Program Coordinator, Experienced

Your Role

The Medical Care Programs team is responsible for managing programs and partnerships that support members with their health care, drive savings, and improve quality. The Program Coordinator, Experienced will report to the Senior Manager. In this role you will support the program management team in operations and oversight of various programs, planning and implementation of AI solutions, analysis, coordination, stakeholder engagement, documentation and more.

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.

Your Work

In this role, you will:

• Be responsible for strategic alignment and integration across projects/programs, from initiation through delivery, in support of business unit process and administrative efficiency
• Define projects required to support programs and partners to ensure their implementation on time, within budget and with benefits realized
• Participate cross-functionally in business planning to support business unit strategy
• Be responsible for large/complex projects/programs
• Exercise independent judgement in developing methods, techniques and evaluation criterion for obtaining results
• Manage aspects of vendor selection and implementation
• Engage cross-functionally to enhance and enable key health plan functions, such as care management, with innovative new solutions
• Participate in evaluation, oversight and monitoring activities for AI solutions
• Support operations and partnerships through planning, coordination activities, documentation and analysis

Your Knowledge and Experience

• Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• 3 years of prior relevant experience
• Prefers familiarity with health care data and the health care delivery system in California; health plan or provider experience strongly desired
• Prefers experience related to member- or provider-facing programs, such as Utilization Management or Care/Case Management
• Excellent written and oral communication skills, ability to engage cross-functional stakeholders to drive requirements and coordination
Strong organizational and/or project management skills, consistent ability to "self-start,” take ownership and seek assistance when necessary

Hybrid

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.

ABOUT THE TEAM
About Blue Shield of California

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!

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.

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.

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.