Program Manager, Consultant

Blue Shield of California • Oakland, CA

2d

About The Position

Your Role The Pharmacy Strategy and Operations team provides pharmacy benefit management services and strategies to support Blue Shield of California affordability and membership goals. The Program Manager, Consultant will report to the Sr. Manager, Pharmacy Programs. In this role you will support the Government Markets lines of business and will provide consultant level support for pharmacy programs. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Responsibilities 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 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 Qualifications Your Knowledge and Experience Requires a bachelor’s degree or equivalent experience Requires 7 years of prior relevant experience with Pharmacy or health program management and/or consulting Requires program management experience Knowledge of Blue Shield of California, Medi-Cal, Medicare, and/or Individual and Family Plans (IFP) is preferred Ability to work in a fast-paced multidisciplinary environment Excellent analytical and problem-solving skills

Requirements

• Requires a bachelor’s degree or equivalent experience
• Requires 7 years of prior relevant experience with Pharmacy or health program management and/or consulting
• Requires program management experience
• Ability to work in a fast-paced multidisciplinary environment
• Excellent analytical and problem-solving skills

Nice To Haves

• Knowledge of Blue Shield of California, Medi-Cal, Medicare, and/or Individual and Family Plans (IFP) is preferred

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees