring the effective coordination of care for our members. Your expertise in case management and nursing will enable you to develop personalized care plans that address...


  • Long Beach, California, United States Blue Shield of California Full time

    Your RoleWe are seeking a highly experienced and accomplished Strategic Clinical Director to lead our Behavioral Health Portfolio at Blue Shield of California. As a key member of the Blue Shield Behavioral Health Clinical Strategy and Programs team, you will work closely with internal and external business and clinical partners to drive the development,...


  • Long Beach, California, United States Blue Shield of California Full time

    At Blue Shield of California, we are seeking a skilled leader to join our team as a Supervisor, Pharmacy Services Operations. In this critical role, you will oversee a team of licensed pharmacy technicians who resolve outpatient pharmacy benefit coverage inquiries.The ideal candidate will have a minimum of 5 years of relevant experience and at least 2 years...


  • Long Beach, California, United States Molina Healthcare Full time

    Job OverviewMolina Healthcare is seeking an experienced Clinical Data Acquisition Director to lead our HEDIS operations team. This role is responsible for implementing, monitoring, and overseeing all chart collection activities for HEDIS projects, Risk Adjustment, and other state-specific audit initiatives.ResponsibilitiesDevelop and implement operational...


  • Long Beach, California, United States Haystack Consultants Full time

    About Haystack ConsultantsHaystack Consultants is a regional CPA firm expanding into Long Beach, offering an exciting opportunity for leadership growth.We are seeking a Tax Leadership Professional to lead and manage client tax implications, internal tax staff, and tax compliance and strategy. This role requires expertise in tax and prior leadership...


  • Long Beach, California, United States Eastridge Full time

    About This OpportunityEastridge Workforce Solutions is seeking a Senior Community Development Director to drive revenue generation and community engagement in LA North and Kern Counties.Job DescriptionThe Senior Community Development Director will lead fundraising efforts, manage a portfolio of donors, and execute a community resource development plan. Key...


  • Long Beach, California, United States April Parker Foundation Full time

    About the RoleThe April Parker Foundation seeks an exceptional Executive Operations Coordinator to oversee daily operations, ensuring seamless delivery of programs and services.This is a full-time role suited for a seasoned professional with expertise in nonprofit operations, team leadership, and organizational management.Key ResponsibilitiesDevelop and...


  • Long Beach, California, United States Blue Shield of California Full time

    Job 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...


  • Long Beach, California, United States Marriott Full time

    **Job Summary:**We are seeking an exceptional Executive Director of Food and Beverage Operations to join our team at Marriott. This is a unique opportunity to lead a talented group of professionals in delivering exceptional guest experiences and driving business growth.Key Responsibilities:Develop and Execute Business Strategies: Collaborate with...