Strategic Provider Partnerships Director

Blue Shield of CA; Redding (CA); Hybrid; USD 180,000 - 230,000; Full time

Job summary

Blue Shield of California seeks a Sr. Director, Provider Partnerships to lead strategic engagement with health systems, IPA/Medical Groups, and provider networks across lines of business.

You will translate enterprise strategies into actionable provider initiatives that advance affordability, quality, and member experience. The role requires strong executive leadership, mentorship of teams, and the ability to manage multiple complex relationships in a matrixed environment.

Qualifications

• Requires a Bachelor's degree or higher with extensive relevant experience.
• Requires 12 years of prior relevant experience.
• Requires 6 years of people management experience.
• Deep expertise in complex provider models, contract structures, and market-specific financial responsibility frameworks (e.g., California delegated models).
• Strong knowledge of quadruple aim, markets, health plan operations, product development, network management, and regulatory issues.

Responsibilities

• Lead provider partnerships strategy across networks and markets.
• Align initiatives with enterprise priorities and local market needs.
• Translate strategies into actionable provider programs that advance affordability, quality, and member experience.
• Mentor leaders and build high-performing teams.
• Drive measurable outcomes and accountability across provider partnerships.

Skills

Executive leadership

Provider engagement

Strategic thinking

Cross-functional leadership

Mentoring and coaching

Negotiation skills

Data analytics

Education

Bachelor's degree

Job description

Blue Shield of California seeks a Sr. Director, Provider Partnerships to lead strategic engagement with health systems, IPA/Medical Groups, and provider networks across lines of business.

You will translate enterprise strategies into actionable provider initiatives that advance affordability, quality, and member experience. The role requires strong executive leadership, mentorship of teams, and the ability to manage multiple complex relationships in a matrixed environment.