Senior Director, Network Strategy & Partnerships

Blue Shield of California; California; Hybrid; USD 213.000 - 319.000; Vollzeit

Zusammenfassung

Blue Shield of California is seeking a Sr. Director, Strategic Planning and Performance (Network Strategy) to lead multi-year roadmaps for network design, affordability initiatives, and provider partnerships across California.

The role reports to the VP and acts as business owner for strategic initiatives, collaborating with cross-functional teams to deliver scalable operating models, analytics, and governance that drive value for members and providers.

Qualifikationen

• Requires a Bachelor's degree or HSD/GED with 4 years of relevant experience; a Master’s degree (MBA or MPH) is preferred.
• Requires 12 years of prior relevant experience with at least 10 years in Provider or Health Plan and experience leading a complex, strategic portfolio of business and IT initiatives; fifteen (15) years of experience is preferred.
• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports.
• Deep knowledge of Network Strategy, Contracting, Operations, and Compliance.
• Certifications preferred: Project Management Professional (PMP), Lean Six Sigma, Agile.

Aufgaben

• Partner with the VP, Network Strategy to drive and execute robust strategic roadmaps for each LOB and region.
• Identify and execute on Cost of Health Care (COHC) affordability opportunities.
• Lead team on complex initiatives to deliver COHC savings targets and drive operational excellence.
• Lead Network initiatives under the Affordability Office and serve as primary liaison to Affordability Office.
• Create scalable, structured provider engagement and backend operating model that drives provider performance.
• Collaborate with cross-functional partners to build and deploy an operating model with touchpoints across multiple functions.
• Own the implementation and optimization of a provider CRM platform delivering a unified, enterprise-wide view of interactions.
• Lead the provider analytics strategy supporting network design, performance management, provider selection, and evaluation of strategic partnerships.
• Develop, implement, and manage the Network Governance framework that drives enterprise-wide decision-making and prioritization.
• Drive analytics and process automation to enable scaling from Tier 1 to Tier 2 providers.
• Lead the technology enablement roadmap for Network Strategy.
• Partner with Provider Operations, Provider Transformation, and IT/Stellarus to develop multi-year roadmap.

Kenntnisse

Strategic planning

Leadership

Program management

Cross-functional collaboration

Analytics

Ausbildung

Bachelor’s degree

Master’s degree preferred

Jobbeschreibung

Blue Shield of California is seeking a Sr. Director, Strategic Planning and Performance (Network Strategy) to lead multi-year roadmaps for network design, affordability initiatives, and provider partnerships across California.

The role reports to the VP and acts as business owner for strategic initiatives, collaborating with cross-functional teams to deliver scalable operating models, analytics, and governance that drive value for members and providers.