Program Manager, Principal

Blue Shield of California • Long Beach, CA

1d • Hybrid

About The Position

Your Role The Medi-Cal Actuarial and Finance Analytics team is responsible for rate development, financial oversight, regulatory compliance, and strategic financial analysis. The Program Manager, Principal will report to the Senior Director of Medicare and Medi-Cal Finance Analytics. In this role you will serve as a subject matter expert supporting financial compliance, delegated provider oversight, and regulatory requirements. 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.

Requirements

• Requires a bachelor’s degree or equivalent experience
• Requires a minimum of 10 years of prior relevant experience in healthcare finance, program management, compliance, actuarial, consulting, or managed care
• Knowledge of Medi-Cal managed care, healthcare finance, and regulatory compliance
• Demonstrated ability to independently interpret complex regulations and translate requirements into actionable business and financial recommendations
• Strong executive communication and stakeholder management skills, including experience representing organizations with regulators, health plans, providers, and external partners

Responsibilities

• Lead financial compliance activities related to Medi-Cal regulations, delegated provider oversight, Medical Loss Ratio reporting, and audit readiness
• Independently evaluate new regulatory requirements, assess financial and operational impacts, and develop recommendations for leadership
• Consult with and influence all levels of the organization, including senior management, to support strategic and regulatory decision-making
• Identify key business issues, develop actionable solutions, and drive implementation to achieve successful outcomes
• Drive process and policies improvements that strengthen financial controls, reduce compliance risk, and enhance regulatory reporting accuracy and timeliness
• Partner across departments and represent the organization in engagements with external stakeholders

What This Job Offers

• Job Type: Full-time
• Career Level: Principal