Your Role

The Medical Care Programs team is responsible for managing programs that support members with their health care, drive cost of healthcare savings, and improve quality. The Program Manager, Consultant will report to the Senior Manager, Medical Care Programs. In this role you will manage a critical, cross-functional cost of healthcare taskforce, focused on a specific market segment. You will be responsible for impacting the cost of healthcare trend by direct intervention and by identifying and driving improvements at the macro and micro level.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Prefers familiarity with health care data and the health care delivery system in California; health plan or provider experience strongly desired
• Prefers experience related to member- or provider-facing programs, such as Utilization Management or Care/Case Management
• 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 health care analysis, population health outcomes, and/or program evaluation desired
• MS Access database experience desired

Pay Range

The pay range for this role is: $ 109120.00 to $ 163680.00 for California.

Note

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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