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Program Manager jobs at Blue Shield of California - 151 jobs

  • Program Manager, Principal

    Blue Shield of California 4.7company rating

    Program manager job at Blue Shield of California

    Your Role The Clinical Quality [Commercial Populations] team is accountable for the quality ratings achieved for the organization's Commercial populations, as well as the preventive care strategy and outcomes for Blue Shield of California's Commercial members. Clinical Quality also manages financial, multi-site, system, and transitions of care risks associated with Quality performance. The Program Manager, Principal (Behavioral Health Preventive Care Outcomes) will report to the Sr. Manager/Director of Clinical Quality. In this role you will create and drive the improvement strategy for preventive care outcomes in behavioral health, with a focus on multi-site care, transitions of care, and emerging HEDIS measures of mental health. Additionally, in close partnership with department leadership, you will develop and implement the operational roadmap for care gap closure through data system improvements, member support interventions, or provider engagement strategies, including but not limited to education, support and remediation activities. Specifically, the role leads annual planning for quality/improvement/equity activities and negotiates resources, workplans and timelines to achieve HEDIS and CAHPS results, as well as state contract requirements related to depression screening, follow up care after emergency room and hospital utilization, and equitable health outcomes. The role is accountable for refreshing, executing and evaluating annual plans and strategies that cascade and scale to multiple teams and functions. 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. This position requires an in-office presence two days per week (eight days per month). The office location options for this role are Oakland, Long Beach, Woodland Hills or Rancho Cordova. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires a minimum of 10 years of prior relevant experience Requires demonstrated knowledge of Quality Ratings Systems, including HEDIS, hospital, emergency room, behavioral health and CAHPS measurement Requires a minimum of 7 years of demonstrated experience in behavioral health systems, workflows and teams Requires experience executing improvement initiatives within or with a California based healthplan as well as experience executing member or provider engagement interventions in support of preventive care outcomes and improvement for a diverse member population Requires demonstrated experience with annual financial modeling and operational planning in environments of rapid execution as well as demonstrated knowledge of strategic planning and multi-year project and program management Requires demonstrated ability to communicate complex ideas simply and succinctly both verbally and in writing, including ability to speak comfortably and extemporaneously to diverse audiences, capable of self-management and exhibits a self-starter attitude as well as demonstrated experience and strong skills assembling presentations for executive audiences, including guiding teams to gather pertinent information, and navigating a variety of presentation formats for various audiences Your Work In this role, you will: Operate at a strategic business level to ensure projects/programs are in line with Blue Shield of California strategic goals Consult with all levels including senior management, make recommendations, and influence decision-making Leverage cross-functional internal and external relationships to drive initiatives forward Plan and implement multiple and extremely complex projects/programs spanning across businesses Work collaboratively with teams to develop and implement quality targets and assist monitoring and collecting quality measures Determine key business issues, develop effective action plans and implement to successful quality outcomes conclusions Be responsible for planning and implementation of cross-functional quality improvement programs aimed at improving preventive mental health care, which will encompass multiple projects, initiatives, functions and specialties and include the evaluation/analysis of complex data, financial inputs as well as intangible variance factors Coordinate and oversee the delivery of ambitious targets across multiple internal and external project teams of 5 to 10 people, creating structure to coordinate parallel tracks of work and information for rapid decision making Drive care gap closure and health outcomes in behavioral health sites of care and primary care through Clinical Quality units to maximize improvement and goal achievement Assist with budget planning as part of the annual budget cycle Create and execute annual strategies and execution cycles for new and ongoing member interventions in collaboration with internal and external teams and Leadership
    $122k-157k yearly est. Auto-Apply 16d ago
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  • Director - Head of Construction Project Management

    Hays 4.8company rating

    San Jose, CA jobs

    Head of Projects Director required by Global Real Estate firm in San Jose, CA Your new company Our client, a leading global provider of workplace and Real Estate solutions, is seeking a strategic and people-focused Director, Head of Projects, to lead a high-performing construction project management division. This is a rare opportunity to step into a business-critical leadership role overseeing a diverse portfolio of fast-paced, short-duration commercial construction projects across multiple clients and sectors, including Healthcare, Biotech, Education & Tech. Your new role This is not a hands-on project manager position. Instead, the Head of Projects will: Lead and mentor a team of project managers, ensuring consistent delivery excellence Oversee the business unit's project revenue plan, forecasting, and backlog execution Serve as the internal authority on pricing, risk, and proposal strategy Build and grow long-term client relationships that drive repeat business and new opportunities Collaborate cross-functionally with account leaders and sales teams to align delivery with growth targets Step in to support complex or at-risk projects only when necessary What you'll need to succeed 8-12+ years of experience in construction project management, with at least 5 years in a leadership role Proven success managing high-volume, short-duration projects across sectors like healthcare, life sciences or education Deep knowledge of contracts, pricing, risk, and team structure Strong leadership, mentorship, and organizational skills Exceptional relationship-building abilities and a track record of generating work through trust and performance Degree in engineering, architecture, or construction management preferred; certifications (PMP, CCM) a plus MEP commissioning & HVAC knowledge is highly attractive What you'll get in return Up to $225,000 base salary DOE experience plus unmatched bonus program and comprehensive benefits Autonomy and influence in shaping a high-performing division Visibility and impact across a diverse client base and project portfolio A collaborative, forward-thinking culture backed by a global industry leader Ambition matched with an unlimited fast-growth career path What you need to do now If you're interested in this role, click 'apply now' to forward an up-to-date copy of your or call us now. If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion on your career.
    $225k yearly 4d ago
  • Project Manager - Custom Homes

    Hays 4.8company rating

    Los Angeles, CA jobs

    I am working with a multiple award-winning Custom Homes GC who has been setting the standard in luxury homebuilding for 50 years. They build jaw-dropping projects in San Diego, LA, Orange County, Las Vegas, and Palm Desert and collaborate with the area's most elite and celebrated architects and designers. Their LA team is looking to add a qualified Senior Project Manager who has a proven track record of delivering top residential construction projects on the West Coast. Paying up to $200k with benefits include health, dental, and vision insurance, PTO, 401k (employer matching), cell phone reimbursement, fuel reimbursement.
    $200k yearly 3d ago
  • Construction Project Administrator

    Hays 4.8company rating

    Millbrae, CA jobs

    Your new company Our client is a leading national developer-builder specializing in large-scale multifamily projects that shape communities and deliver exceptional living experiences. They are looking to hire a detail-orientated Construction Project Administrator to support multiple construction projects across Millbrae and the South Bay Area. Your new role As the Construction Project Administrator, you will join a dynamic team and provide critical administrative support for multifamily projects. This role ensures smooth operations by managing documentation, contracts, schedules, and communication between stakeholders. Key Responsibilities: Documentation Oversight: Maintain accurate project records, including meeting minutes, progress reports, and official correspondence Communication Liaison: Serve as a key point of contact between Executives, Project Managers, subcontractors, and vendors Contract Management: Support the administrative process for submittals, change orders, and help maintain compliance with contractual requirements Schedule Coordination: Organize meetings, track milestones, and ensure timely completion of project deliverables Material & Financial Coordination: Support procurement processes and assist with pay estimates, billing, and budget tracking What you'll need to succeed 1-5 years Construction Project Administrative experience working with a General Contractor or subcontractor Proficiency with construction and collaboration tools (e.g., project management platforms, plan review software, spreadsheets). Strong organizational skills with the ability to juggle multiple deadlines without dropping the details Clear, professional communication with field and office teams; comfortable running meetings and documenting decisions What you'll get in return High-visibility on multiple high-profile multifamily projects in the heart of Silicon Valley Collaborative team culture with strong field/office partnership Competitive compensation and comprehensive benefits with long term job stability supported by a strong pipeline of projects for the next 10+ years. What you need to do now If you're interested in this role, click 'apply now' to forward an up-to-date copy of your resume, or call us now. If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion about your career.
    $58k-83k yearly est. 1d ago
  • Senior Project Manager - Ground up

    Hays 4.8company rating

    San Jose, CA jobs

    Senior Project Manager with Ground up project experience required in San Jose Your new company Our client, a leading national developer-builder, is advancing Phase 2 of a multiphase master-planned community in North San Jose. The first phase-a 400-unit, 6-story wrap-style multifamily project-is already underway. Phase 2 will build on this momentum as part of a larger plan to deliver over 1,000 market-rate apartments. We're seeking a Senior Project Manager to lead this next high-profile phase from day one. Your new role As the Senior Project Manager, you'll lead the buyout and budgeting process, oversee documentation workflows (RFIs, submittals, change orders), and partner closely with the Lead Superintendent to drive the project to successful completion-on time and on budget. You'll also mentor junior team members and play a key role in maintaining relationships with subcontractors, consultants, and internal stakeholders. What you'll need to succeed 10+ years of experience in ground-up multifamily or commercial construction Proven success managing large-scale projects from preconstruction to closeout Strong technical knowledge and document control experience Proficiency in Procore, Bluebeam, and PlanGrid Assertive leadership style with humility and team-first mindset What you'll get in return This is a career-defining opportunity to join a premier developer-builder with a robust pipeline and a clear path to executive leadership. In addition to a competitive salary, the benefits include: Base Salary: Up to $220k Auto Allowance: $10K annually Full benefits: Health, Dental, Vision, Life, Disability PTO + 401K + Highly Competitive guaranteed Annual Bonus What you need to do now If you're interested in this role, click 'apply now' to forward an up-to-date copy of your resume, or call ************ now to discuss. If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion about your career.
    $220k yearly 3d ago
  • OAR / Senior Project Manager - LAUSD

    Hays 4.8company rating

    Los Angeles, CA jobs

    We are seeking a highly skilled and experienced Owner's Authorized Representative (OAR) to oversee and manage construction bond programs for Los Angeles Unified School District (LAUSD) and LACCD (Los Angeles Community College District). The OAR will be responsible for ensuring that all LAUSD and LACCD construction projects are completed on time, within budget, and to the highest standards of quality. This role requires a strong background in construction management, excellent communication skills, and the ability to work collaboratively with various stakeholders. Key Responsibilities: Oversee and manage multiple construction projects under the bond programs for LAUSD and LACCD. Ensure projects are completed on time, within budget, and meet quality standards. Coordinate with architects, contractors, and other stakeholders to ensure project goals are met. Monitor project progress and provide regular updates to senior management. Review and approve project plans, specifications, and budgets. Conduct site inspections to ensure compliance with safety regulations and project specifications. Resolve any issues or conflicts that arise during the construction process. Prepare and present reports on project status, budget, and timelines. Qualifications: Bachelor's degree in Construction Management, Engineering, Architecture, or a related field. Minimum of 10 years of experience in construction management, with a focus on educational facilities. Proven track record of successfully managing large-scale construction projects. Strong knowledge of construction methods, materials, and regulations. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced, collaborative environment. Proficiency in project management software and tools. Strong problem-solving and decision-making abilities. Preferred Qualifications: Experience working with public sector clients, particularly in DSA settings. Certification in Project Management (PMP) or Construction Management (CCM). Familiarity with local building codes and regulations in Los Angeles. Working Conditions: Office-based role, five days per week. Occasional travel to construction sites within the LAUSD and LACCD districts.
    $109k-145k yearly est. 3d ago
  • Manager of Quality Incentive Programs

    Partnership Healthplan of California 4.3company rating

    Auburn, CA jobs

    The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlan's Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets. As part of this work, the position oversees Partnership's Provider Data Portal which allows providers to evaluate their performance and obtain data to manage their patients and ultimately improve care. Responsibilities Provides oversight, mentoring, and coaching to the QIP team in the following areas: Development and implementation of communication plans and presentations to Partnership's leadership and physician committees; Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks; Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs; Provides advice and support on quality incentives programs run through other Partnership departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP; In conjunction with the Partnership leadership team and community stakeholders, develops other pay for performance programs, as needed; Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures; Researches and advises on program, payment, and incentive methodologies for quality incentive programs; Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact; Understands and exhibits expert knowledge in the various components of the QIPs. In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal: Works with Partnership departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions; Works with business analysts, vendors, and IT department to develop prototypes for the portal; Oversees the testing, implementation, long-term management, and continuous improvement of the portal; Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place; Provides direction to the team on all aspects of the portal. Leads a high performing team: Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives; Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required. Serves as member of QI Department and Health Services Management Teams: Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning; Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa; Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions; Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy; Works with other directors and managers across the QI department and Partnership as a whole on data and measurement related activities, including the Quality Improvement Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations. Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements. Stays informed of key developments and research in the area of Pay for Performance. Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades. Accepts other responsibilities as determined by the needs of the QI Department. Qualifications Education and Experience Bachelor's degree is required; Master's degree in healthcare is strongly preferred. At least four (4) years of experience in project management related to healthcare. Prior supervision of staff is required. Special Skills, Licenses and Certifications Advanced data analytic skills. Knowledge of healthcare quality data. Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Strong written and oral communication skills. Strong organization skills to work on multiple projects simultaneously within established time frames. Ability to plan, implement, and report on quality management projects. Strong analytic and critical thinking skills. Work Environment And Physical Demands More than 50% of work time is spent using a desktop computer. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
    $118.5k-154.1k yearly Auto-Apply 19d ago
  • Business Development Program Manager

    King's Insurance Staffing 3.4company rating

    Remote

    Our client is seeking an experienced Business Development Manager to join their growing team. This field-based, work-from-home position is responsible for building and expanding retail agency relationships, driving new appointments, and supporting submission growth, retention, and rate goals across the Northeast region. Key Responsibilities Develop and manage relationships with retail insurance agencies in NY, NJ, MA, and surrounding states. Drive new business submissions while supporting agency partners to grow production and retention. Support rate increase initiatives, account retention, and hit ratio goals. Identify, recruit, and onboard new retail agency partners in the Northeast. Represent the company at client meetings, industry events, and trade shows. Collaborate with underwriting, claims, and leadership teams to support agency partners. Educate agents on program features, underwriting appetite, and company value proposition. Requirements 5 - 8+ years of proven sales or business development experience in insurance, preferably as a Regional Sales Manager, Market Manager, or with MGA/Wholesale background. Strong understanding of Commercial General Liability and Commercial Property required; familiarity with Commercial Auto and Workers' Compensation is a plus. Demonstrated track record of driving agency appointments, submissions, and production results. Excellent relationship management, negotiation, and presentation skills. Self-motivated with the ability to work independently in a field-based environment. Willingness to travel extensively throughout the Northeast. Salary & Benefits $225,000 to $350,000+ Total Comp to include Base Salary plus Annual Bonus Flexible work schedule Ability to work fully remote Competitive Medical, Dental, and Vision benefits. Remote / field-based role with flexible schedule.
    $94k-132k yearly est. 60d+ ago
  • Manager of Quality Incentive Programs

    Partnership Healthplan of California 4.3company rating

    Redding, CA jobs

    The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlan's Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets. As part of this work, the position oversees Partnership's Provider Data Portal which allows providers to evaluate their performance and obtain data to manage their patients and ultimately improve care. Responsibilities Provides oversight, mentoring, and coaching to the QIP team in the following areas: Development and implementation of communication plans and presentations to Partnership's leadership and physician committees; Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks; Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs; Provides advice and support on quality incentives programs run through other Partnership departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP; In conjunction with the Partnership leadership team and community stakeholders, develops other pay for performance programs, as needed; Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures; Researches and advises on program, payment, and incentive methodologies for quality incentive programs; Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact; Understands and exhibits expert knowledge in the various components of the QIPs. In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal: Works with Partnership departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions; Works with business analysts, vendors, and IT department to develop prototypes for the portal; Oversees the testing, implementation, long-term management, and continuous improvement of the portal; Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place; Provides direction to the team on all aspects of the portal. Leads a high performing team: Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives; Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required. Serves as member of QI Department and Health Services Management Teams: Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning; Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa; Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions; Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy; Works with other directors and managers across the QI department and Partnership as a whole on data and measurement related activities, including the Quality Improvement Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations. Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements. Stays informed of key developments and research in the area of Pay for Performance. Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades. Accepts other responsibilities as determined by the needs of the QI Department. Qualifications Education and Experience Bachelor's degree is required; Master's degree in healthcare is strongly preferred. At least four (4) years of experience in project management related to healthcare. Prior supervision of staff is required. Special Skills, Licenses and Certifications Advanced data analytic skills. Knowledge of healthcare quality data. Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Strong written and oral communication skills. Strong organization skills to work on multiple projects simultaneously within established time frames. Ability to plan, implement, and report on quality management projects. Strong analytic and critical thinking skills. Work Environment And Physical Demands More than 50% of work time is spent using a desktop computer. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
    $118.5k-154.1k yearly Auto-Apply 19d ago
  • Manager of Quality Incentive Programs

    Partnership Healthplan of California 4.3company rating

    Santa Rosa, CA jobs

    The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlan's Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets. As part of this work, the position oversees Partnership's Provider Data Portal which allows providers to evaluate their performance and obtain data to manage their patients and ultimately improve care. Responsibilities Provides oversight, mentoring, and coaching to the QIP team in the following areas: Development and implementation of communication plans and presentations to Partnership's leadership and physician committees; Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks; Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs; Provides advice and support on quality incentives programs run through other Partnership departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP; In conjunction with the Partnership leadership team and community stakeholders, develops other pay for performance programs, as needed; Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures; Researches and advises on program, payment, and incentive methodologies for quality incentive programs; Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact; Understands and exhibits expert knowledge in the various components of the QIPs. In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal: Works with Partnership departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions; Works with business analysts, vendors, and IT department to develop prototypes for the portal; Oversees the testing, implementation, long-term management, and continuous improvement of the portal; Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place; Provides direction to the team on all aspects of the portal. Leads a high performing team: Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives; Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required. Serves as member of QI Department and Health Services Management Teams: Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning; Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa; Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions; Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy; Works with other directors and managers across the QI department and Partnership as a whole on data and measurement related activities, including the Quality Improvement Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations. Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements. Stays informed of key developments and research in the area of Pay for Performance. Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades. Accepts other responsibilities as determined by the needs of the QI Department. Qualifications Education and Experience Bachelor's degree is required; Master's degree in healthcare is strongly preferred. At least four (4) years of experience in project management related to healthcare. Prior supervision of staff is required. Special Skills, Licenses and Certifications Advanced data analytic skills. Knowledge of healthcare quality data. Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Strong written and oral communication skills. Strong organization skills to work on multiple projects simultaneously within established time frames. Ability to plan, implement, and report on quality management projects. Strong analytic and critical thinking skills. Work Environment And Physical Demands More than 50% of work time is spent using a desktop computer. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
    $118.5k-154.1k yearly Auto-Apply 19d ago
  • Manager of Quality Incentive Programs

    Partnership Healthplan of California 4.3company rating

    Chico, CA jobs

    The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlan's Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets. As part of this work, the position oversees Partnership's Provider Data Portal which allows providers to evaluate their performance and obtain data to manage their patients and ultimately improve care. Responsibilities Provides oversight, mentoring, and coaching to the QIP team in the following areas: Development and implementation of communication plans and presentations to Partnership's leadership and physician committees; Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks; Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs; Provides advice and support on quality incentives programs run through other Partnership departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP; In conjunction with the Partnership leadership team and community stakeholders, develops other pay for performance programs, as needed; Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures; Researches and advises on program, payment, and incentive methodologies for quality incentive programs; Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact; Understands and exhibits expert knowledge in the various components of the QIPs. In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal: Works with Partnership departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions; Works with business analysts, vendors, and IT department to develop prototypes for the portal; Oversees the testing, implementation, long-term management, and continuous improvement of the portal; Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place; Provides direction to the team on all aspects of the portal. Leads a high performing team: Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives; Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required. Serves as member of QI Department and Health Services Management Teams: Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning; Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa; Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions; Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy; Works with other directors and managers across the QI department and Partnership as a whole on data and measurement related activities, including the Quality Improvement Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations. Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements. Stays informed of key developments and research in the area of Pay for Performance. Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades. Accepts other responsibilities as determined by the needs of the QI Department. Qualifications Education and Experience Bachelor's degree is required; Master's degree in healthcare is strongly preferred. At least four (4) years of experience in project management related to healthcare. Prior supervision of staff is required. Special Skills, Licenses and Certifications Advanced data analytic skills. Knowledge of healthcare quality data. Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Strong written and oral communication skills. Strong organization skills to work on multiple projects simultaneously within established time frames. Ability to plan, implement, and report on quality management projects. Strong analytic and critical thinking skills. Work Environment And Physical Demands More than 50% of work time is spent using a desktop computer. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
    $118.5k-154.1k yearly Auto-Apply 19d ago
  • Manager of Quality Incentive Programs

    Partnership Healthplan of California 4.3company rating

    Fairfield, CA jobs

    The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlan's Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets. As part of this work, the position oversees Partnership's Provider Data Portal which allows providers to evaluate their performance and obtain data to manage their patients and ultimately improve care. Responsibilities Provides oversight, mentoring, and coaching to the QIP team in the following areas: Development and implementation of communication plans and presentations to Partnership's leadership and physician committees; Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks; Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs; Provides advice and support on quality incentives programs run through other Partnership departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP; In conjunction with the Partnership leadership team and community stakeholders, develops other pay for performance programs, as needed; Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures; Researches and advises on program, payment, and incentive methodologies for quality incentive programs; Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact; Understands and exhibits expert knowledge in the various components of the QIPs. In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal: Works with Partnership departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions; Works with business analysts, vendors, and IT department to develop prototypes for the portal; Oversees the testing, implementation, long-term management, and continuous improvement of the portal; Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place; Provides direction to the team on all aspects of the portal. Leads a high performing team: Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives; Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required. Serves as member of QI Department and Health Services Management Teams: Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning; Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa; Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions; Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy; Works with other directors and managers across the QI department and Partnership as a whole on data and measurement related activities, including the Quality Improvement Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations. Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements. Stays informed of key developments and research in the area of Pay for Performance. Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades. Accepts other responsibilities as determined by the needs of the QI Department. Qualifications Education and Experience Bachelor's degree is required; Master's degree in healthcare is strongly preferred. At least four (4) years of experience in project management related to healthcare. Prior supervision of staff is required. Special Skills, Licenses and Certifications Advanced data analytic skills. Knowledge of healthcare quality data. Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Strong written and oral communication skills. Strong organization skills to work on multiple projects simultaneously within established time frames. Ability to plan, implement, and report on quality management projects. Strong analytic and critical thinking skills. Work Environment And Physical Demands More than 50% of work time is spent using a desktop computer. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
    $118.5k-154.1k yearly Auto-Apply 19d ago
  • Program Manager

    Geico 4.1company rating

    Palo Alto, CA jobs

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. GEICO is looking for a Product Program Manager that operates autonomously to deliver key initiatives, which drive strategic outcomes for the GEICO product organization. This is a critical leadership role responsible for managing all aspects of delivery across the product development lifecycle, ranging from ideation to release. Effective communication and collaboration will be critical in keeping a diverse set of stakeholders aligned and engaged to address delivery obstacles. Job Responsibilities: • Drives the overall delivery of high priority, cross cutting initiatives • Develops and maintains program delivery plans, which include dependencies and work sequencing to ensure overall program success. • Proactively employs problem solving to identify and solve delivery obstacles and challenges. • Consistently and clearly communicates progress towards delivery objectives and highlights key developments and risks with stakeholders. • Defines and aligns standards for program communication, work tracking/tooling and risk management. • Coordinates the implementation of go-to-market strategies to ensure successful rollout and monitoring of new capabilities. • Ensures product team is leveraging product management, design thinking, systems thinking, and agile best practices as part of the product development lifecycle. The successful candidate will have: • Ability to lead autonomously and effectively • Experience developing comprehensive program plans to drive the delivery of complex initiatives and products with multiple stakeholders • Attention to detail and ability to adapt to ongoing change • Complex facilitation and dependency management experience. • Proficiency in resolving conflicts and having strong organization/priority setting skills. • Ability to effectively manage multiple priorities. • Strong verbal and written communication skills. Basic Qualifications: • 5+ years of experience in program/project management within a Product organization • 2+ years of experience with agile methodologies • Bachelor's degree required Preferred Qualifications: • Insurance industry experience • Project Management Professional (PMP), Certified Product Manager (CPM), Certified Scrum Product Owner (CSPO), SAFE Agilist, Lean Portfolio Management, or Azure certifications preferred Annual Salary $115,000.00 - $230,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $115k-230k yearly Auto-Apply 11d ago
  • Program Manager

    Geico Insurance 4.1company rating

    Palo Alto, CA jobs

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. GEICO is looking for a Product Program Manager that operates autonomously to deliver key initiatives, which drive strategic outcomes for the GEICO product organization. This is a critical leadership role responsible for managing all aspects of delivery across the product development lifecycle, ranging from ideation to release. Effective communication and collaboration will be critical in keeping a diverse set of stakeholders aligned and engaged to address delivery obstacles. Job Responsibilities: * Drives the overall delivery of high priority, cross cutting initiatives * Develops and maintains program delivery plans, which include dependencies and work sequencing to ensure overall program success. * Proactively employs problem solving to identify and solve delivery obstacles and challenges. * Consistently and clearly communicates progress towards delivery objectives and highlights key developments and risks with stakeholders. * Defines and aligns standards for program communication, work tracking/tooling and risk management. * Coordinates the implementation of go-to-market strategies to ensure successful rollout and monitoring of new capabilities. * Ensures product team is leveraging product management, design thinking, systems thinking, and agile best practices as part of the product development lifecycle. The successful candidate will have: * Ability to lead autonomously and effectively * Experience developing comprehensive program plans to drive the delivery of complex initiatives and products with multiple stakeholders * Attention to detail and ability to adapt to ongoing change * Complex facilitation and dependency management experience. * Proficiency in resolving conflicts and having strong organization/priority setting skills. * Ability to effectively manage multiple priorities. * Strong verbal and written communication skills. Basic Qualifications: * 5+ years of experience in program/project management within a Product organization * 2+ years of experience with agile methodologies * Bachelor's degree required Preferred Qualifications: * Insurance industry experience * Project Management Professional (PMP), Certified Product Manager (CPM), Certified Scrum Product Owner (CSPO), SAFE Agilist, Lean Portfolio Management, or Azure certifications preferred Annual Salary $115,000.00 - $230,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. * Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. * Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. * Access to additional benefits like mental healthcare as well as fertility and adoption assistance. * Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $115k-230k yearly Auto-Apply 13d ago
  • Oliver Wyman - Engagement Manager - Health and Life Sciences - Multiple locations

    Marsh McLennan Agency-Michigan 4.9company rating

    San Francisco, CA jobs

    Company:Oliver WymanDescription: The Health and Life Sciences Practice The HLS practice mission is to “transform healthcare through the relentless pursuit of a better way.” The team works with C-suite and senior executives and management teams across the health and life sciences industry, including Health Insurance, Health Services, Retail and Consumer Health, Healthcare Providers, Health IT, Pharmaceutical, Biotechnology, Medical Device and Diagnostics companies, on wide-ranging issues of strategic impact. We help our clients define a road map for future growth and optimize performance of their current operations. We are leaders in value-based, consumer-centric healthcare and focus our impact on access, quality, experience and cost. We have the expertise needed to help health and life sciences companies address their most pressing strategic questions by delivering critical commercial, marketing, development, portfolio, pricing & market access strategy, and R&D guidance. In addition, we operate the Oliver Wyman Health Innovation Center (OWHIC) to develop and promote market-driven solutions to the crisis of high cost and poor quality that afflicts the healthcare systems of the developed world. Based on the deep healthcare expertise of Oliver Wyman and drawing on a network of innovative leaders across industries, OWHIC identifies and disseminates the ideas and practices that will transform healthcare. Our goal is to create a healthcare system driven by innovation and the needs and desires of consumers, creating value for companies and the public alike. Our consulting approach is distinguished by a combination of industry expertise, strategic orientation, analytical rigor, and implementation experience. We are one of the fastest growing practices in Oliver Wyman, and offer unique opportunities for talented individuals to have transformative impact in the rapidly changing healthcare and life sciences markets while advancing their own careers in a meritocratic environment. Role The Engagement Manager position offers excellent career and growth opportunities for talented, highly motivated professionals with significant prior experience. As a professional member of our firm, your initial responsibilities will include: Leading teams of consultants in complex analysis and problem solving including: problem structuring, analytical techniques, synthesis, and client implications Planning and executing analysis for individual project modules: developing hypotheses, managing data collection, model creation and analyses, primary and secondary research and surfacing insights Supporting Partners' project execution through excellent case management: work planning, managing workflow, upward management and coaching/developing team members Managing client relationships and networks, presenting to board audiences, and working day to day with clients Effective and impactful communication of issues and solutions, in formal and informal settings, through written and verbal communication Desired Skills and Experience Engagement Managers serve as the primary contact point for senior client executives and Oliver Wyman consultants staffed on client engagements. While specific responsibilities will vary based on previous experience the ideal candidate will have the following: 7+ years experience in healthcare or life sciences strategy consulting experience is preferred, but a combination of strategy consulting and health or life sciences industry experience will be considered Experience with transactions/private equity Solid industry knowledge needed in payers/health services, providers, or life sciences; breadth across industries is attractive Track record of leading and managing teams and delivering against tight deadlines in fast paced and demanding environments Strong background in conceptual problem solving and analytical skills Ability to apply depth of content knowledge for thought leadership in project execution, and to develop new intellectual capital to support business development activities Outstanding communication skills; confidence in presenting to senior executives Undergraduate or advanced degree from a top academic program Willingness to travel Unrestricted U.S. work authorization is required for U.S. office locations. Oliver Wyman does not offer sponsorship for this position. Please note that CPT and OPT are restricted forms of work authorization About Oliver Wyman Oliver Wyman is a global leader in management consulting. With offices in more than 70 cities across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. The firm has more than 6,000 professionals around the world who work with clients to optimize their business, improve their operations and risk profile, and accelerate their organizational performance to seize the most attractive opportunities. Oliver Wyman is a business of Marsh McLennan [NYSE: MMC]. For more information, visit ******************** Follow Oliver Wyman on Twitter @OliverWyman. Marsh McLennan and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers. The applicable base salary range for this role is $225 - $240K The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. #hls Oliver Wyman, a business of Marsh McLennan (NYSE: MMC), is a management consulting firm combining deep industry knowledge with specialized expertise to help clients optimize their business, improve operations and accelerate performance. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit oliverwyman.com, or follow on LinkedIn and X.Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.
    $225k-240k yearly Auto-Apply 14d ago
  • Manager of Quality Incentive Programs

    Partnership Healthplan of California 4.3company rating

    Eureka, CA jobs

    The Manager of Quality Incentive Programs is responsible for managing Partnership HealthPlan's Primary Care, Hospital, and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets. As part of this work, the position oversees Partnership's Provider Data Portal which allows providers to evaluate their performance and obtain data to manage their patients and ultimately improve care. Responsibilities Provides oversight, mentoring, and coaching to the QIP team in the following areas: Development and implementation of communication plans and presentations to Partnership's leadership and physician committees; Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks; Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs; Provides advice and support on quality incentives programs run through other Partnership departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP; In conjunction with the Partnership leadership team and community stakeholders, develops other pay for performance programs, as needed; Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures; Researches and advises on program, payment, and incentive methodologies for quality incentive programs; Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact; Understands and exhibits expert knowledge in the various components of the QIPs. In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal: Works with Partnership departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions; Works with business analysts, vendors, and IT department to develop prototypes for the portal; Oversees the testing, implementation, long-term management, and continuous improvement of the portal; Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place; Provides direction to the team on all aspects of the portal. Leads a high performing team: Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives; Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required. Serves as member of QI Department and Health Services Management Teams: Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning; Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa; Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions; Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy; Works with other directors and managers across the QI department and Partnership as a whole on data and measurement related activities, including the Quality Improvement Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations. Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements. Stays informed of key developments and research in the area of Pay for Performance. Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades. Accepts other responsibilities as determined by the needs of the QI Department. Qualifications Education and Experience Bachelor's degree is required; Master's degree in healthcare is strongly preferred. At least four (4) years of experience in project management related to healthcare. Prior supervision of staff is required. Special Skills, Licenses and Certifications Advanced data analytic skills. Knowledge of healthcare quality data. Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies Strong written and oral communication skills. Strong organization skills to work on multiple projects simultaneously within established time frames. Ability to plan, implement, and report on quality management projects. Strong analytic and critical thinking skills. Work Environment And Physical Demands More than 50% of work time is spent using a desktop computer. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
    $118.5k-154.1k yearly Auto-Apply 19d ago
  • Program Manager / STRTP Administrator

    General 4.4company rating

    Costa Mesa, CA jobs

    ✨Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a Program Manager / STRTP Administrator at Southern California Treatment Program in Costa Mesa, CA ✨ Rite of Passage's Southern California Treatment Program is located in a thriving community known for its cultural diversity, sunny weather, and proximity to world-class educational institutions, that allows our team members to enjoy an inspiring and supportive environment where they can make a meaningful impact while growing both personally and professionally. Pay: Rate starting at $68,640 per year Perks and Benefits: Medical, Dental, Vision, company paid Life Insurance, eligibility for a 403(b) match of up to 6% after 1 year of employment, Paid Time Off that begins accruing on the first day, and more! See complete list here: ATCS Benefits & Perks What you will do: You will oversee the daily operations for two short-term residential therapeutic programs, including scheduling, logistics, management, and training for all staff. You will be the house Administrator responsible for the continuous quality improvement of the homes and quality delivery of treatment, ensuring client health and welfare services are conducted in accordance with all licensing, regulations, and laws. To be considered you must: Be empathetic, patient, and respectful, with a genuine desire to work with troubled teens. ~ Pass a criminal background check, drug screening, physical exam, and TB test. ~ Have a current State Driver's License with an acceptable driving record for the past 3 years. ~Retain one of the following qualifications: Have a master's degree plus two years of employment as a social worker in an agency serving children or in a residential congregate care program for children; OR Have a bachelor's degree plus three years' administrative or supervisory experience providing direct services to children in an agency or in a community care facility with a licensed capacity of six or more; OR Have completed at least two years of a college degree plus five years' administrative or supervisory experience providing direct services to children in an agency or in a community care facility with a licensed capacity of six or more. Information regarding Schedule/hours/shifts: Shifts: Monday - Friday 9:00 am - 6:00 pm Apply today and Make a Difference in the Lives of Youth! After 40 years of improving the lives of youth, we are looking for passionate advocates to continue the legacy of helping young people become successful adults. As an Program Manager / STRTP Administrator , you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment. Follow us on Social! Instagram / Facebook / Linkedin / Tik Tok / YouTube
    $68.6k yearly 4d ago
  • Web Marketing Program Manager - Senior Consultant

    Sia 4.0company rating

    San Francisco, CA jobs

    Sia is a next-generation, global management consulting group. Founded in 1999, we were born digital. Today our strategy and management capabilities are augmented by data science, enhanced by creativity and driven by responsibility. We're optimists for change and we help clients initiate, navigate and benefit from transformation. We believe optimism is a force multiplier, helping clients to mitigate downside and maximize opportunity. With expertise across a broad range of sectors and services, our 3,000 consultants serve clients worldwide from 48 locations in 19 countries. Our expertise delivers results. Our optimism transforms outcomes. About Sia Experience - Marketing Advisory Sia Experience is the end-to-end marketing and customer experience arm of Sia, a global management consulting firm. Agile and collaborative, our Marketing Advisory Business Line is recognized for delivering high-impact, growth-focused solutions by blending marketing, CX, creative, AI, and deep industry expertise. As strategic partners, we empower clients across technology, luxury, consumer goods, finance, energy, and more to scale operational excellence and drive brand-led growth through AI- and data-driven strategies. Our teams lead full-funnel marketing transformations-from strategy and go-to-market execution to experience design, performance measurement, and sustainable impact. It's an exciting time to join us. We're growing rapidly and building SiaX into the go-to partner for brands seeking to accelerate growth, supported by a team that's passionate about delivering great work-and having fun along the way. Job Description About the Role At Sia Experience, Program Managers operate as engagement leaders and delivery strategists, accountable for the successful execution of complex, multi-initiative digital portfolios for enterprise clients. Rather than managing isolated workstreams, you will oversee interconnected digital programs spanning platform enhancements, integrations, and net-new builds across the full delivery lifecycle. The role centers on enterprise digital platforms, including websites and web-based applications, requiring fluency in technical delivery models, stakeholder governance, financial management, and cross-functional coordination. You will serve as the primary point of accountability across product, engineering, design, QA, and client teams, ensuring work progresses predictably, risks are actively managed, and outcomes align with client objectives. This position is particularly focused on web-enabled marketing and customer experience platforms, where you will advise clients on how broader marketing and growth initiatives translate into scalable digital capabilities. You will help clients prioritize investments, structure delivery roadmaps, and connect strategic intent to execution ensuring digital platforms evolve in a way that supports performance, usability, and long-term sustainability. Your Impact Web Platform Orchestrator: You'll manage the full lifecycle of web-based platforms-not only launches, but also the ongoing updates and enhancements they require. You'll coordinate across designers, developers, QA, and other stakeholders to define who needs to be involved, estimate effort and timelines, and ensure smooth delivery. You'll ensure all updates and enhancements follow web marketing best practices and align with client goals, audience needs, and performance standards. You'll bring marketing-minded structure to workflows, driving accuracy across content, creative, SEO, and engineering deliverables. Connector Across Teams: You'll bridge communication between clients and internal teams, translating requirements into clear deliverables, reporting back on progress, and keeping stakeholders aligned. You'll guide clients through recommendations, clarify what success looks like, and proactively spot opportunities to improve their website experience, structure, and performance. Risk Anticipator: You'll proactively identify dependencies, risks, and blockers-resolving issues or escalating early to keep web initiatives on track. You'll also foresee downstream impacts across creative, content, engineering, and SEO, ensuring decisions are sequenced correctly and tradeoffs are understood. Process Driver: You'll bring structure and repeatable practices to technical workflows, improving predictability and velocity while keeping quality high. Trusted Partner: You'll be a steady, client-facing presence, known for strong documentation, clear updates, and consistent follow-through. What Success Looks Like Smooth Delivery: Web products and enhancements move efficiently through all phases with minimal blockers and clean handoffs across functions. Projects stay aligned with web marketing goals, user needs, and measurable outcomes. Flawless Launches: Sites and applications go live on time, with quality assured and technical requirements fully met. Client Confidence: Clients view you as a trusted advisor who can translate complex technical roadmaps into clear action plans and deliverables. Team Alignment: Internal and external teams stay on track because you keep priorities, timelines, and responsibilities clear and moving forward. Operational Maturity: Your project management practices improve team efficiency, reduce risk, and create predictable outcomes across multiple accounts. You elevate the quality of web marketing execution across client portfolios by driving structure, clarity, and proactive optimization. Qualifications 5+ years of project management experience, ideally in a consulting firm or agency environment. Proven success managing large-scale website or web application projects from kickoff through deployment. Strong understanding of web development lifecycles, including discovery, UX/UI design, engineering, QA/testing, and launch. Ability to interpret and manage requirements across technical teams; familiarity with tech stacks and integration flows a plus. Excellent organizational and communication skills, with client-facing experience. Skilled in project management tools (Airtable, Kantata, Jira, Asana, or similar). Proactive, solution-oriented mindset with the ability to anticipate and resolve technical and workflow challenges. Bachelors Degree required. Additional Information Compensation & Benefits We believe in supporting our team professionally and personally. Here's a snapshot of the comprehensive benefits you'll enjoy as part of Sia. Competitive Compensation Annual base salary starting at $124,400 - $135,700 commensurate with experience and qualifications Annual performance based discretionary bonus Robust Health Coverage 3 Medical plans Dental and Vision Life, AD&D and other voluntary insurance Tax-Advantaged Accounts 401K retirement plan 4% matching and 100% vested upon enrollment Health Savings Account (HSA) Flexible Spending Account (FSA) Health, Dependent Care, Commuter Family Friendly Benefits 100% paid parental leave for all new parents with eligible tenure Building Healthy Families program if enrolled through Medical plan Time Off to Recharge Generous Paid Time Off (PTO) policy 9 company holidays plus 1 floating holiday Extras that Make Life Easier College savings and student loan repayment assistance Monthly cell phone stipend Access to wellness programs at no cost if enrolled through Medical plan, including: Gym membership reimbursement LiveHealth Online virtual care Personalized support from a Well-being Coach Employee Assistance Program at no cost Free confidential counseling and emotional support services On-demand access to Emotional Well-being resources (ranging from relaxation techniques to stress management) Diversity, Equity, Inclusion & Belonging At Sia, we believe in fostering a diverse, equitable and inclusive culture where our employees and partners are valued and thrive in a sense of belonging . We are committed to recruiting and developing a diverse network of employees and investing in their growth by providing unique opportunities for professional and cultural immersion. Our commitment toward inclusion motivates dynamic collaboration with our clients, building trust by creating an inclusive environment of curiosity and learning which affects lasting impact. Please visit our website for more information. Sia is an equal opportunity employer . All aspects of employment, including hiring, promotion, remuneration, or discipline, are based solely on performance, competence, conduct, or business needs. Office Workplace Guidelines Sia is committed to providing a flexible workplace environment that supports client, business, and market needs. Consultants located in our primary market office locations-New York City, Charlotte, Seattle, and San Francisco-are expected to live within a reasonable commuting distance and attend the office at least three days per week. For Consultants outside of our primary markets, we can offer more flexible in-person requirements in accordance with your location. Work Authorization & Sponsorship At this time, Sia does not intend to employ any applicant who will require, either now or in the future, employment visa sponsorship or sponsorship for work authorization (i.e., H-1B visa, F-1/OPT or STEM OPT, TN, etc.).
    $124.4k-135.7k yearly 7h ago
  • Associate Project Manager - Remote

    Onedigital Health and Benefits 3.2company rating

    Remote

    Are you looking to accelerate your career without having to hide your authentic self - a place where you can be you? A career that's making a bigger impact on the world? At OneDigital, we are on a mission to help people do their best work and live their best lives. From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other's truest selves. We understand that pursuing a new job is a big deal. Maybe you're afraid you won't fit in. Well, here's the good news. For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits. Must be eligible to work in the United States without the need for work visa or residency sponsorship. Our Newest Opportunity: Summary: An Associate Project Manager at OneDigital assists in the management and execution of projects, working under the guidance of a tenured Project Manager, Director or hirer. This role involves contributing to project planning, scheduling, and resource allocation, while also monitoring project progress and facilitating communication among stakeholders. The Associate Project Manager will help manage risks and issues, ensuring that project objectives are met while adhering to organizational standards and best practices. This position is ideal for individuals looking to develop their project management skills and gain experience in a dynamic environment. Essential Duties and Responsibilities: Project Planning & Scheduling: Create project charters and plans that outline the project's scope, goals, milestones, timeline, resources, tasks, and expected deliverables. Establish clear project deliverables and define measurable criteria for success. Facilitate and organize project meetings and working sessions, including preparing agendas, taking notes, and assigning and monitoring action items. Develop change management plans to ensure alignment and success among end-users. Executive Sponsor & Stakeholder Management: Conduct stakeholder analysis and adapt the project management strategy based on insights obtained during project intake process. Prepare RACI Matrix to clearly outline roles, responsibilities, and deadlines, ensuring accountability and collaboration within the team. Serve as a primary point of contact for executive sponsors, ensuring they are informed and engaged throughout the project lifecycle. Establish a regular feedback loop to engage stakeholders, gathering insights and concerns to guide project modifications. Risk & Resource Management: Identify and mitigate potential risks, assumptions, issues, and dependencies that could affect project timelines, resources, or outcomes. Manage vendor relations, including the submission of contracts for approval from executive sponsor, legal, and IT departments. Facilitate efficient allocation of project resources, including personnel and equipment, to optimize performance. Continuously assess identified risks and resource utilization throughout the project lifecycle to prevent constraints. Communication & Documentation: Promote effective communication among the executive sponsor, project team, and stakeholders to ensure clarity and foster collaboration. Communicate project changes, decisions, and updates to all relevant parties. Utilize project management software and tools to maintain and update project documentation. Organize and archive project documentation to ensure it is easily accessible, well-structured, and current for team members and stakeholders. Monitoring & Reporting: Assess project progress and performance to identify deviations and implement necessary adjustments. Prepare and present project updates to the Working Steering Committee and Executive Steering Committee. Implement quality assurance practices to ensure project outputs meet established standards and adhere to organizational procedures. Complete post-project retrospectives to evaluate successes and challenges, capturing lessons learned to enhance future project execution. Qualifications, Skills and Requirements: Project Management Methodologies: Experienced in utilizing project management systems (Smartsheet, Asana, Miro) and adept at understanding and applying Agile or Waterfall methodologies based on specific project needs. Communication Skills: Strong verbal and written communication skills, with the ability to work effectively with diverse teams, stakeholders, and leadership. Organization and Time Management Skills: Proficiency in organizing tasks, managing deadlines, and maintaining project documentation to ensure smooth project execution and tracking. Change Management: Knowledgeable in change management principles, capable of leading teams through project changes and ensuring stakeholder buy-in. Analytical Skills: Competency in analyzing data and project metrics to inform decision-making, identify trends, and propose improvements to project processes. Microsoft Knowledge: Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook.) Proactive Attitude: Taking initiative to anticipate project needs, identify potential challenges, and propose solutions before issues arise. Adaptability: Being flexible and open to change, able to pivot quickly in response to shifting project scopes, priorities, or stakeholder requirements. Attention to Detail: A meticulous approach to tasks and documentation, ensuring accuracy and thoroughness in project deliverables and reporting. Problem-Solving Orientation: A constructive attitude toward challenges, focusing on finding solutions and overcoming obstacles rather than getting bogged down by issues. Collaborator: Willingness to work closely with diverse teams and stakeholders, fostering a cooperative environment that encourages teamwork and shared success. Education, Training and Experience: Education: Bachelor's degree in Business Administration, Project Management, or a related field is preferred but not required. Training: Training in project management methodologies and practices. Certification such as CAPM (Certified Associate in Project Management) or similar is a plus. Experience: 2-4 years of experience in project management or coordination roles. Experience working on project teams, assisting with planning and execution of projects. The typical base pay range for this role nationwide is $50,000 to $60,000 per year. Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company's performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts. To learn more, visit: ************************** OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals. OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, “protected characteristics”). A copy of the Federal EEO poster is linked here. Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant: City and County of San Francisco City of Los Angeles County of Los Angeles Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or ‘ban the box'] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington. In short, we believe in hiring the most qualified applicant for the position, regardless of background. If you have questions about our hiring policies and practices, we would be happy to discuss upon receiving your application. We hope to welcome you to OneDigital and look forward to hearing from you. OneDigital understands the immense responsibility and opportunities provided by Artificial Intelligence. We utilize advanced Artificial Intelligence [AI] technologies to enhance our recruitment process. This includes using AI to filter candidates based on their qualifications and to rediscover potential candidates from our existing applicant pool. Our AI systems help us efficiently identify the best fit for our open positions, ensuring a streamlined and effective hiring experience. However, AI does not replace the humans in our process. If you have concerns about our use of AI, you may opt out where laws allow. Thank you for your interest in joining the OneDigital team!
    $50k-60k yearly Auto-Apply 15d ago
  • Program Manager, Principal

    Blue Shield of California 4.7company rating

    Program manager job at Blue Shield of California

    Your Role The Appeals and Grievances team helps our members with their concerns, ensures compliance and supports audit activity. The Program Manager, Principal will report to the Sr. Director of Grievances and Appeals. In this role you will support the systems and system changes leveraged by the Appeals and Grievances team, and ensure the implementation, testing, changes and oversight (including vendor oversight) of behavioral health care is managed effectively. You will also be responsible for supporting compliance, regulatory audit activity, inventory management, addressing drivers of inventory, and vendor oversight impacting behavioral health. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 10 years of prior relevant experience Requires at least 5 years Appeals and Grievances experience Behavioral health knowledge and experience preferred, including behavioral health provider type and service knowledge, professional and facility and Applied Behavioral Analysis (ABA) and across all commercial and government lines of business Requires experience in Appeals and Grievance system change, implementation and vendor oversight Requires advanced experience in risk mitigation, problem solving and analysis as well as preparing and presenting related materials Your Work In this role, you will: Operate at a strategic business level to ensure projects/programs impacting behavioral health are in line with Blue Shield of California strategic goals Consult with all levels including senior management, make recommendations, and influence decision-making Leverage cross-functional internal and external relationships to drive behavioral health initiatives forward Plan and implement multiple and extremely complex projects/programs spanning across business areas Determine key business issues impacting behavioral health, develop effective action plans and implement to successful conclusion Lead and document internal/external meetings Facilitate monthly system testing Address current and future state needs Conduct meetings and oversight of vendors Support transformation activity Support compliance and regulatory audit activity impacting behavioral health Support inventory management and address root cause analysis of inventory fluctuations
    $114k-145k yearly est. Auto-Apply 14d ago

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