Sr. Manager, Program and Project Management (Pharmacy Operations and Stabilization)

Blue Shield of California•Long Beach, CA

8d•Hybrid

About The Position

The Pharmacy Operations and Stabilization team provides management and end-to-end oversight of pharmacy benefit intent, quality assurance, testing, and production stabilization activities. The team ensures benefit changes are clearly defined, accurately validated, and effectively managed from issue identification through resolution in a matrixed environment. The Sr. Manager, Program and Project Management will report to the Director of Pharmacy Operations and lead the end-to-end activities needed to bring pharmacy production stabilization issues to full resolution. The role develops executive-level communications and reporting for key stakeholders, supports annual readiness activities, and leads a team of professionals to improve processes and business efficiency. The position works closely with the Pharmacy Strategy and Operations team, other Blue Shield of California and Stellarus teams, and external vendor partners to ensure timely and accurate resolution of pharmacy production stabilization issues. The position follows a hybrid workplace model. For most teams, this means working in the office two days each week. Employees who live more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Requirements

Bachelor’s degree, or a High School Diploma/GED and four years of additional relevant experience in lieu of a degree.
Eight years of prior relevant experience.
Four years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports.
Advanced knowledge of pharmacy operations at the health plan level.
Experience driving strategic projects and partnering cross-functionally and with external vendor partners to achieve successful outcomes.
Excellent verbal and written communication skills that demonstrate a solution-oriented approach.
Excellent analytical and problem-solving skills.
Demonstrated leadership, project management, and program evaluation skills.

Responsibilities

Partner with business drivers to execute sub-portfolio delivery, including schedule, scope, resource management, financials, benefit tracking, knowledge of emerging technologies, and issue and risk management.
Partner with managers on intake, Rough Order of Magnitude (ROM) estimation, and demand and capacity planning to ensure projects meet cost, resource, environment, schedule, and other constraints.
Provide oversight and direction for projects and releases within the sub-portfolio, including schedules, issues and risks, budgets, resources, and PPM/PWA adherence.
Oversee and manage Program Managers, Project Managers, and Analysts supporting sub-portfolio delivery.
Ensure overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations and desired outcomes.
Provide direction, ownership, and oversight of the end-to-end BSC production stabilization process, including incidents specific to BSC and vendors, to ensure timely and accurate resolution.
Own intake, assignment, direction, and resolution of pharmacy production stabilization issues and solutions affecting the BSC book of business.
Collaborate with stakeholders at all levels, identify downstream impacts, ensure issues are fully remediated without unintended negative consequences, identify issue trends and operational improvement opportunities, and provide expert recommendations to stakeholders and vendors.
Ensure production stabilization incidents have complete documentation, including root cause analysis, impact reports, solution alternatives, decisions, communication plans, and implementation.
Oversee activities supporting the Pharmacy Annual Readiness and Command Center (RxARCC) team.
Oversee activities for maintaining the pharmacy business continuity plan, including annual reviews and audits.
Oversee Quality Assurance and Testing activities to ensure accurate benefit implementation.
Perform other duties as assigned.