Director, Network Operations

Blue Shield of California•Long Beach, CA

5d•$170,280 - $288,052•Hybrid

About The Position

The Network Operations team sets the strategic direction for operational processes, network compliance, contract operations, and provider relations for Blue Shield and Blue Shield Promise Health Plan. This work ensures provider contract alignment, supports financial stewardship, strengthens enterprise governance, and advances strategic priorities across multiple lines of business. Reporting to the Vice President, Network Operations, the Director, Network Operations plays a leadership role, guiding data-driven contracting approaches to improve provider network effectiveness while aligning and executing operational initiatives and governance to serve Blue Shield of California and Blue Shield of California Promise Health Plan's (collectively “Blue Shield”) best interests. This position works closely with the Vice President of Network Operations to establish priorities while designing a comprehensive execution plan that effectively integrates each of the areas within the department. The Senior Principal will collaborate with multiple areas within the organization to design and implement roadmaps leading to efficient cost of healthcare strategies. 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.

Requirements

Candidates must be within 50 miles of Blue Shield of California offices in Woodland Hills, Long Beach, and San Diego ONLY.

Responsibilities

Sets the strategic direction for operational processes, network compliance, contract operations, and provider relations.
Ensures provider contract alignment, supports financial stewardship, strengthens enterprise governance, and advances strategic priorities.
Plays a leadership role in guiding data-driven contracting approaches to improve provider network effectiveness.
Aligns and executes operational initiatives and governance.
Works closely with the Vice President of Network Operations to establish priorities and design a comprehensive execution plan.
Collaborates with multiple areas within the organization to design and implement roadmaps leading to efficient cost of healthcare strategies.
Develops great leaders at all levels and creates opportunities for people to grow.
Energizes teams through creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.