Program Manager, Principal

Your Role

The Medical Care Programs team is responsible for managing vendor-delivered programs to manage care and deliver benefits for our members. The Program Manager, Principal will report to the Senior Manager, Select Benefits and Utilization Management. You will be a member of a small team responsible for managing the vendor(s) that conduct prior authorization for oncology, advanced imaging, spine surgery, and interventional pain. You will be responsible for driving value, managing performance, and maintaining regulatory compliance.

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.

This role requires this person to live within 50 miles of a BSC office. Our office locations: Lodi, Redding, Rancho Cordova, El Dorado Hills, Oakland, Long Beach, San Diego, and Woodland Hills.

This person will go into the office 8 times per month, which is 2 days per week.

Your Knowledge and Experience

• Requires a college degree or equivalent experience; master's degree preferred

• Requires 10 years of prior relevant experience

• Health care or health plan experience required

• Project Management certification desired

• Program management or vendor management experience required

• Oncology experience preferred

• Utilization management or claims experience required

• Strong analytical, problem solving, communication, and presentation skills required