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Blue Shield of California · 13 hours ago

Program Manager, Consultant

Oakland, CA, United States

Full-time

Hybrid

Mid, Senior Level

$126K/yr - $189K/yr

7+ years exp

Blue Shield of California is a nonprofit organization committed to transforming healthcare to be more affordable and effective. The Program Manager, Consultant will provide leadership and support for pharmacy programs within the Government Markets lines of business, ensuring successful implementation and management of initiatives. This role involves collaboration with various stakeholders to enhance the pharmacy member experience and drive operational excellence.

Financial ServicesHealth InsuranceNon Profit

No H1B

Responsibilities

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

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

Lead operational initiatives across the government markets lines of business working directly with product cycle managers, sales, brokers and internal departments to ensure proper implementation and administration of initiatives and timely updates to member and program materials

Partner with the Account and Sales Pharmacists to coordinate and complete competitive pharmacy request for proposal (RFP) responses for the government markets line of business

Manage new client implementations by working with clients and service providers to identify onboarding & ongoing requirements and driving stakeholders towards timely delivery

Manage the pharmacy member experience by proactively addressing member and client concerns, identifying resolutions or alternative solutions

Develop and prepare line of business (LOB) reporting, program status, and other senior level or executive level presentations for 1/1 readiness and other strategic initiatives

Support Pharmacy Care Reimagined strategic initiative implementation as appropriate

Qualification

Pharmacy program managementConsulting experienceProgram managementMedi-CalMedicareAnalytical skillsProblem-solving skillsWork in fast-paced environment