Sr. Director, Provider Partnerships

Your Role

The Provider Partnerships team is responsible for creating high integrity relationships with medical providers to enable Blue Shield of California (BSC) to be the health plan of choice. The Sr. Director, Provider Partnerships will report to the Vice President, Performance Enablement in the Network Management and Provider Partnerships department. In this role you will lead in a highly matrixed environment across multiple internal business teams to provide strategic alignment, business planning, and effective execution of the provider engagement and enablement plans for all providers in your portfolio for all lines of business. The outcome of being the ideal partner to our providers will be a material improvement to quality and service, affordability and growth in membership in service to our communities across all lines of business.

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

• Requires a college degree or equivalent experience
• Requires 12 years of prior relevant experience, including 6 years of management experience which encompasses experience building high-performing teams
• Deep expertise in complex provider models, contract structures, and market-specific financial responsibility frameworks (e.g., California delegated models)
• Strong experience and orientation to the quadruple aim coupled with knowledge of markets, health plan operations, product development, network management, clinical operations, finance, regulatory issues, and compliance in the healthcare industry
• Strong leadership skills including excellent interpersonal, communications, problem solving and negotiating skills, the ability to think strategically while at the same time drive operational performance, and the ability to effectively work cross-functionally and collaboratively across BSC at all levels of the organization
• Demonstrated ability to mentor and coach, lead through large-scale change, collaborate and build trusting relationships with provider partners and key internal stakeholders
• Demonstrated execution orientation with measurable outcomes and accountability
• Proven executive provider engagement experience and the ability to manage multiple complex provider relationships at a time, and experience applying industry methodologies and practices
• Ability to be technological and data savvy; and ability to utilize information systems effectively
• Knowledge of healthcare utilization metrics is strongly preferred