JOB DESCRIPTION
Your Role

The Community Health Team helps meet multiple goals for Blue Shield of California and is aligned with our collective mission, which will impact social drivers and lead us towards health equity. As part of the effort to transform healthcare, it is critical to promote community-clinical partnerships and services aimed at managing and improving health at the community level. Care delivery and community-based organizations and agencies need to partner with each other to develop cooperative strategies for the design, implementation, and accountability of services aimed at improving individual and population health. These coordination and communication needs for patients may be more acute when patients require services beyond the traditional health care system, such as social and community services, for managing their condition.

The Program Manager, Consultant will report to the Senior Manager, Community Health. In this role you will take an intersectional approach and center your work on equity to create plans and solutions that will result in the best-in-class stack for populations. You will be responsible for creating a streamlined connection between providers and community-based organizations to ensure there is a solid community integration care delivery model that supports end-to-end processes that include toolkit designs, best practices designs, workflow designs, and implementation of incentives. You will work closely with community leaders, members, and providers to co-design this stack and ensure the work is prioritized based on need and interest while ensuring reduction in unnecessary/preventable utilization of services and/or unhealthy outcomes.

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
• 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
• Research evidence-based practices and nationally recognized criteria, designing, and recommending opportunities to enhance efforts through scaling best practices, technology platforms or other culturally relevant modes of communication, and insights and perspectives generated by impacted and diverse stakeholders
• Facilitates community engagement strategies and partnerships towards health innovation and best practice identification in community health improvement
• Assist project and program leads in the administration of multiple projects, helping ensure that required tasks are completed, risks to project deliverables are reported and mitigated, and open issues are resolved with minimal disruption to project timelines
• Creates and drives completion of situational analysis, SWOT, and/or other analytics required to co-develop expanded strategies for scaling
• Lead cross-functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders

QUALIFICATIONS
Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Working operational knowledge of the key synergies necessary among practices, payers, community, and policy leaders to better align health care transformation efforts.
• Working operational knowledge of the key synergies necessary among practices, payers, community, populations, and policy leaders to better align health care transformation efforts required
• Strong facilitator with demonstrated excellence in driving multi-disciplinary and cross-functional teams to consensus
• Solid analytical, business case development and management skills

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.

ABOUT THE TEAM
Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that truly serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area’s top companies in volunteering & giving, and one of the world’s most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in – join us!

Our Values:

• Honest . We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human . We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
• Courageous . We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

From the earliest days of the pandemic, Blue Shield of California has been unyielding in our commitment to putting the health and safety of our people, our members and our communities first. As a health care company, Blue Shield requires all employees to be up to date with COVID-19 vaccination prior to start date as a condition of employment. Blue Shield will consider requests for medical or religious accommodation to this vaccination requirement prior to your start date.

The definition of "up to date with your COVID-19 vaccine" is when you have received all doses in the primary series and one booster when eligible. If you are unable to be up to date with your COVID-19 vaccine by your start date, your start date will need to be postponed and you will have 30 days to remedy. If you cannot fulfill the requirement nor obtain an accommodation within 30 days, your offer will be rescinded.