Your Role

The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on execution to drive and accelerate improvements in primary care for all patients. This role will report to the Regional Medical Director.

Your Knowledge and Experience

• Requires a current, active California RN, NP, or PA license
• Requires a bachelor's degree; advanced degree is preferred
• Requires a minimum of 10 years of prior relevant clinical or job related experience
• Experience in case utilization, quality improvement and disease management; MediCal experience is a plus.
• In-depth understanding of the managed care delegated model and associated efficiency and quality measures. Health plan experience is preferred
• Excellent verbal and written communication style to drive positive outcomes
• Strong data analytic skills and advanced knowledge in Microsoft 365, especially in Excel and PowerPoint applications
• Ability to be resourceful and collaborative; a team collaborator with strong listening skills and the ability to offer creative solutions to drive consensus

Pay Range

The pay range for this role is: $ 136400.00 to $ 204600.00 for California.

Note

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

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