Sr. Director, Provider Partnerships
Blue Shield of California, Oakland, California, United States, 94616
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. Responsibilities
Your Work In this role, you will: Lead cross-functional teams to build and strengthen trusting relationships with providers to work together to deliver care worthy of our family and friends Provide thought leadership and collaborate with all applicable business teams, including the Performance Enablement Program team, to co-develop performance and engagement strategy and goals, sharing accountability for P&L and membership growth results including expansion efforts, clinical performance, and cost of healthcare Build and execute a provider engagement and enablement strategy to improve provider satisfaction with BSC and overall provider wellness, clinical quality performance, member experience, operational performance, including access to care, affordability (for providers and BSC), and practice sustainability Take an end-to-end holistic view of providers in your portfolio to ensure all BSC efforts are aligned and support our strategy Work cross-organizationally with internal departments and provider partners to ensure provider engagement and enablement plans are delivering, partnering with other cross-functional teams to ensure all efforts with a provider are tracked and coordinated to enhance the provider experience, and managing a team of program managers to effectively measure performance and success within the region Collaborate with Network Management to understand and ensure there is an aligned network strategy, and support contracting efforts and negotiations Understand and capitalize on the competitive market and identify opportunities for the provider strategy accordingly. Drive the financial performance of your portfolio supported by the Finance Team (planning, reporting, performance management, contract support, capitation payments, analysis, coding and budgeting) Foster a culture of innovation and creativity to enable BSC to meet changing market conditions and strategy Build a high-performing team that meets all operating goals, including cost of healthcare, clinical quality improvement, regulatory compliance, administrative cost, and employee engagement
Qualifications
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
ABOUT US
About Blue Shield of California As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield isa U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values: Honest.
We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human.
We strive to listen and communicate effectively, showing empathy by understanding others' perspectives. Courageous.
We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model: At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce. Two Ways of Working: Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions: o Member-facing and approved out-of-state roles remain remote. o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. On-Site: Work from a business unit-approvedofficean average of four (4) or more days a week. Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. Job Info
Job Identification 20260161 Job Category Provider Network Posting Date 01/30/2026, 05:42 PM Job Schedule Full time Pay Range for California $201960.00 to $303050.00 Pay Range for Bay Area $227664.00 to $341620.00 Note Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship No
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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. Responsibilities
Your Work In this role, you will: Lead cross-functional teams to build and strengthen trusting relationships with providers to work together to deliver care worthy of our family and friends Provide thought leadership and collaborate with all applicable business teams, including the Performance Enablement Program team, to co-develop performance and engagement strategy and goals, sharing accountability for P&L and membership growth results including expansion efforts, clinical performance, and cost of healthcare Build and execute a provider engagement and enablement strategy to improve provider satisfaction with BSC and overall provider wellness, clinical quality performance, member experience, operational performance, including access to care, affordability (for providers and BSC), and practice sustainability Take an end-to-end holistic view of providers in your portfolio to ensure all BSC efforts are aligned and support our strategy Work cross-organizationally with internal departments and provider partners to ensure provider engagement and enablement plans are delivering, partnering with other cross-functional teams to ensure all efforts with a provider are tracked and coordinated to enhance the provider experience, and managing a team of program managers to effectively measure performance and success within the region Collaborate with Network Management to understand and ensure there is an aligned network strategy, and support contracting efforts and negotiations Understand and capitalize on the competitive market and identify opportunities for the provider strategy accordingly. Drive the financial performance of your portfolio supported by the Finance Team (planning, reporting, performance management, contract support, capitation payments, analysis, coding and budgeting) Foster a culture of innovation and creativity to enable BSC to meet changing market conditions and strategy Build a high-performing team that meets all operating goals, including cost of healthcare, clinical quality improvement, regulatory compliance, administrative cost, and employee engagement
Qualifications
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
ABOUT US
About Blue Shield of California As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield isa U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values: Honest.
We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human.
We strive to listen and communicate effectively, showing empathy by understanding others' perspectives. Courageous.
We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model: At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce. Two Ways of Working: Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions: o Member-facing and approved out-of-state roles remain remote. o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. On-Site: Work from a business unit-approvedofficean average of four (4) or more days a week. Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. Job Info
Job Identification 20260161 Job Category Provider Network Posting Date 01/30/2026, 05:42 PM Job Schedule Full time Pay Range for California $201960.00 to $303050.00 Pay Range for Bay Area $227664.00 to $341620.00 Note Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship No
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