Program Manager, Consultant

The Pharmacy Strategy and Operations team provides pharmacy benefit management services and strategies to support Blue Shield of California affordability and membership goals. The Program Manager, Consultant will report to the Sr. Manager, Pharmacy Programs. In this role you will support the Government Markets lines of business and will provide consultant level support for pharmacy programs.

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.

• Provide overall program leadership, guidance, and manage all aspects of a given program, including requirements gathering, business case creation, and implementation
• Develop resourcing strategies to ensure optimum support for projects and for the day‑to‑day operational activities
• Review program budget variance and scope change requests, and participate in the budget‑resolution process
• Lead cross‑functional meetings and foster teamwork; drive escalation and resolution of issues, while promoting collaboration and coordination across broad categories of stakeholders
• Support and coach project managers within the program, while providing technical expertise in planning, execution, and leadership of program, projects, and initiatives
• Lead operational initiatives across the government markets lines of business working directly with product cycle managers, sales, brokers and internal departments to ensure proper implementation and administration of initiatives and timely updates to member and program materials
• Partner with the Account and Sales Pharmacists to coordinate and complete competitive pharmacy request for proposal (RFP) responses for the government markets line of business
• Manage new client implementations by working with clients and service providers to identify onboarding & ongoing requirements and driving stakeholders towards timely delivery
• Manage the pharmacy member experience by proactively addressing member and client concerns, identifying resolutions or alternative solutions
• Develop and prepare line of business (LOB) reporting, program status, and other senior level or executive level presentations for 1/1 readiness and other strategic initiatives
• Support Pharmacy Care Reimagined strategic initiative implementation as appropriate

• Requires a bachelor’s degree or equivalent experience
• Requires 7 years of prior relevant experience with Pharmacy or health program management and/or consulting
• Requires program management experience
• Knowledge of Blue Shield of California, Medi‑Cal, Medicare, and/or Individual and Family Plans (IFP) is preferred
• Ability to work in a fast‑paced multidisciplinary environment
• Excellent analytical and problem‑solving skills

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is 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…