Director, Strategic Planning and Performance

Your Role

TheHealth Plan Operations (HPO)teamprovides operational support to Blue Shield of California. TheDirector, Health Plan OperationsOptimization leader will report to the Vice President, Health Plan Operations. In this role you will work across all the Health Plan Operations teams to drive an operating model that is efficient and provides outcomes worthy of our family and friends. You will drive the strategic direction to improve Health Plan Operations performance and stakeholder satisfaction while streamlining processes and lowering administrative costs. You will govern the HPO Business Optimization program portfolios for HPO team in Customer Experience, Claims, Healthcare Business Operations and end-to-end Backoffice operations. You will also provide hands-on dives and analysis of key performance issues to identify solutions.

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 bachelor's degree or equivalent experience
• Requires at least 10 years prior relevant experience, including 6 years of management experience
• 12 years of prior relevant experience preferred

• Strongly prefers Management Consulting experience - would consider alternate experience executing a transformation agenda in a large-scale health insurance operations team

• Requires in-depth experience in Health Plan and/or Health Care Operations, including areas such as Claims, Appeals and Grievances, Operations, Call Center, and/or Customer Experience.

• Requires experience leading operational teams in a matrixed organization
• Requires exceptional verbal and written communication skills, including an ability to communicate effectively at the executive level
• Requires ability to influence peers and senior executives across functional 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.