Program Manager Clinical, Consultant

2 weeks ago


Lodi, CA, United States Blue Shield of CA Full time

Your Role

The Population Health Management Social Services Clinical Liaison will report to the Director of Social Services, Medi-Cal Population Health Management. The Population Health Management Social Services Clinical Liaison interfaces with both DHCS and L.A. Care Health Plan; External Local Government Agencies and Providers including, but not limited to: County Child Welfare, County Behavioral Health and Enhanced Care Management (ECM) Providers; and, internal Blue Shield Promise staff including Population Health Management Care Management and Social Services staff, and ECM Program Management staff. The Population Health Management Social Services Clinical Liaison will serve as the primary point of contact to identify and resolve escalated Member-case specific, systematic, and operational obstacles for accessing services while providing programmatic support across Social Services program areas.

Your Knowledge and Experience

  • Current unrestricted CA License-- LCSW, LMFT, LPCC, or PsyD by the Board of Behavioral Health Sciences required
  • Advanced degree commensurate with field is preferred
  • Requires at least 7 years of prior relevant experience
  • 3+ years of Medi-Cal (Medicaid) experience, including knowledge of benefits and applicable resources including enrollment and disenrollment processes preferred
  • 3+ years of experience, expertise, or training in child welfare services, County behavioral health services, County care coordination and assessment processes, and trauma-informed care practices preferred
  • 3+ years' experience in consulting, project management, data analytics, operations, or a related field preferred
  • Excellent verbal and written communication style, coupled with strong data analytics skills, to drive positive outcomes
  • Resourceful and collaborative: team collaborator with strong listening skills, emotional intelligence and the ability to offer creative solutions to drive consensus
  • 3+ years' experience working with advanced Excel functions (formulas, pivot tables, lookup, macros, etc.) preferred


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