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Program Manager, Consultant - CalPERS

Blue Cross and Blue Shield Association

  • Woodland Hills, CA
  • 3 days ago

    Highlights

    In this role you will lead the ongoing monitoring and management of HMO and PPO trend and operating income performance variances by identifying emerging issues, maintaining initiative and action plan inventories, tracking ownership and key milestones, coordinating cross-functional stakeholders, and providing regular reporting on progress, risks, and outcomes to ensure accountability and drive performance improvement. The Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the Select Markets lines of business ensuring the delivery of high-quality, affordable healthcare services to our members.

    Numbers & Facts

    LocationWoodland Hills, CA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    Description

    Your Role

    The Select Business Solutions team at Blue Shield of California plays a central role in managing the performance of the Select Markets lines of business ensuring the delivery of high-quality, affordable healthcare services to our members. The CalPERS Program Manager, Consultant will report to the Director of Select Business Solutions. In this role you will lead the ongoing monitoring and management of HMO and PPO trend and operating income performance variances by identifying emerging issues, maintaining initiative and action plan inventories, tracking ownership and key milestones, coordinating cross-functional stakeholders, and providing regular reporting on progress, risks, and outcomes to ensure accountability and drive performance improvement. Additional responsibilities may include data warehouse analysis and coordination.

    Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

    Your Knowledge and Experience

    • Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
    • Requires 7 years of prior relevant experience
    • Requires experience with financial performance metrics, variance analysis, and reporting
    • Requires experience with cross-functional business operations and healthcare administration
    • Requires experience with development and maintenance of tracking logs, dashboards, and scorecards
    • Requires experience with executive reporting and presentation development

    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
    • Develop resourcing strategies to ensure optimum support for projects and for the day-to-day operational activities
    • Monitor and analyze HMO and PPO performance variances, identifying emerging trends, risks, and opportunities for improvement
    • Maintain a comprehensive inventory of performance variances and associated mitigation initiatives across business and operational functions
    • Facilitate recurring stakeholder reviews to assess progress, validate priorities, and identify new actions needed to address performance gaps
    • Track initiative ownership, key deliverables, milestones, dependencies, and target completion dates to ensure accountability
    • Coordinate with cross-functional business leaders to develop and implement strategies addressing identified variances

    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
    • Develop resourcing strategies to ensure optimum support for projects and for the day-to-day operational activities
    • Monitor and analyze HMO and PPO performance variances, identifying emerging trends, risks, and opportunities for improvement
    • Maintain a comprehensive inventory of performance variances and associated mitigation initiatives across business and operational functions
    • Facilitate recurring stakeholder reviews to assess progress, validate priorities, and identify new actions needed to address performance gaps
    • Track initiative ownership, key deliverables, milestones, dependencies, and target completion dates to ensure accountability
    • Coordinate with cross-functional business leaders to develop and implement strategies addressing identified variances

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

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