Program Manager, Principal

Your Role

The Behavioral Health Network Management team plays a crucial role in Blue Shield of California’s (BSC) mission. We are responsible for developing and maintaining all behavioral health provider networks. Our goal is to nurture positive relationships that are essential for offering our members and clients access to high-quality, affordable health care services. Within this team, the Program Manager, Principal holds a key position, reporting to the Sr. Manager of Behavioral Health Contracting. In this role, you will have the opportunity to support BSC’s Behavioral Health Applied Behavior Analysis (ABA) network. This is a vital function that ensures we continue to meet the needs of our members and uphold the standards of care we are committed to providing.

Your Work

In this role, you will:

• Operate at a strategic business level to ensure projects/programs are in line with BSC strategic goals  
• Consult with all levels including senior management, make recommendations, and influence decision-making
• Leverage cross-functional internal and external relationships to drive initiatives forward 
• Plan and implement multiple and extremely complex projects/programs spanning across business areas
• Determine key business issues, develop effective action plans and implement to successful conclusion

• Manage project initiatives from initiation through delivery, and oversight of continuous improvement 

Your Knowledge and Experience

• Requires a college degree or equivalent experience

• Requires 10 years of prior relevant experience

• Experience in Managed Care is preferred

• Behavioral Health Clinical License (i.e. PhD, MFT, LCSW) is preferred

• Experience with Applied Behavior Analysis (ABA) is preferred

• Experience with Policy & Procedure development and auditing is preferred

• Experience with evaluations, development, and implementation of clinical programs and processes is preferred

• Experience evaluating workflows, efficiencies, and best practices to determine program and process specifications balancing contractual and clinical considerations is preferred

• Experience with establishing and maintaining strong, collaborative working relationships with various cross functional partners is preferred