Job Details

Your Role

The CalPERS PPO Account Management team at Blue Shield of California plays a central role in managing the relationship with CalPERS and ensuring the delivery of high-quality, affordable healthcare services to its PPO members. The Program Manager, Consultant - CalPERS Vendor will report to the PPO Director of Account Management. The Program Manager, Consultant - CalPERS Vendor plays a pivotal role in overseeing and executing strategic initiatives that support the CalPERS PPO line of business. In this role you will lead initiatives and operational execution for Blue Shield's CalPERS PPO vendor arrangements. This role ensures successful delivery of programs that support CalPERS' goals for affordability, quality, and member experience; and collaborates cross-functionally to manage complex workstreams, resolve issues, and drive continuous process improvement.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Requires experience working in or directly with a health plan, with the understanding of PPO operations, claims, and provider networks
• Requires experience working with and managing vendor relationships
• Requires proficiency in project management tools (e.g., Jira, MS Project)
• Requires experience with cross-functional coordination and stakeholder engagement
• Excellent communication, problem-solving, and organizational skills