Blue Shield of California · 6 days ago
Sr. Manager, Program and Project Management (Pharmacy Benefits Management)
California, United States
Full-time
Hybrid
Senior Level, Lead/Staff
10+ years expBlue Shield of California is a nonprofit healthcare organization committed to creating an affordable healthcare system. The Senior Manager of the Pharmacy Production Stabilization team will oversee pharmacy production stabilization issues, drive processes for resolution, and ensure effective management of projects and teams to support business strategies.
Financial ServicesHealth InsuranceNon Profit
Responsibilities
Partner with business drivers to execute on sub portfolio delivery including schedule, scope, resource management, financials, benefit tracking, knowledge of emerging technologies and issue/risk management to ensure successful completion of all projects and programs in support of the business strategies
Partner with managers to manage intake, Rough Order of Magnitude (ROM) estimation and demand/ capacity to ensure projects within the program meet cost, resource, environment, schedule, and other constraints within their domain
Provide oversight and direction of all the projects and releases within the sub portfolio (schedule, issues/risks, budget, resources, and PPM/PWA adherence)
Oversee and manage senior project managers, project managers and analysts in support of the delivery of the sub portfolio
Be accountable for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes, results, and deliverables
Provide direction, ownership, and oversight over the end-to-end Blue Shield production stabilization process, including Blue Shield and vendor specific incidents to assure that production stabilization issues that are partially or fully caused by contracted vendors and affiliated companies are resolved timely and accurately
Manage intake, assignment, direction, and resolution on pharmacy production stabilization issues and solutions that affect the Blue Shield book of business, including collaboration with stakeholders at all levels, identification of downstream impacts to ensure that issues are fully remediated without unintended negative consequences and identifying production stabilization issue trends, operational improvement opportunities, and providing expert recommendations to stakeholders and vendors
Assures that all production stabilization incidents have complete documentation from root cause analysis, impact reports, solution alternatives, decisions, communication plan, and implementation
Oversee and manage activities related to supporting the Pharmacy Annual Readiness and Command Center (RxARCC) team
Oversee and manage activities related to maintaining the pharmacy business continuity plan including annual reviews and audits
Other duties as assigned
Qualification
Required
Requires a bachelor's degree or equivalent experience
Requires at least 10 years of prior relevant experience, including 4 years of management experience
Advanced knowledge of pharmacy operations at the health plan level
Experience driving strategic projects and partnering cross-functionally as well as with external vendor partners to achieve successful outcomes
Excellent verbal and written communication skills that exhibit a solution-oriented approach
Excellent analytical and problem-solving skills
Demonstrated leadership, project management, and program evaluation skills
Company
Blue Shield of California
Blue Shield of California is a health insurance service provider.
5001-10000 employees
H1B Sponsorship
Blue Shield of California has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
2022 (41)
2021 (20)
2020 (31)
Funding
Current Stage
Late StageLeadership Team
Gary Culp
Senior Vice President, Government Markets
Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
Recent News
2026-01-13
Fierce Healthcare
2025-12-15
Company data provided by crunchbase