Your Role

The Provider Partnerships and Network Management team support internal and external value-based programs including platform operations, reporting, vendor management support, and program and project management support for various new Health Reimagined, Provider Partnerships or other internal stakeholder solutions development within the value-based physician reporting and performance data platforms. The Senior Manager, Program and Project Management (Value Based Operations) will report to the Director. In this role, the Senior Manager, Program and Project Management will develop, manage, perform, organize, report, and streamline operational tasks that are part of value-based payment models. You will be the Platform Manager for the Value-Based Care team in the Pay for Care Agile Release Train. This will include providing reporting to internal and external stakeholders, including providers and their staff as well as supporting reporting and monitoring of value-based operations for problems, taking immediate action where possible and escalating when required. This role will interact with stakeholders to resolve problems and provide information. Including preparing for and organizing meetings by collecting and/or developing meeting materials including PowerPoint presentations, Excel reports, creating meeting agendas, documenting meeting notes, and tracking action item completion.

The Senior Manager, Program and Project Management (Value Based Operations) operates under minimal supervision and performs duties with focus and flexibility while demonstrating a willingness to play an active, supporting role. Tasks assigned to this level require an in-depth understanding of problem identification and resolution to help in gathering and analyzing status on milestones, issues, and risk mitigation plans.

Your Knowledge and Experience

• Requires a college degree or equivalent experience
• Requires 10 years of prior relevant experience, including 4 years of management experience
• Experience in working cross-functionally in analyzing, designing, and developing business solutions is preferred
• Experience with strategic project creation, implementation, and reporting is preferred
• Managing work using agile/scrum is preferred
• Scaled Agile (SAFe) certification: Product Owner/Product Manager (POPM), Scrum Master (SM), or Agile Product Management (APM) is preferred
• Strong problem solver with demonstrated ability to identify root cause of issues
• Ability to create "as-is" and "to-be" process flows and keep procedure manuals current
• Ability to function independently and produce results that meet standards of quality, timeliness, and acceptability
• Experience in the health insurance industry and Pay for Value payment models is preferred
• Experience using SharePoint and the ability to maintain the team's site content and Jira for epic and user story tracking is preferred
• Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of executives, managers, and subject matter experts as well as external customers
• Advanced skills using Microsoft Excel, Word, Visio, and PowerPoint in preparing and making presentations to various levels of management
• Ability to multi-task and prioritize work autonomously with great initiative and can-do attitude

Pay Range:

The pay range for this role is: $136,400.00 to $204,600.00 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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