Sr. Manager, Program and Project Management - CalAIM & HR1

Blue Shield of California•El Dorado, AR

10h•Hybrid

About The Position

Your Role The Senior Manager, Program Implementation will report to the Director, CalAIM. In this role you will be the drive process excellence, analyze and address highly complex operational issues and initiatives. The role will also help in finishing the development, execution, and implementation of the California Advancing and Innovating Medi-Cal program (CalAIM) and House Resolution 1 (H.R.1) passed at the federal level. The new laws and regulations will need to be implemented to ensure compliance and continued excellence of Promise Health Plan in the new regulatory environment. 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. Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Requirements

Requires a bachelor’s degree or equivalent experience
Requires at least 10 years of prior relevant experience, including 4 years of people management experience
Requires experience implementing large regulatory changes for a managed care plan
Requires Medi-Cal regulatory and health plan operations experience
Requires demonstrated experience collaborating with external public agencies, including county departments, state agencies, regional authorities, and community partners to support program objectives and operational alignment
Ability to effectively maneuver through organizational dynamics and tailor approach to ensure optimal outcome
Advanced knowledge and skills including technical or functional expertise, business acumen, financial analysis skills, risk management, critical thinking, and decision-making skills
Experience leading cross‑functional teams to build and operationalize processes that integrate people, technology, data, and policy components
Demonstrated ability to design, implement, and optimize end‑to‑end business processes

Nice To Haves

Project management professional (PMP) certification strongly preferred

Responsibilities

Manage a team of analysts and program managers to lead process improvements, including P&P development, process mapping, gap assessments and controls design for CalAIM and H.R.1 implementation
Work with Director, CalAIM and Government Affairs to support the Promise business and operational needs related to H.R.1 and CalAIM
Help provide Blue Shield teams with analysis and recommendations
Drive implementation of H.R.1 into multiple functional areas supporting Promise Health Plan and ensure milestones are integrated into annual planning
Be accountable for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes, results, and deliverables
Support strategic alignment and integration across projects/programs to help improve business process and administrative efficiency
Help support execution of end-to-end reporting of CalAIM and H.R.1 implementation outcomes
Consult and make recommendations to senior management on high priority or complex issues
Advise business units on Medi-Cal program guidance and best practices
Facilitate business strategy development and project initiation
Support project teams to identify SMEs and escalate issues
Develop executive reports and dashboard