Program Analyst jobs at Blue Cross & Blue Shield

This role supports Stellarus within the Ascendiun Family of Companies. The Risk Management & Controls Assurance team delivers actionable insights by quantifying IT and business risk to increase resilience while driving a security culture. This Information Security Risk & Governance Specialist, Principal role will report to the Director working as a Risk Quantification Analyst. This position will play a critical role in identifying, evaluating, and quantifying risks, supporting executive decision-making, and driving data-driven business insights. The ideal candidate will bring thought leadership, technical expertise, and a proactive approach to evolve the existing risk management program. 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.

Your Role This role supports Stellarus within the Ascendiun Family of Companies. The Risk Management & Controls Assurance team delivers actionable insights by quantifying IT and business risk to increase resilience while driving a security culture. This Program Manager, Principal role will report to the Senior Manager. In this role you will develop, provide oversight, and support a governance process to ensure compliance of the Technology Ownership & Accountability policy. 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.

Your Role The Behavioral Health Operations Oversight team maintains program integrity and ensures compliance with regulatory and accreditation standards. The Program Manager, Principal, Behavioral Health Audits & Accreditation will report to the Senior Manager, Behavioral Health Audits & Accreditation. In this role you will support Blue Shield's Behavioral Health program through audit and accreditation readiness efforts to meet federal and state requirements.

Your Role The Risk Adjustment Prospective Program team focused on transforming health care by making it more accessible, affordable and customer centric. The Risk Adjustment Consulting, Senior will report to the Senior Manager of Risk Adjustment. In this role you will provides essential support to the Prospective Programs (In-Home Visit) within the Risk Adjustment Prospective Program (aka ProsPr) team. This includes interaction within the Risk Adjustment team, with various cross-functional teams within Blue Shield, Blue Shield IPA/MG and working directly with our vendors supporting our prospective programs. The ideal candidate possesses excellent interpersonal skills, project management skills, organizational skills, has high attention to detail, and is self-motivated. The candidate will also possess a desire to continually learn.

Your Role The Program Manager Principal, Program Development and Operations, Provider Performance Enablement supports the design, development, and implementation of solutions to support provider and health systems performance enablement. The Program Manager Principal reports to the Director, Program Development and Operations, Provider Performance Enablement. In this role, you will work with the Director and other Blue Shield of California (BSC) business leaders to identify issues and design, develop, and implement work within the Provider Performance teams (to improve provider performance across BSC). The Program Manager Principal will collaborate with stakeholders to define program objectives and develop detailed project plans, ensure adherence to timelines and resource allocation strategies. This role involves building strong relationships with stakeholders and facilitating effective communication among cross-functional teams. The Program Manager identifies and mitigates risks, conducts data analysis to measure program effectiveness, and prepares comprehensive reports for key stakeholders. They contribute to process optimization and the development of best practices, while also conducting implementation science research studies to examine factors influencing the adoption and implementation of evidence-based interventions. The Program Manager assesses organizational readiness, provides consultation and training to enhance implementation competence, and engages with diverse stakeholders to ensure the relevance and feasibility of implementation efforts. Monitoring and evaluation, dissemination of findings, and staying informed of current literature and advancements in implementation science are also crucial aspects of this role.

The Health Data Strategy team is responsible for advancing clinical data capabilities, supporting value-based care models, and enabling digital health transformation. The DevOps Analyst will report to the Sr Manager over the Health Data Strategy IT Team. In this role you will be the comprehensive subject matter expert in the technology products/platform feature space and apply, learn, and extend your skills beyond formal role boundaries. Having a desire to help achieve transformational healthcare improvement should serve as the inspiration behind the ideal candidate's willingness to participate across many different activities within an agile working model. 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.

Your Role The Behavioral Health Network Management team plays a crucial role in Blue Shield of California's (BSC) mission. We are responsible for developing and maintaining all behavioral health provider networks. Our goal is to nurture positive relationships that are essential for offering our members and clients access to high-quality, affordable health care services. The Program Manager, Principal will report to the Sr. Manager of Behavioral Health Contracting. In this role, you will have the opportunity to support BSC's Behavioral Health Facility network. This is a vital function that ensures we continue to meet the needs of our members and uphold the standards of care we are committed to providing. 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.

Your Role The Quality Improvement Team is accountable for quality ratings and the organization, development, and execution of targeted, quality improvement initiatives in support of commercial medical groups, hospitals, affiliated providers, and our Covered California and CalPERS membership. The Program Manager, Senior will report to the Senior Manager, Quality Improvement. In this role you will be responsible in the commercial line of business for the development and execution of targeted, quality improvement initiatives with our external provider group partners to achieve improved outcomes in HEDIS measures. You will partner with other lines of business and align quality interventions to the organizational strategies for HEDIS, QRS, CAHPS, and our Covered California and CalPERS membership. The Program Manager, Senior will build relationships internally and externally, and manage data driven outcomes and targets, helping to facilitate getting provider data into our Blue Shield systems.