Program Manager, Senior - Coordinated Entry Systems (Short-Term Employment) at Blue Shield of California

Your Role

The Medi-Cal Operational Readiness team leads cross-functional implementation and operational readiness for Medi-Cal programs, including CalAIM initiatives that support members experiencing homelessness. The Program Manager, Senior - Coordinated Entry System will report to the Senior Manager, Program and Project Management. In this role, you will serve as Blue Shield’s primary connection to local homelessness response systems, community-based organizations, and Continuums of Care. You will help ensure Blue Shield’s investments in street medicine, Enhanced Care Management, Community Supports, Transitional Rent, and related homelessness programs are aligned toward housing stability for members while strengthening program effectiveness, accountability, and real-world outcomes.

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 Work

In this role, you will:

• Serve as Blue Shield’s primary liaison to Coordinated Entry System partners, Continuums of Care, community-based organizations, and regional homelessness response systems
• Represent Blue Shield in CoC board meetings, workgroups, regional planning meetings, and other community forums, including LAHSA and RTFH engagement
• Provide training and technical assistance to CES partners and community-based organizations on Medi-Cal benefits available to members experiencing homelessness, including ECM, Community Supports, non-emergency medical transportation, pharmacy benefits, street medicine, Transitional Rent, and redetermination
• Serve as the designated escalation point for CES partners and community-based organizations when support is needed for Blue Shield members experiencing homelessness
• Support end-to-end implementation of homelessness-related CalAIM initiatives, including Transitional Rent, Enhanced Care Management, Community Supports, and related operational workflows
• Lead community intelligence gathering by identifying local priorities, system barriers, emerging opportunities, and operational gaps that affect members experiencing homelessness
• Support the Street Medicine Dispatch Program by managing incoming internal requests, coordinating with street medicine providers, and tracking outcomes and follow-up activities
• Track and report housing-related outcomes, including members engaged in CES, members connected to services, members successfully housed, and Transitional Rent members reconciled in HMIS
• Conduct field engagement and on-site visits with community partners to monitor homelessness-focused investments, including HHIP initiatives, street medicine programs, and other community-based efforts
• Maintain internal homelessness resources, guidance, and community contact information to support cross-functional teams and improve coordination across programs

Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires at least 5 years of prior relevant experience
• Required experience working with homelessness response systems, Coordinated Entry Systems, Continuums of Care, community-based organizations, or housing and social service partners
• Requires experience managing cross-functional programs, operational workflows, stakeholder engagement, issue resolution, and implementation activities
• Requires ability to translate community, provider, and member needs into operational recommendations, process improvements, and actionable program insights
• Knowledge of Medi-Cal, CalAIM, Enhanced Care Management, Community Supports, Transitional Rent, street medicine, redetermination, or managed care operations strongly preferred
Experience using data, dashboards, HMIS information, or outcomes reporting to monitor program performance and support accountability strongly preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

ABOUT THE TEAM

About Blue Shield of California

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 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

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.

• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

• 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.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

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.

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 regards 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.