Program Manager, Principal jobs in United States
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Blue Shield of California · 2 days ago

Program Manager, Principal

positionCalifornia, United States
timeFull-time
remoteHybrid
seniorityLead/Staff
date10+ years exp

Blue Shield of California is a nonprofit organization focused on transforming healthcare to improve quality and affordability. The Program Manager, Principal will manage vendor-delivered programs for prior authorization in oncology and other areas, ensuring compliance and driving performance outcomes.

Financial ServicesHealth InsuranceNon Profit
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H1B Sponsor Likelynote

Responsibilities

Operate at a strategic business level to ensure projects/programs are in line with Blue Shield of California strategic goals
Consult with all levels including senior management, make recommendations, and influence decision-making
Leverage cross-functional internal and external relationships to drive initiatives forward
Plan and implement multiple and extremely complex projects/programs spanning across business areas
Determine key business issues, develop effective action plans and implement to successful conclusion
Be responsible for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes
Participate in RFP's and vendor contracting
Oversee delivery of services by vendors
Perform, monitor and sustain compliance activities to ensure audit readiness at all times
Be accountable for performance outcomes, particularly in reducing cost of health care and improving member and provider experience
Monitor and research performance trends, identify issues and drive appropriate process improvement opportunities

Qualification

Project Management certificationProgram management experienceVendor management experienceUtilization management experienceHealth care experienceOncology experienceAnalytical skillsProblem solving skillsCommunication skillsPresentation skills

Required

Requires a college degree or equivalent experience
Requires 10 years of prior relevant experience
Health care or health plan experience required
Project Management certification desired
Program management or vendor management experience required
Utilization management or claims experience required
Strong analytical, problem solving, communication, and presentation skills required

Preferred

master's degree
Oncology experience

Company

Blue Shield of California

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Blue Shield of California is a health insurance service provider.
dateFounded in 1939
location
San Francisco, California, USA
people-size5001-10000 employees
web-link
https://www.blueshieldca.com

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 Stage

Leadership Team

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Gary Culp
Senior Vice President, Government Markets
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Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
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