Program Manager, SeniorThe Pharmacy Finance Support team supports Pharmacy Strategy and Operations in managing impacts to the Pharmacy portfolio budget, ensuring proper approvals, and validating invoices from strategic vendors prior to payment. The Program Manager, Senior will report to the Manager of Pharmacy Finance Support. In this role, you will lead internal meetings; partner with Pharmacy and other cross-functional leaders and subject matter experts to review the work requests, assign priority, and identify items with associated costs; track internal and external billable work requests, credit and performance guarantee payments; and validate invoices from strategic vendors in accordance with company policies and procedures. This position works closely with the Pharmacy Strategy and Operations team, Pharmacy Finance, Global Business Services, and other external vendor partners.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.ResponsibilitiesIn this role, you will:Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholdersManage the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or productsDevelop the program, integrated program plan, resource plan, contingency plan, and related project management artifactsValidate financial forecasts and provide on-going reconciliation of resources and other related program expendituresDefine and track program milestones while developing, maintaining, and reporting on an overall integrated delivery planCreate, implement, and maintain a process to review, approve, and track internal and/or external billable work requests impacting the Pharmacy portfolioLead weekly calls with BSC Pharmacy leadership to review new, current, and future projects and initiatives; identify efforts that require funding; provide project updates; capture next steps; prioritize monthly work; and communicate decisions to key stakeholdersOwn and manage the vendor credit tracking log and credit request/submission processServe as a backup for the financial reconciliation process for Pharmacy Funding and/or Pharmacy Service Provider Administrative Invoice Payment ValidationPerform other duties as assignedQualificationsIn this role, you will need:A bachelor's degree or equivalent experienceAt least 5 years of prior relevant experienceHealth Plan and Pharmacy Operations experience preferredExperience standing up new processes as well as training team members and stakeholders on the new processDemonstrated leadership, project management, and executive level reporting experienceExcellent verbal and written communication skills that exhibit a solution-oriented approachIntermediate to Advanced Microsoft Office tools including Excel, PowerPoint, and Project; SharePoint; and Lucid preferredHybridThis role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.About UsAbout Blue Shield of CaliforniaAs of January 2025, Blue Shield of California became a subsidiary of Ascendiun.
Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace.
We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!Our Values:Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.Our Workplace ModelWe believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce.
Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:For most teams, this means coming into the office two days per week.Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.Physical Requirements:Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.Please click here for further physical requirement detail.Equal Employment Opportunity:External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.