Director, Provider Contracting

Blue Shield of California • Long Beach, CA

2d • $170,280 - $288,052 • Hybrid

About The Position

The Blue Shield of California (BSC) Network and Provider Partnership team is responsible for the BSC Provider Contracting and Provider Relations activities for BSC. The Director, Provider Contracting will report to the Vice President of Network and Provider Partnerships Southern California. In this role, you will be responsible for participating in and leading the network team’s development of the multi-year contracting strategy for assigned providers and ongoing provider network maintenance. This will include unit cost trend targets and specific metrics to improve our overall competitive position. Additionally, you will lead cross functional work to drive process improvement opportunities for improved provider experience. You will also participate in committees and initiatives to help manage the total cost of health care for the lines of business for their assigned territory that typically results in savings of $1M+ plus in annual cost. 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

• 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.

Responsibilities

• Participating in and leading the network team’s development of the multi-year contracting strategy for assigned providers and ongoing provider network maintenance.
• Including unit cost trend targets and specific metrics to improve our overall competitive position.
• Leading cross functional work to drive process improvement opportunities for improved provider experience.
• Participating in committees and initiatives to help manage the total cost of health care for the lines of business for their assigned territory that typically results in savings of $1M+ plus in annual cost.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed