Find work in the United States.

A simpler way to find your next job.

Jobs in the United States

25+ jobs

Save this search

Added just now
FF
Slot Technician I
Feather Falls Casino
Oroville, CA
- $17.5 to $18.5 USD / hour
Reports To: Slot Technician Manager and/or Slot Department Manager
Added 1 min ago
Senior Learning Partner
Vizient, Inc.
Irving, TX · Centennial, CO
Guide learning teams in applying established frameworks and best practices while coordinating program deliverables, governance activities, and communications.
Added 1 min ago
Accounting Intern - Summer 2027
SpartanNash Associates, LLC
Byron Center, MI
Complete special projects as assigned by your manager
Added 7 mins ago
Sales & Operations Advisor in Training
DriveTime Car Sales, LLC
2283 Encompass Dr Chattanooga, TN
· Ability to progress through a multi-phase, learning certification of Level 1 and 2 assuming increasing responsibility for sales and operations.
Added 7 mins ago
Sales & Operations Advisor in Training
DriveTime Car Sales, LLC
2401 S Virginia St Reno, NV
· Ability to progress through a multi-phase, learning certification of Level 1 and 2 assuming increasing responsibility for sales and operations.
Added 7 mins ago
Manager Business Intelligence
Ascend Learning, LLC
MD · IA · AR · WI · NC · MI · NE · AL · TN · NV · WV · KS · UT · MA · TX · CA · ME · NJ · KY · AK · MO · ND · Fort Vannoy (historical), OR · MS · LA · ID · NM · Chandler, AZ · SC · IL · Minneapolis, MN · Scottsdale, AZ · MT · NH · FL · CO · OR · PA · CT · NY · DE · WA · WY · RI · OK · SD · OH · Philadelphia, PA · GA · Burlington, MA · AZ · HI · MN · VT · Gilbert, AZ · IN · VA · Leawood, KS
The Manager, Business Intelligence leads analytics strategy for Ascend Learning’s Healthcare segment, develops a team of Business Intelligence Analysts, and delivers trusted data products…
Added 8 mins ago
2027 Summer Internship Program - Configuration and Automation
CareSource Management Services LLC
Remote, United States
…vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain…
Added 8 mins ago
Unit Coordinator - Southold, NY
Cornell Univ (NYS Colleges & Exper Sta)
United States
…of campers. Participate in the general planning of the camp program. Assist Camp Program Directors with program activities. Under the supervision of the Camp Program Directors, plan and…
Added 8 mins ago
Senior Water & Wastewater Project Engineer
Consor Engineers
Los Angeles, CA
Career Growth & Development – Tuition reimbursement program, paid professional training, major license achievement bonus, extensive on-demand learning center, and paid professional…
Added 8 mins ago
CE
Transportation Intern
Consor Engineers
Rancho Cordova, CA
- $20 to $25 USD / hour
Career Growth & Development – Tuition reimbursement program, paid professional training, major license achievement bonus, extensive on-demand learning center, and paid professional…
Added 8 mins ago
Case Manager
Memorial Hermann Health System
United States
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of…
Added 9 mins ago
Training Instructor
Ace Electric
VALDOSTA, GA
…encourages student engagement, while effectively delivering the program curriculum. As such, the Training Instructor is expected to plan, organize and teach in a manner that produces…
Added 10 mins ago
Quality Assurance & Process Authority Manager
Furmano Foods Inc
Northumberland, PA
…with the current Thermal Process Authority through defined learning objectives, practical assignments, competency assessments, and documented milestones. 2. Develop expertise in commercial…
Added 10 mins ago
Registrar - Strausstown Urgent Care
Penn State Health
Strausstown, PA
Responsible to the Office Manager for providing front office support.
Added 10 mins ago
Clinical Lead
Reid Physician Associates, Inc.
United States
Under the direction of the Provider(s) and Practice Manager, the Clinical Lead is the first point of care in the medical practice. This position assists the Provider(s) with patient…
Added 11 mins ago
HH
Outpatient Therapy Program Manager - Physical Therapist (PT)
Healthpro Heritage, LLC
Ravenna, OH
- $46 to $48 USD / hour
HealthPro Heritage has a great Outpatient Therapy Program Manager opportunity!
Added 11 mins ago
340B Compliance Auditor I
Geisinger
Danville, PA
Responsible for achieving in-depth knowledge of the 340B Program and providing expert audit direction to staff and management regarding the 340B Program. Maintains up-to-date knowledge of…
Added 11 mins ago
Program Manager, Community Education
Northampton Community College
BETHLEHEM, PA
Added 11 mins ago
Merrill Advisor Development Program - Financial Advisor: Eastern Pennsylvania Market
Bank of America
Allentown, PA · Camp Hill, PA · York, PA
Track record of quickly learning and adapting to new technologies, systems, and digital tools
Added 11 mins ago
Project engineer
Gardner Cryogenics
Allentown, PA
Added 11 mins ago
Registered Nurse/ Home Health
Amedisys, Inc
Lancaster, PA
Added 11 mins ago
Medical Office Supervisor - Lancaster Hematology Oncology Care
Penn State Health
Lancaster, PA
Assists Manager and Medical Director in integration of institutional initiatives at the practice site, contributing to continuous improvements in quality and service.
Added 12 mins ago
Sr. Manager, Complex Programs & Mandates Delivery
BSC
Oakland, CA · CA · Long Beach, CA · El Dorado Hills, CA · San Diego, CA · Woodland Hills, CA
…programs tracked and coordinated across the enterprise. The Sr Manager, Complex Programs & Mandates Delivery will be the single accountable owner for the health plan's commercial and growth…
Added 12 mins ago
Program Manager, Senior, Medi-Cal QI
BSC
Long Beach, CA · Woodland Hills, CA
…Set (HEQMS), and Medicaid Quality Rating System (QRS). The Program Manager, Senior, Quality Improvement, will report to the Medi-Cal Quality Improvement Team's Senior Manager. In this role,…
Added 12 mins ago
Store Leader (Manager) Trainee
7-Eleven
Pittsburgh, PA
…hard work, completion of our training programs, and really learning the business, it’s easy to see how we can boast about having the best store management teams in the industry. If you…

BSC

Program Manager, Senior, Medi-Cal QI

Long Beach, CA, United States
Woodland Hills, CA, United States

Apply About employer

Applications open in a new tab.

Job details

Posting language: English
Posted: Nov 5, 2026

Original job description

Your Role The Medi-Cal Quality Improvement (QI) team is responsible for developing and executing targeted quality improvement initiatives that support the Medi-Cal line of business and drive improved performance across quality rating systems, including but not limited to, Healthcare Effectiveness Data Information Set (HEDIS), Managed Care Accountability Set (MCAS), Consumer Assessment of Healthcare Providers and Systems System (CAHPS), National Committee for Quality Assurance (NCQA) Health Plan Ratings, Department of Managed Health Care (DMHC) Health Equity Quality Measure Set (HEQMS), and Medicaid Quality Rating System (QRS). The Program Manager, Senior, Quality Improvement, will report to the Medi-Cal Quality Improvement Team's Senior Manager. In this role, you will design, develop, and manage tertiary provider groups' quality interventions, toolkits, clinic days, and analytic insights that support measurable improvement in quality performance. You will support and partner with internal Quality Program Managers, internal cross-functional teams, clinical leadership, provider organizations, external vendors, and community-based organizations to execute improvement strategies, strengthen provider relationships, and align current and future QI programs with long-term organization goals. 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 is a hybrid field-based role serving the Los Angeles area. The position requires a minimum of five to eight days per month working from the Long Beach or Woodland Hills offices and/or visiting local clinics. Clinic visits typically occur 1–2 days per week. Some evening and Saturday hours may also be required.

Your Work

Responsible for planning, execution, and evaluation of large and complex program initiatives to improve quality performance in the Medi-Cal line of business.
Develops and monitors measurement strategies for large change and improvement initiatives.
Manages program(s) from initiation/pilot phase through delivery/spread and monitors for continuous improvement.
As part of a broader QI team, influences the business unit, strategies, and objectives.
Becomes an expert in company quality initiatives, as well as the products, functions, marketing, and/or service policies and procedures that support those initiatives.
Serves as a quality expert with internal constituents to drive successful improvement initiatives in the Medi-Cal line of business.
Leads and supports interventions to improve performance on HEDIS, MCAS, CAHPS, NCQA Health Plan Ratings, DMHC HEQMS, and Medicaid QRS.
Leads in-person community-based clinic days at Community Based Organizations in Los Angeles County (average of 2 per month, as scheduled).
Educates and works with external partners and participating practices as needed to identify innovation opportunities and adopt improvement actions. Partners with providers, in-person, at clinic locations to identify practice barriers and areas for improvement.
Exercises independent judgment in developing methods, techniques, and evaluation criteria for obtaining results.
May assist in the planning and direction of budgets.
May act as the business unit liaison to corporate initiatives and projects.

Your Knowledge and Experience

Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
Minimum of 5 years of healthcare experience in Quality Improvement/Quality Management, including demonstrated experience with quality improvement, process improvement, and practice transformation techniques.
Requires 3 years experience working with IPAs, medical groups, FQHCs, and/or providers who provide care for the Medi-Cal population.
Previous project/program management experience required.
Knowledge of HEDIS and accrediting body requirements (e.g., NCQA, DHCS) desired.
Proficiency with Cozeva application highly desired.
Tableau for quality reporting is preferred.
Experience with review of medical records to identify service compliance and missed opportunities preferred.
Experience in the CA delegated model or with highly integrated clinical delivery systems 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 needs.

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.

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 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.

Apply About employer

More about this job

Skills

Quality assurance
Leadership
Critical thinking
Process improvement
Seek innovation in current practices
Quality assurance procedures
Program management
Tableau
Reporting
Regulatory compliance

Report this job