Sr. Manager, Program and Project Management

Blue Shield of California • Full-time • California, United States, US • 21h ago

Job Description

Your Work

In this role, you will:

Partner with business drivers to execute on quality improvement tactics including schedule, scope, resource management, financials, benefit tracking, knowledge of emerging technologies and issue/risk management to ensure desired outcomes on quality measures such as MTM, NPS, STARS, and Forrester.
Evaluate data insights to drive proactive solutions for quality and accuracy improvements
Oversee and manage quality auditors, operations specialists and analysts in support of the delivery of quality and accuracy performance
Be accountable for ensuring overall quality program and effective utilization of management routines achieve overall desired outcomes, results, and deliverables
Ongoing development of QA team’s skills for improving customer service policies for improved quality and accuracy performance
Resolving or escalating quality and accuracy concerns, issues, and risks
Leading a culture of root cause analysis, zero errors, and continuous improvement
Reporting on quality and accuracy related topics timely which include “just-in-time”.
Representing the quality function in relevant meetings internal and external to CE

Qualifications

Your Knowledge and Experience

Requires at least 5 years of Root Cause analysis for improving overall quality performance
Proficiency with tools and methodologies to assess and improve service quality performance
Ability to communicate technical information with various levels cross-functionally.
Ability to communicate at the executive level
Ability to communicate financial implications of and value creation from change or improvement initiatives
Expert knowledge in analyzing data to direct improvement efforts

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 genuinely 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 continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities – 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.

Our Workplace Model:

Blue Shield of California is dedicated to making work-life balance a reality. Whether you prefer to work in an office or from home, we understand flexibility is more important than ever. That’s why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.

Two ways of working: Hybrid (our default) and office

Hybrid – In a business unit approved office a few times per year to 3 days per week, on average
Office – In a business unit approved office 4+ days a week, on average. If the role you’re applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Due to the current public health emergency in California, Blue Shield employees are almost all working remotely. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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