Product Manager, Sr. Principal - Oncology

Blue Shield of CA; San Diego (CA); Hybrid; USD 180,000 - 280,000; Full time

Job summary

Blue Shield of California seeks a Clinical Product Senior Principal to build the clinical product strategy and roadmap for high-cost conditions, starting with Oncology. You will partner closely with Commercial and Government Markets to design, deliver, and evolve clinical programs for clients, plan sponsors, Covered California, Medi-Cal, and CMS.

You will lead enterprise-scale transformation, mentor teams, and drive measurable affordability and quality outcomes through data-driven analytics and

Qualifications

• Bachelor’s degree required; 4 years of additional relevant experience if no degree.
• Advanced degree preferred (e.g., MPH, MBA, MHA).
• 12 years of prior relevant experience required.
• Expertise in medical management, including utilization management, case management, and population health strategy.
• Proven experience developing and executing multi-year clinical product roadmaps in healthcare or payer environments.
• Requires experience working at a health plan (managed care, government payer, or academic).
• Experience working in oncology is preferred.
• Strong understanding of cross-benefit integration (medical and pharmacy) and value-based care principles.
• Demonstrated success leading enterprise-scale transformation initiatives and driving measurable affordability and quality outcomes.
• Expertise in healthcare analytics, predictive modeling, and outcomes measurement frameworks.
• Experience managing strategic vendor partnerships, including contracting, performance management, and shared-risk model.
• Strong financial acumen, including budget ownership, business case development, and ROI analysis.
• Ability to navigate complex regulatory environments, including Commercial, Covered California, Medi-Cal, and CMS requirement.
• Exceptional executive presence with ability to influence senior stakeholders and lead cross-functional teams.
• Proven track record of building, mentoring, and scaling high-performing teams.

Responsibilities

• Lead the development of the clinical product strategy and roadmap for high-cost conditions, starting with Oncology.
• Partner with Commercial and Government Markets to design, deliver, and evolve clinical programs meeting client needs.
• Collaborate with clients, plan sponsors, Covered California, Medi-Cal, and CMS to align program design.
• Influence senior stakeholders and lead cross-functional teams to execute initiatives.
• Drive affordability and quality outcomes through enterprise-scale transformation.

Skills

Executive presence

Healthcare analytics

Cross-functional leadership

Vendor management

Regulatory navigation

Strategic planning

ROI analysis

Population health

Oncology knowledge

Education

Bachelor's degree

Advanced degree preferred

Job description

Your Role

The Partner Services team leads the selection and implementation of new vendor/provider solutions to support the highest cost and prevalence conditions across Blue Shield of California members. The Clinical Product Senior Principal will report to the Senior Director of Clinical Product Strategy and Innovation. In this role you will build and develop the clinical product strategy and roadmap for high-cost conditions, with an initial focus on Oncology. This role will partner closely with Commercial and Government Markets to design, deliver, and continuously evolve clinical programs that meet the needs of clients, plan sponsors, Covered California, Medi Cal, and CMS. This role supports the clinical product strategy via sustained roadmaps that enable innovative, scalable, and measurable clinical capabilities in service of Blue Shield's mission to make healthcare affordable, high quality, and accessible for Californians.

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 Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Advanced degree (e.g., MPH, MBA, MHA) preferred
• 12 years prior relevant experience required
• Expertise in medical management, including utilization management, case management, and population health strategy required
• Proven experience developing and executing multi-year clinical product roadmaps in healthcare or payer environments required
• Requires experience working at a health plan (managed care, government payer, or academic)
• Experience working in oncology is preferred
• Strong understanding of cross-benefit integration (medical and pharmacy) and value-based care principles
• Demonstrated success leading enterprise-scale transformation initiatives and driving measurable affordability and quality outcomes
• Expertise in healthcare analytics, predictive modeling, and outcomes measurement frameworks
• Experience managing strategic vendor partnerships, including contracting, performance management, and shared-risk model
• Strong financial acumen, including budget ownership, business case development, and ROI analysis
• Ability to navigate complex regulatory environments, including Commercial, Covered California, Medi-Cal, and CMS requirement
• Exceptional executive presence with ability to influence senior stakeholders and lead cross-functional teams
• Proven track record of building, mentoring, and scaling high-performing teams

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.