Project Manager
Blue Shield of CA
This is a Short-Term Employment (Temporary) position which has a specified period of no more than three years of employment. Your Role The Pharmacy Benefits, Claims, and Network Operations team is responsible for the end-to-end operational oversight of the pharmacy benefit, ensuring members have accurate access to benefits, networks, and claims services. We lead benefit implementation and validation, manage pharmacy network operations and oversight, monitor claims and accumulator performance, support internal and external audits, and coordinate the identification, investigation, and resolution of operational incidents to protect member experience, regulatory compliance, and financial integrity. The Project Manager, Principal will report to the Director, Pharmacy Benefits, Claims, and Network Operations. In this role you will provide end-to-end ownership of complex operational and technology initiatives, ensuring projects originating from vendor assessments, regulatory mandates, 1/1 readiness efforts, and strategic business priorities are planned, executed, and delivered successfully. This role will coordinate work across multiple vendors, IT teams, agile teams, and business stakeholders while proactively managing dependencies, risks, timelines, and communications. Given the significant technology components of many initiatives, strong technical acumen is essential to effectively translate business needs into technical requirements, challenge assumptions, assess impacts, and drive successful delivery of IT-related solutions. 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 Knowledge and Experience Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree Requires 10 years of prior relevant experience Requires extensive experience leading complex cross-functional programs and projects involving operations, technology, vendors, and business stakeholders, with demonstrated success delivering large-scale initiatives from planning through implementation. Requires proven ability to manage multiple concurrent initiatives, prioritize competing demands, identify risks and dependencies, and develop mitigation strategies in fast-paced and highly regulated environments. Requires deep knowledge of project management disciplines, including project planning, governance, stakeholder management, change management, issue resolution, executive communications, and resource coordination. Requires experience working with external vendors and internal business and technology teams to drive accountability, facilitate decision‑making, and ensure successful delivery of initiatives related to operational readiness, regulatory mandates, vendor assessments, and large‑scale implementations. Knowledge of the healthcare industry, particularly pharmacy operations, pharmacy benefit management, claims processing, formulary administration, network operations, and regulatory requirements, is strongly preferred to effectively navigate complex business and operational challenges, though not required for the role. #J-18808-Ljbffr
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