Program Manager, Consultant-Short-Term-HEDIS

Requires a Bachelor's degree or High School/GED and an additional 4 years of relevant experience in lieu of a Bachelor's degree

Requires a minimum of 7 years of prior relevant experience

Must reside within 50 miles of the Rancho Cordova office and be able to work a hybrid schedule (approximately 2 days per week / 8 days per month onsite)

Master’s degree preferred

Requires demonstrated knowledge of Quality Ratings Systems, including HEDIS, and CAHPS measurement. Experience building related dashboards/data systems preferred

Requires a minimum of 5 years of demonstrated experience in dental health systems, dental networks, dental workflows and dental improvement initiatives

Requires experience executing improvement initiatives within or with a California dental network, 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 complex analytic 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 about dental networks, providers, business and quality models, in a manger that is simple and succinct, both verbally and in writing. This includes the ability to speak comfortably and extemporaneously to diverse audiences.

Required to be capable of self-management and exhibit as a self-starter

Required to have 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

This 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.

As 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!

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.

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.