Healthcare Strategist for Cost Savings and Quality Improvement

3 days ago


Oakland, California, United States Blue Shield of California Full time
Job Summary

The Clinical Program Manager, Consultant will lead the Medical Care Programs team in managing critical healthcare initiatives aimed at cost savings and quality improvement. This role drives healthcare interventions and analyzes outcomes to impact healthcare trends for specific employer clients.

About the Role

In this position, you will provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation. You will also review program budget variance and scope change requests, and participate in the budget-resolution process.

Main Responsibilities
  • Provide steady leadership in the face of uncertainty, change, and aggressive deadlines common to a rapidly growing company with an evolving business model.
  • 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.
Requirements

This role requires a bachelor's degree or equivalent experience, as well as at least 7 years of prior relevant experience. A current California LVN, RN, NP, or PA license is also required. Familiarity with health care data and the health care delivery system in California is preferred, along with health plan or provider experience.

Salary Information

The estimated salary for this role is $109,120 - $163,680 per year, based on location and experience.



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