Clinical Program Manager Consultant

1 week ago

Oakland, California, United States Blue Shield of California Full time
{"title": "Clinical Program Manager Consultant", "content": "Job Summary

Blue Shield of California is seeking a highly skilled Clinical Program Manager Consultant to join our Medical Care Programs team. In this role, you will be responsible for managing critical, cross-functional cost of healthcare taskforces focused on specific employer clients.

Key Responsibilities

  • Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation.
  • Review program budget variance and scope change requests, and participate in the budget-resolution process.
  • Lead 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.
  • Facilitate a cross-functional taskforce with specific cost of healthcare commitments.
  • Research and recommend interventions; identify and drive improvements and actions to significantly impact the cost of healthcare.
  • Maintain detailed documentation of taskforce activities and action items, as well as interventions, outcomes, and impacts.
  • Partner closely with analytics teams to develop, analyze, and distribute reporting.
  • Coordinate care directly with members, caregivers, providers, and facilities.

Requirements

  • Requires a bachelor's degree or equivalent experience.
  • Requires at least 7 years of prior relevant experience.
  • Requires current California LVN, RN, NP, or PA license.
  • Prefers familiarity with healthcare data and the healthcare delivery system in California; health plan or provider experience strongly desired.
  • Prefers Utilization Management experience; Care/Case Management experience also desired.
  • Strong organizational and/or project management skills, consistent ability to 'self-start' and take ownership of end-to-end taskforce activities.
  • Excellent written and oral communication skills, ability to facilitate cross-functional discussions, lead teams through influence to drive actions and outcomes.
  • Experience in cost of healthcare analysis, population health outcomes, and/or program evaluation desired.
  • MS Access database experience desired.

Pay Range

The pay range for this role is: $ to $ for California.

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.

"}

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