Blue Shield of California
Program Coordinator, Experienced
Blue Shield of California, California, Missouri, United States, 65018
Join Blue Shield of California to apply for the
Program Coordinator, Experienced
role.
Your Role The Pharmacy Triage and Action Group (TAG) supports the pharmacy modular solution in project and issue management, business analysis, and business operations. The Program Coordinator, Experienced will report to the Manager of Pharmacy TAG. In this role you will support intake of new pharmacy production stabilization issues for the pharmacy modular solution, coordinate issue management activities related to assigned issues and tasks, provide regular status updates to the Pharmacy Production Stabilization team on all open issues assigned to your functional area, and ensure timely and accurate resolution of issues and tasks. This position works closely with the Pharmacy Production Stabilization team, cross‑functionally with other teams within Blue Shield, as well as external vendor partners.
Responsibilities
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 intake for production stabilization issues related to pharmacy modular solution and develop initial impact assessments for small to medium issues
Coordinate and drive issue management activities for small to medium issues related to modular solution
Provide regular status updates on all open issues to key stakeholders
Partner with external vendors to ensure timely and accurate resolution of pharmacy production stabilization issues related to pharmacy modular solution
Coordinate and oversee external vendor tasks, solutions, and timelines related to pharmacy modular solution production stabilization efforts
Other duties as assigned
Qualifications
Requires a bachelor’s degree or equivalent experience
Requires at least 3 years of prior relevant experience
Requires good understanding of pharmacy benefit management operations
Solid analytical and problem‑solving skills
Good interpersonal, verbal and written communications skills
Required experience using MS Office tools including Excel (VLOOKUP, Pivot Tables) and MS Project
Experience working with external vendors a plus
About The Team As of January 2025, Blue Shield of California became a subsidiary of Ascendiun, 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.
Our Workplace Model At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in‑person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
Hybrid (Default): Work from a business unit‑approved office at least two (2) times per month (for roles below Director‑level) or once per week (for Director‑level roles and above). Exceptions: Member‑facing and approved out‑of‑state roles remain remote. Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. For employees with medical conditions that may impact their ability to work in‑office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well‑being.
On‑Site: Work from a business unit‑approved office an average of four (4) or more days a week.
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. Please click here for further physical requirement detail.
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 regard 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.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Other
Industries Insurance
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Program Coordinator, Experienced
role.
Your Role The Pharmacy Triage and Action Group (TAG) supports the pharmacy modular solution in project and issue management, business analysis, and business operations. The Program Coordinator, Experienced will report to the Manager of Pharmacy TAG. In this role you will support intake of new pharmacy production stabilization issues for the pharmacy modular solution, coordinate issue management activities related to assigned issues and tasks, provide regular status updates to the Pharmacy Production Stabilization team on all open issues assigned to your functional area, and ensure timely and accurate resolution of issues and tasks. This position works closely with the Pharmacy Production Stabilization team, cross‑functionally with other teams within Blue Shield, as well as external vendor partners.
Responsibilities
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 intake for production stabilization issues related to pharmacy modular solution and develop initial impact assessments for small to medium issues
Coordinate and drive issue management activities for small to medium issues related to modular solution
Provide regular status updates on all open issues to key stakeholders
Partner with external vendors to ensure timely and accurate resolution of pharmacy production stabilization issues related to pharmacy modular solution
Coordinate and oversee external vendor tasks, solutions, and timelines related to pharmacy modular solution production stabilization efforts
Other duties as assigned
Qualifications
Requires a bachelor’s degree or equivalent experience
Requires at least 3 years of prior relevant experience
Requires good understanding of pharmacy benefit management operations
Solid analytical and problem‑solving skills
Good interpersonal, verbal and written communications skills
Required experience using MS Office tools including Excel (VLOOKUP, Pivot Tables) and MS Project
Experience working with external vendors a plus
About The Team As of January 2025, Blue Shield of California became a subsidiary of Ascendiun, 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.
Our Workplace Model At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in‑person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
Hybrid (Default): Work from a business unit‑approved office at least two (2) times per month (for roles below Director‑level) or once per week (for Director‑level roles and above). Exceptions: Member‑facing and approved out‑of‑state roles remain remote. Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. For employees with medical conditions that may impact their ability to work in‑office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well‑being.
On‑Site: Work from a business unit‑approved office an average of four (4) or more days a week.
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. Please click here for further physical requirement detail.
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 regard 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.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Other
Industries Insurance
#J-18808-Ljbffr